摘要
Objective:To observe the clinical efficacy of electroacupuncture(EA)in controlling myopia in children and its effect on retinal blood flow.Methods:Sixty-eight myopic children were randomly divided into an observation group and a control group,with 34 cases in each group.The control group was given auricular acupressure treatment alone,and the observation group was treated with EA once a week in addition to the treatment used in the control group.The spherical equivalent refraction(SER)and axial length(AL)were measured at baseline,and after 3 months and 6 months of treatment.Optical coherence tomography angiography was used to measure the vessel density(VD)and perfusion density(PD)in the surface layer of the retina.Results:After 3 months and 6 months of treatment,the changes in SER between the two groups were not statistically significant(P>0.05).After 3 months of treatment,the changes in AL between the two groups were not statistically significant(P>0.05);after 6 months of treatment,the change amount of AL in the observation group was smaller than that in the control group(P<0.05);after 3 months and 6 months of treatment,the changes in VD and PD in the surface layer of the retina in the observation group were significantly greater than those in the control group(P<0.01).Conclusion:EA treatment once a week for 6 months can delay the increase of AL and improve the retinal surface blood flow in myopic children.
目的:观察电针控制儿童近视的临床疗效及其对视网膜血流的影响.方法:将68例近视儿童随机分为观察组和对照组,每组34例.对照组给予单独耳穴贴压治疗,观察组在对照组治疗的基础上加用每周1次电针治疗.于治疗前、治疗3个月及6个月后检测等效球镜度(SER)和眼轴长度(AL),并应用光学相干断层扫描血流成像技术检测视网膜表层血管密度(VD)及视网膜表层血流灌注密度(PD).结果:治疗3个月和6个月后,两组SER变化量比较差异均无统计学意义(P>0.05);治疗3个月后,两组AL变化量比较差异均无统计学意义(P>0.05);治疗6个月后,观察组AL变化量小于对照组(P<0.05);治疗3个月和6个月后,观察组视网膜表层VD变化量及PD变化量均明显大于对照组(P<0.01).结论:每周1次连续6个月的电针治疗可延缓近视儿童AL增加并改善视网膜表层血流.
作者
HAN Rong
WANG Xuejun
KONG Xiehe
ZHANG Xiaopeng
CAO Yaojiani
LU Yunqiong
LIU Li
ZHOU Xingtao
ZHAO Feng
MA Xiaopeng
韩榕;王雪君;孔谐和;张小芃;曹姚佳妮;卢云琼;刘力;周行涛;赵峰;马晓芃(Shanghai Qigong Research Institute,Shanghai 200030,China;Taiji Health Center,Shanghai University of Traditional Chinese Medicine/Shanghai Academy of Traditional Chinese Medicine,Shanghai 200030,China;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Eye and ENT Hospital of Fudan University,Shanghai 200031,China;Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
基金
上海市进一步加快中医药传承创新发展三年行动计划(2021年-2023年)项目,No.ZY(2021-2023)-0105
上海市卫生健康委员会中医药科研项目,No.2020LP017
上海市科学技术委员会启明星培育(扬帆专项),No.22YF1444400.
作者简介
Co-first Authors:HAN Rong,M.M.,resident physician;Co-first Authors:WANG Xuejun,doctoral candidate of grade 2019 Joint;Corresponding Authors:MA Xiaopeng,M.D.,researcher,doctoral supervisor.E-mail:pengpengma@163.com;Corresponding Authors:ZHAO Feng,M.D.,associate chief physician.E-mail:doczhaofeng@163.com。
