摘要
目的观察目劄患儿的临床特征及开胃消食法治疗小儿目劄的临床疗效。方法纳入符合标准的42例患者,随机分为观察组与对照组,各21例,观察组予以口服中药小儿目劄汤治疗,对照组予口服复合维生素B片及人工泪液滴眼治疗。治疗1周后观察2组患儿瞬目次数、泪膜破裂时间(BUT),并进行眼部症状恢复情况评分。结果(1)一般情况:患儿主要集中在6~9岁儿童(57.14%),男童发病率(83.33%)高于女童(16.67%);88.10%的目劄患儿BUT不足10 s,80.95%的目劄患儿瞬目次数多于20次/min;不良习惯包括有厌食蔬菜(69.05%)、厌食坚果及谷物(54.76%)和长时间使用电子产品(66.67%)等。(2)BUT:2组间治疗前比较,差异无统计学意义(P>0.05);治疗后比较,观察组优于对照组(t=2.186,P=0.035)。2组内治疗前后比较差异均有统计学意义(t_(观察组)=-7.410,P=0.000;t_(对照组)-3.877,P=0.001)。(3)瞬目次数:2组间治疗前比较,差异无统计学意义(P>0.05),治疗后比较,观察组优于对照组(t=-2.379,P=0.022)。2组内治疗前后比较差异均有统计学意义(t_(观察组)=6.421,t_(对照组)6.439,均P=0.000)。(4)眼部症状恢复情况评分:2组间比较,差异有统计学意义(t=3.274,P=0.002)。(5)临床疗效:观察组总有效率(95.24%)优于对照组(66.67%),差异有统计学意义(χ^(2)=5.559,P=0.018)。结论开胃消食法治疗小儿目劄有较好临床疗效值得在临床推广应用。
OBJECTIVE To investigate the clinical characteristics of children with frequent eye blinking and the clinical efficacy of increasing appetite and promoting digestion method in its treatment.METHODS Forty-two patients who met the criteria were randomly divided into the observation group(OG)and the control group(CG),with 21 cases in each group.The patients of the observation group were treated with oral Chinese medicine Xiao'er Muzha Decoction,and the patients of the control group were treated with oral multivitamin B tablets and artificial tear drops.After one week of the treatment,the number of blinks and breaking up time(BUT)were observed,and the recovery of ocular symptoms was scored.RESULTS(1)General information:The children were mainly six to nine years old children(57.14%),and the incidence rate of boys(83.33%)was higher than that of girls(16.67%);There were 88.10%of the children with frequent eye blinking who had BUT of less than ten seconds,80.95%of those who had blinking numbers more than 20 times per minute.The bad habits of these children included anorexia of vegetables(69.05%),anorexia of nuts and grains(54.76%),and long-term use of electronic products(66.67%).(2)BUT:There was no significant difference between the two groups before the treatment(P>0.05).After the treatment,BUT of the observation group was better than that of the control group(t=2.186,P=0.035).There were statistically significant differences between the two groups before and after treatment(t_(OG)=-7.410,P=0.000;t_(CG)=-3.877,P=0.001).(3)Numbers of blink:There was no significant difference between the two groups before the treatment(P>0.05).After the treatment,numbers of blink of the observation group were less than those of the control group(t=-2.379,P=0.022).There were statistically significant differences between the two groups before and after the treatment(t_(OG)=6.421,t_(CG)=6.439,both P=0.000).(4)The scores of eye symptom recovery:There was statistically significant difference between the two groups(t=3.274,P=0.000).(5)Clinical efficacy:The total effective rate of the observation group(95.24%)was better than that of the control group(66.67%),with a statistically significant difference(χ^(2)=5.559,P=0.018).CONCLUSIONS The method of increasing appetite and promoting digestion has a good clinical efficacy in the treatment of children with frequent eye blinking,which is worthy of clinical application.
作者
孟磊
王龙龙
尹安坤
MENG Lei;WANG Longlong;YIN Ankun(Bozhou Hospital of Traditional Chinese Medicine,Bozhou 236818,China)
出处
《中国中医眼科杂志》
2023年第1期30-33,共4页
China Journal of Chinese Ophthalmology
基金
亳州市华佗中医院临床科研项目(2017yb007)。
关键词
小儿目劄
瞬目
中药
脾虚肝旺
开胃消食法
children with frequent eye blinking
blink
Traditional Chinese Medicine
spleen deficiency and liver prosperity syndrome
the method of increasing appetite and promoting digestion
作者简介
通讯作者:王龙龙,E-mail:565711612@qq.com。
