丹参注射液离子导入综合治疗大龄儿童弱视合并近视的临床效果
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摘要
目的探讨丹参注射液离子导入综合治疗大龄儿童弱视合并近视的临床效果。方法选取2016年1月～2017年8月萍乡市中医院收治的100例大龄儿童弱视合并近视的患儿(164只眼)作为研究对象,根据患儿的就诊顺序分为治疗组和常规组,每组50例(82只眼)。常规组以弱视闪烁、配镜、遮盖、家庭精细作业等传统疗法治疗。治疗组患儿则在传统疗法的基础上采取丹参注射液离子导入进行综合治疗。比较两组患儿治疗前后的视力和临床效果。结果治疗前,两组患儿的视力比较,差异无统计学意义(P>0.05),治疗后,两组的视力均高于治疗前,差异有统计学意义(P<0.05),且治疗组治疗后的视力明显高于常规组,差异有统计学意义(P<0.05)。治疗组的治疗总有效率为97.56%,高于的常规组的85.37%,差异有统计学意义(P<0.05)。结论在常规治疗的基础上给予丹参注射液离子导入进行综合治疗大龄儿童弱视合并近视能提高临床治疗效果,能有效提高患儿的视力,值得临床应用推广。
Objective To investigate the clinical effect of Salvia Miltiorrhiza Injection iontophoresis in the integrated treatment of amblyopia combined with myopia in older children. Methods From January 2016 to August 2017, 100 older children(164 eyes) with amblyopia combined with myopia treated by Traditional Chinese Medicine Hospital of Pingxiang City were selected as the study objects. The patients were divided into the treatment group and routine group according to the order of consultation in illed children. There were 50 children(82 eyes) in each group. The routine group was treated with amblyopia flicker, matching mirror, covering, home work and other traditional trerapy. The illed children in the treatment group were treated with the integrated treatment of Salvia Miltiorrhiza Injection iontophoresis on the basis of traditional therapy. The visual acuity before and after treatment and clinical effect between the two groups were compared. Results Before treatment, there was no significant difference in visual acuity between the two groups(P>0.05). After treatment, the visual acuity of the two groups were higher than thaose before treatment, and the differences were statistically significant(P<0.05), the visual acuity of the treatment group after treatment was significantly higher than that of the routine group, and the difference was statistically significant(P<0.05). The total effective rate of the treatment group was 97.56%, which was higher than that of the routine group(85.37%), and the difference was statistically significant(P<0.05). Conclusion On the basis of routine treatment, Salvia Miltiorrhiza Injection iontophoresis given to conduct the integrated treatment for amblyopia combined with myopia in older children can improve the clinical effect, and improve effectivley the visual acuity of illed children, so it is worthy of clinical application and promotion.
Objective To investigate the clinical effect of Salvia Miltiorrhiza Injection iontophoresis in the integrated treatment of amblyopia combined with myopia in older children. Methods From January 2016 to August 2017, 100 older children(164 eyes) with amblyopia combined with myopia treated by Traditional Chinese Medicine Hospital of Pingxiang City were selected as the study objects. The patients were divided into the treatment group and routine group according to the order of consultation in illed children. There were 50 children(82 eyes) in each group. The routine group was treated with amblyopia flicker, matching mirror, covering, home work and other traditional trerapy. The illed children in the treatment group were treated with the integrated treatment of Salvia Miltiorrhiza Injection iontophoresis on the basis of traditional therapy. The visual acuity before and after treatment and clinical effect between the two groups were compared. Results Before treatment, there was no significant difference in visual acuity between the two groups(P>0.05). After treatment, the visual acuity of the two groups were higher than thaose before treatment, and the differences were statistically significant(P<0.05), the visual acuity of the treatment group after treatment was significantly higher than that of the routine group, and the difference was statistically significant(P<0.05). The total effective rate of the treatment group was 97.56%, which was higher than that of the routine group(85.37%), and the difference was statistically significant(P<0.05). Conclusion On the basis of routine treatment, Salvia Miltiorrhiza Injection iontophoresis given to conduct the integrated treatment for amblyopia combined with myopia in older children can improve the clinical effect, and improve effectivley the visual acuity of illed children, so it is worthy of clinical application and promotion.
引文
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[12]何碧华,谢祥勇,韦丽娇,等.中药离子导入配合穴位按摩对儿童弱视的图形视觉诱发电位的影响[J].广西医学,2013,35(3):298-300.
[13]彭智谋,朱优凤,陈业.中药离子导入综合疗法治疗大龄儿童弱视67(只)眼[J].江西中医药,2012,43(7):40-41.
[14]杜红彦,李志英,王蓉.复方丹参注射液离子导入治疗前部缺血性视神经病变临床观察[J].辽宁中医药大学学报,2014,14(5):180-181.
[15]王育文,袁建树,金亚明,等.复方丹参药离子导入治疗青少年进行性近视临床研究[J].实用防盲技术,2011,6(1):17-19.
[2]葛坚.眼科学(八年制)[M].北京:人民卫生出版社,2005:479.
[3]谭广棉,杨秀章,方俊宏,等.丹参眼部电离子透入改善视网膜细胞功能的疗效观察[J]临床眼科杂志,2015,15(2):146-148.
[4]赵渭.丹参注射液离子导入配合常规药物治疗老年黄斑变性的临床疗效[J].临床医学研究与实践,2017,2(27):34-35.
[5]韦丽娇,谢祥勇,何碧华.口服叶黄素联合中药离子导入治疗大龄儿童弱视的疗效观察[J].医学理论与实践,2013,26(7):905-906.
[6]谭可,刘劲红.中药离子导入配合穴位按摩治疗小儿弱视疗效观察[J].四川中医,2014,15(10):172-173.
[7]吴道雷,陈尚懿,李丽,等.穴位针刺联合中药离子导入治疗儿童弱视64例[J].中国中医药科技,2015,22(4):454-455.
[8]赵小蕊.中药离子导入治疗青少年近视、弱视及视疲劳疗效分析[J].中医临床研究,2014,6(23):61-62.
[9]邵杰,李德坤,李芳,等.中药离子导入及按摩治疗儿童弱视疗效观察[J].陕西中医,2015(9):1190-1191.
[10]谢祥勇,唐勇华,何碧华,等.中药离子导入配合按摩眼部穴位治疗儿童弱视立体视觉疗效观察[J].中国中医眼科杂志,2012,22(4):276-278.
[11]杨琴.针灸及中药熏眼热疗联合使用治疗青少年近视的疗效观察[J].中国民康医学,2014,26(6):96-97.
[12]何碧华,谢祥勇,韦丽娇,等.中药离子导入配合穴位按摩对儿童弱视的图形视觉诱发电位的影响[J].广西医学,2013,35(3):298-300.
[13]彭智谋,朱优凤,陈业.中药离子导入综合疗法治疗大龄儿童弱视67(只)眼[J].江西中医药,2012,43(7):40-41.
[14]杜红彦,李志英,王蓉.复方丹参注射液离子导入治疗前部缺血性视神经病变临床观察[J].辽宁中医药大学学报,2014,14(5):180-181.
[15]王育文,袁建树,金亚明,等.复方丹参药离子导入治疗青少年进行性近视临床研究[J].实用防盲技术,2011,6(1):17-19.