药枕方眼部敷贴对调节及辐辏功能影响.docVIP

药枕方眼部敷贴对调节及辐辏功能影响 　　[摘要] 目的 ?^察“药枕方”眼部敷贴对调节及辐辏功能的影响。 方法 选择2015年1～12月在上海中医药大学附属曙光医院眼科就诊的视疲劳患者120例。按随机数字表法将其分为药枕方组、眼保健操组、信流丁组、安慰剂组，各30例。分别给予“药枕方”眼部敷贴，眼保健操每日2次自行眼部操作按摩，消旋山莨菪碱滴眼液每日2次滴用，生理盐水+赋形剂局部敷贴。对各组患者治疗前、治疗2周、治疗结束后1周调节灵敏度、辐辏近点、调节储备进行检测。 结果 ①组间比较结果显示，药枕方组治疗2周、治疗结束1周的调节灵敏度、调节储备与眼保健操组、信流丁组及安慰剂组比较，差异有统计学意义（P 0.05）；组内比较显示，药枕方组调节灵敏度、辐辏近点、调节储备治疗2周、治疗结束1周与治疗前比较，差异有统计学意义（均P 0.05）。 结论 药枕方对调节灵敏度、调节储备、辐辏力具有改善作用，且疗效具有持续性。眼保健操对辐辏近点具有一定的改善作用。 　　[关键词] 视疲劳；调节；辐辏；药枕方；眼保健操 　　[中图分类号] R591.41 [文献标识码] A [文章编号] 1673-7210（2016）12（c）-0137-05 　　[Abstract] Objective To observe the effect of Yaozhen Formula ophthalmic application on accommodation and vergence function. Methods 120 patients with visual fatigue from outpatients in Shuguang Hospital during January to December 2015 were selected and randomly divided into Yaozhen Formula group， eye exercises group， xinliuding group， and placebo group with 30 cases in each group. Yaozhen Formula ophthalmic application was administrated， eye exercises twice a day was accompanied， raceanisodamine eye drops dropped by 2 times a day， saline + excipient local application was in each group. Accommodation sensitivity， convergence near point and accommodation reserve were detected pretreatment， 2 weeks after treatment and 1 week after the end of treatment. Results There was statistical difference in accommodation sensitivity and accommodation reserve between Yaozhen Formula group and eye exercises group， xinliuding group， as well as placebo group， at 2 weeks treatment and after 1 week of the treatment （P 0.05）. The comparison of before and 2 weeks of the treatment， and after 1 week of the treatment in Yaozhen Formula group showed statistical difference in accommodation sensitivity， convergence near point and accommodation reserve （P 　　[Key words] Asthenopia； Accommodation； Convergence； Yaozhen Formula； Eye exercises 　　视疲劳是由多种原因引起的用眼不能持久，长时间用眼后出现视觉障碍、眼部不适、头疼、疲倦等症状。随着生活、工作方式的改变，人们更多依赖于近距离的视频终端设备，由此带来的视疲劳也越来越多。双眼近距离注视时眼内直肌收缩，眼球内转，晶状体变凸，产生调节-辐辏联动[1]，但