针刺治疗糖尿病麻痹性斜视：随机对照研究

目的：观察针刺治疗糖尿病麻痹性斜视的临床疗效。方法：将72例麻痹性斜视的糖尿病患者随机分为药物组、针刺组及针药组。药物组应用甲基维生素B12250μg肌肉注射常规治疗，每日1次；针刺组根据麻痹性肌肉的不同选取穴位，并随症配穴；针药组在药物组治疗的基础上，加用针刺组的方法。以上各组均治疗28天。结果：针刺组总有效率为87．5％，针药组总有效率为95．7％，均明显高于药物组的54．5％（P〈0．05，P〈0．01），针刺组与针药相比差异无显著性意义（P〉0．05）。结论：针刺治疗糖尿病麻痹性斜视疗效确切，优于常规药物治疗。

Randomized controlled study on acupuncture for treatment of diabetic paralytic squint

OBJECTIVE: To observe clinical therapeutic effect of acupuncture on diabetic paralytic squint. METHODS: Seventy-two cases of diabetic paralytic squint were randomly divided into a medication group, an acupuncture group and an acupuncture and medication group. The medication group were treated with intramuscular injection of Methyl vitamin B12 250 microg, once daily; the acupuncture group were treated by acupuncture at different acupoints according to different paralytic muscles of eyes with adjuvant acupoints selected according to symptoms; the acupuncture and medication group were treated with the routine medicine and acupuncture. The treatment was given for 28 days. RESULTS: The total effective rate of 87. 5% in the acupuncture group and 95.7% in the acupuncture and medication group were higher than 54.5% in the medication group (P < 0.05, P < 0.01), with no significant difference between the acupuncture group and the acupuncture and medication group (P > 0.05). CONCLUSION: Acupuncture has a definite therapeutic effect on diabetic paralytic squint, which is better than that of routine medication.