针刺配合西药治疗眼外肌不全麻痹的的疗效观察.docVIP

针刺配合西药治疗眼外肌不全麻痹的的疗效观察 　　文章编号：0255-2930(2008)06-0399-02 　　中图分类号：R 246.82 　　文献标志码：A临床研究 　　 　　[摘 要] 目的：探寻眼外肌不全麻痹的较佳疗法。方法：将90例眼外肌不全麻痹患者随机分为针药组、针刺组、西药组，每组30例。针刺组取水沟、风池、翳风、翳明、太阳、睛明、攒竹等穴针刺；西药组采取Vit B1、Vit B12肌肉注射，口服三磷酸腺苷(ATP)治疗；针药组采取针刺组及西药组的治法。比较3组疗效。结果：针药组痊愈率为66.7%，显著高于针刺组的26.7%与西药组的26.7%(均P0.01)。结论：针刺配合西药治疗眼外肌不全麻痹效果显著，优于单纯针刺与单纯西药治疗。 　　[关键词] 眼肌麻痹，慢性进行性外侧/针灸疗法；眼肌麻痹，慢性进行性外侧/药物疗法；针药并用；@眼外肌不全麻痹 　　 　　Observation on therapeutic effect of acupuncture combined with western medicine on paralytic strabismus 　　GUO Hui-min1，DONG Jing-kai6，WANG Hui-min6，ZHANG Zhi-hong2，LI Yin-xiao3，WANG Rong-xia?4，LIU Su-qiao?5 (1.Department of Acupuncture， 2.Department of Ophthalmology， 3.Department of Neurology， 4.Department of Laboratory， 5.Department of Gynecology，The Second Hospital of Shijiazhuang，Shijiazhuang 050051，China；6.Qiaodong District Hospital of Shijiazhuang) 　　ABSTRACT：Objective To find out a better therapy for paralytic strabismus.Methods Ninety cases were randomly divided into an acupuncture-medicine group，an acupuncture group，a western medicine group，30 cases in each group.The acupuncture-medicine group were treated with acupuncture at Shuigou (GV 26)，Fengchi (GB 20)，Yifeng (TE 17)，Yiming (EX-HN 14)，Taiyang (EX-HN 5)，Jingming (BL 1)，Cuanzhu (BL 2)，etc.intramuscular injection of Vit B1 and Vit B12，and oral administration of ATP；the acupuncture group were treated with simple acupuncture，and the western medicine group were treated with simple western medicine.Their therapeutic effects were compared.Results The cured rate of 66.7% in the acupuncture-medicine group was significantly higher than 26.7% in the acupuncture group and 26.7% in the western medicine group (both P0.01).Conclusion Acupuncture combined with western medicine has obvious therapeutic effect，which is better than that of simple acupuncture or simple western medicine. 　　KEY WORDS：Ophthalmoplegia，Chronic Progressive External/am ther；Ophthalmoplegia，Chronic Progressive External/drug ther；Acupuncture Medication