针刺结合脉冲电治疗视神经萎缩的疗效观察

目的 观察针刺结合脉冲电治疗视神经萎缩的临床疗效.方法 收集在本院就诊的视神经萎缩患者40例(73眼),根据随机分布法则进行数据统计分析,将样本归类为实验组与样本组各20例(实验组38眼,样本组35眼).样本组采取常规针灸的方法,行针穴位于阳白、承泣、风池、焦氏头皮针视区、并且在脚底涌泉穴,一天行针一次,用时半小时,10天为一个疗程;实验组不但进行针灸还采用脉冲电疗法(正负电极片,1对凝胶,左右交叉连接电线的2个输出端,组合为视神经通路),采用疏密波,且符合人体最适感受度,每天理疗一次,持续20分钟,10天为一个疗程.在持续1个月的治疗后,两组患者的病情分别进行了观察比对,统计出视力、视野改善情况.结果 实验组和样本组治疗后视力分布分别集中于0.12 ～ 0.6段和0.03 ～ 0.1段.两组治疗后视野改善情况:实验组好转20眼,样本组好转7眼,差异有统计学意义(x2=8.324,P=0.004).观察组的改善情况明显:19只眼都得到了有效治愈,13只眼也得到了提升,还有6只未能完全治愈,治愈率高达84.21％;样本组来看:10只眼明显愈合,13只眼局部改善,12只眼几乎无提升,治愈率高达65.71％.结论 针刺结合脉冲电治疗视神经萎缩疗效优于单纯针刺.

Study of acupuncture combined with impulse electrotherapy for the treatment of optic atrophy

Objective To study the clinical effect of acupuncture combined with impulse electrotherapy for patients with optic atrophy.Methods 40 cases (73 eyes) were randomly divided into experimental group (20 cases,38 eyes) and control group (20 cases,35 eyes).Patients in control group were treated with acupuncture using yangbai (GB14),chengqi (ST1),fengchi (GB20),yongquan (KL1),and the visual area of scalp acupoint,lasting for a half hour,once a day.Patients in experimental group were treated with acupuncture combined with impulse electrotherapy (positive and negative electrodes were connected as the mode of the optic nerve pathway),lasting for 20 minutes,once a day.After a month of treatment,the vision improvement of both groups were observed and investigated.Results After the treatment,the vision was mainly between 0.12 to 0.6 in experimental group and 0.03 to 0.1 in control group.The visual field improvement occurred in 20 eyes in experimental group and 7 eyes in control group,with statistically significant difference (x 2=8.324,P=0.004).In experimental group,vision of 19 eyes were significantly improved,13 eyes were improved,6 eyes were unimproved,the total cure rate was 84.21％;in control group,vision of 10 eyes were significantly improved,13 eyes were improved,12 eyes were unimproved,the total cure rate was 65.71％.Conclusion Acupuncture combined with impulse electrotherapy has a better clinical effect for optic atrophy than simple acupuncture.