Effects of acupuncture on vision and visual function in children with anisometropic amblyopia

MA Cui; JIA Jing; YE Yujuan; SUN Yan; YAN Xingke

doi:10.13703/j.0255-2930.20230313-0003

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Effects of acupuncture on vision and visual function in children with anisometropic amblyopia

Clinical Research | 更新时间：2024-06-03

- Effects of acupuncture on vision and visual function in children with anisometropic amblyopia
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 2, Pages: 153-157(2024)
- 作者机构：
  
  1.甘肃中医药大学针灸推拿学院，兰州 730000
  2.甘肃省康复中心医院
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20230313-0003
  CLC：
- Received：13 March 2023，
  
  Online First：18 December 2023，
  
  Published：12 February 2024
- 稿件说明：
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马翠,贾静,叶钰娟等.针刺对屈光参差性弱视患儿视力和视功能的影响[J].中国针灸,2024,44(02):153-157.

MA Cui,JIA Jing,YE Yujuan,et al.Effects of acupuncture on vision and visual function in children with anisometropic amblyopia[J].Chinese Acupuncture & Moxibustion,2024,44(02):153-157.
马翠,贾静,叶钰娟等.针刺对屈光参差性弱视患儿视力和视功能的影响[J].中国针灸,2024,44(02):153-157. DOI： 10.13703/j.0255-2930.20230313-0003.

MA Cui,JIA Jing,YE Yujuan,et al.Effects of acupuncture on vision and visual function in children with anisometropic amblyopia[J].Chinese Acupuncture & Moxibustion,2024,44(02):153-157. DOI： 10.13703/j.0255-2930.20230313-0003.

摘要

目的

观察“调气通经明目”针刺联合常规疗法治疗儿童屈光参差性弱视的临床疗效。

方法

将76例屈光参差性单眼弱视患儿随机分为观察组（38例，脱落2例）和对照组（38例）。两组均予配镜遮盖治疗，对照组予常规治疗（红闪、光栅、视刺激），每次每项5 min；观察组在对照组治疗基础上，针刺双侧睛明、攒竹、风池、光明。两组均隔日1次，每周3次，共治疗4周。分别于治疗前后观察两组患儿最佳矫正视力、图形视觉诱发电位（P-VEP）P

100

波潜伏期及振幅、屈光度［等效球镜度数（SE）值］，采用Titmus立体视图检查近立体视锐度，并评定两组临床疗效。

结果

与治疗前比较，治疗后两组患儿最佳矫正视力提高（

0.05），P-VEP P

100

波潜伏期缩短、振幅升高（

0.05），SE值、Titmus值降低（

0.05）；治疗后，观察组最佳矫正视力高于对照组（

0.05），P-VEP P

100

波潜伏期短于对照组、振幅高于对照组（

0.05），SE值、Titmus值低于对照组（

0.05）。观察组总有效率为86.1%（31/36），高于对照组的65.8%（25/38，

0.05）。

结论

在视觉可塑期内，“调气通经明目”针刺联合常规治疗可有效改善屈光参差性弱视患儿最佳矫正视力、屈光度和立体视锐度，增强视网膜至视皮层神经传导功能，疗效优于单纯常规治疗。

Abstract

Objective

To observe the clinical efficacy of

Tiaoqi Tongjing Mingmu

acupuncture (acupuncture for regulating

unblocking meridians and brightening eyes) combined with conventional treatment for anisometropic amblyopia children.

Methods

A total of 76 children with monocular anisometropic amblyopia were randomized into an observation group (38 cases

2 cases dropped out) and a control group (38 cases). The lens covering therapy was adopted in both groups. The conventional treatment i.e. red flash

grating and visual stimulation was given in the control group

5 min for one item each time; on the basis of the treatment in the control group

acupuncture was applied at bilateral Jingming (BL 1)

Cuanzhu (BL 2)

Fengchi (GB 20) and Guangming (GB 37) in the observation group. Both groups were treated once every other day

3 times a week for 4 weeks. Before and after treatment

the best corrected visual acuity

the latency and amplitude of P

100

wave of pattern visual evoked potential (P-VEP)

the diopter (spherical equivalent [SE

]

) were observed

the stereoacuity was measured by Titmus stereoscopic examination

and the clinical efficacy was evaluated in both groups.

Results

Compared with those before treatment

the best corrected visual acuity improved (

0.05)

the latency of P-VEP P

100

wave was shortened and the amplitude of P-VEP P

100

wave was increased (

0.05)

and the SE and Titmus values were decreased (

0.05) after treatment in both groups. After treatment

in the observation group

the best corrected visual acuity was higher (

0.05)

the latency of P-VEP P

100

wave was shorter and the amplitude of P-VEP P

100

wave was higher (

0.05)

SE and Titmus values were lower (

0.05) than those in the control group. The total effective rate was 86.1% (31/36) in the observation group

which was superior to 65.8% (25/38) in the control group (

0.05).

Conclusion

During the visual plasticity period

Tiaoqi Tongjing Mingmu

acupuncture combined with conventional treatment can effectively improve the best corrected vision

diopter and stereoacuity in children with anisometropic amblyopia

and enhance the nerve conduction function from retina to visual cortex. Its effect is superior to that of simple conventional treatment.

关键词

Keywords

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