眼局部联合全身综合治疗视频终端综合征的临床疗效

目的：观察眼局部联合全身综合治疗视频终端(VDT)综合征的临床效果。

方法：选取2017-08/2018-05在我院眼科就诊的VDT综合征患者62例124眼，随机分为试验组和对照组，各31例62眼。对照组患者给予人工泪液点眼，试验组患者在对照组的基础上进行耳穴压豆及眼周穴位联合全身中医推拿治疗，治疗期间对两组患者均进行健康宣教。两组患者均以治疗2wk为一疗程。所有患者分别于治疗前和治疗后2wk行症状评分及屈光矫正基础下的调节幅度、调节灵敏度、调节反应、集合近点和调节性集合与调节的比值(AC/A)检查，比较治疗前后各参数变化并评价治疗效果。

结果：治疗后，两组患者症状评分、调节灵敏度均较治疗前改善，差异均有统计学意义(P<0.05)，试验组患者调节幅度、集合近点也较治疗前改善，差异均有统计学意义(P<0.05)。

结论：眼局部联合全身综合治疗能有效改善VDT综合征患者的调节和集合功能，缓解VDT综合征患者的眼部及全身疲劳症状。

Clinical study on visual display terminal syndrome with local treatment near the eyes in combination with systemic comprehensive treatment

AIM: To research the clinical effects of visual display terminal(VDT)syndrome after local treatment near the eyes in combination with systemic comprehensive treatment.

METHODS: Totally 62 patients(124 eyes)with VDT syndrome were randomly divided into a trial group and a control group, 31 cases(62 eyes)in each group. In the control group, artificial tears as eye drops were given. In addition to the above local treatment with artificial tears, the trial group was also treated with the auricular acupressure and tuina at the acupoints near orbits and the whole body. A health education was carried out in both of the two groups. The course of the treatment of the two groups was 2wk. The symptomatic scores, and the amplitude of accommodation, facility of accommodation, accommodative response, near point of convergence and the ratio of accommodative convergence to accommodation(AC/A)based on refractive error correction of all the patients were detected before and after the treatment. The parameters gained before and after the treatment were compared for evaluating efficacy.

RESULTS: After treatment, the symptomatic scores and facility of accommodation of the two groups were significantly improved compared with those before treatment(P<0.05). Amplitude of accommodation and near point of convergence in the trial group were significantly improved after treatment(P<0.05).

CONCLUSION: Local treatment near the eyes in combination with systemic comprehensive treatment can effectively improve the accommodative and convergent functions of patients with VDT syndrome, and relieve their symptoms of asthenopia and fatigue.