眼局部联合全身综合治疗视频终端综合征的临床疗效
|
摘要
目的:观察眼局部联合全身综合治疗视频终端(VDT)综合征的临床效果。方法:选取2017-08/2018-05在我院眼科就诊的VDT综合征患者62例124眼,随机分为试验组和对照组,各31例62眼。对照组患者给予人工泪液点眼,试验组患者在对照组的基础上进行耳穴压豆及眼周穴位联合全身中医推拿治疗,治疗期间对两组患者均进行健康宣教。两组患者均以治疗2wk为一疗程。所有患者分别于治疗前和治疗后2wk行症状评分及屈光矫正基础下的调节幅度、调节灵敏度、调节反应、集合近点和调节性集合与调节的比值(AC/A)检查,比较治疗前后各参数变化并评价治疗效果。结果:治疗后,两组患者症状评分、调节灵敏度均较治疗前改善,差异均有统计学意义(P<0. 05),试验组患者调节幅度、集合近点也较治疗前改善,差异均有统计学意义(P<0. 05)。结论:眼局部联合全身综合治疗能有效改善VDT综合征患者的调节和集合功能,缓解VDT综合征患者的眼部及全身疲劳症状。
AIM: To research the clinical effects of visual display terminal( VDT) syndrome after local treatment near the eyes in combination with systemic comprehensive treatment.METHODS: Totally 62 patients( 124 eyes) with VDT syndrome were randomly divided into a trial group and a control group,31 cases( 62 eyes) in each group. In the control group,artificial tears as eye drops were given. In addition to the above local treatment with artificial tears,the trial group was also treated with the auricular acupressure and tuina at the acupoints near orbits and the whole body. A health education was carried out in both of the two groups.The course of the treatment of the two groups was 2 wk. The symptomatic scores,and the amplitude of accommodation,facility of accommodation,accommodative response,near point of convergence and the ratio of accommodative convergence to accommodation( AC/A) based on refractive error correction of all the patients were detected before and after the treatment. The parameters gained before and after the treatment were compared for evaluating efficacy.RESULTS: After treatment,the symptomatic scores and facility of accommodation of the two groups were significantly improved compared with those before treatment( P < 0. 05). Amplitude of accommodation and near point of convergence in the trial group were significantly improved after treatment( P<0.05).CONCLUSION: Local treatment near the eyes in combination with systemic comprehensive treatment can effectively improve the accommodative and convergent functions of patients with VDT syndrome,and relieve their symptoms of asthenopia and fatigue.
AIM: To research the clinical effects of visual display terminal( VDT) syndrome after local treatment near the eyes in combination with systemic comprehensive treatment.METHODS: Totally 62 patients( 124 eyes) with VDT syndrome were randomly divided into a trial group and a control group,31 cases( 62 eyes) in each group. In the control group,artificial tears as eye drops were given. In addition to the above local treatment with artificial tears,the trial group was also treated with the auricular acupressure and tuina at the acupoints near orbits and the whole body. A health education was carried out in both of the two groups.The course of the treatment of the two groups was 2 wk. The symptomatic scores,and the amplitude of accommodation,facility of accommodation,accommodative response,near point of convergence and the ratio of accommodative convergence to accommodation( AC/A) based on refractive error correction of all the patients were detected before and after the treatment. The parameters gained before and after the treatment were compared for evaluating efficacy.RESULTS: After treatment,the symptomatic scores and facility of accommodation of the two groups were significantly improved compared with those before treatment( P < 0. 05). Amplitude of accommodation and near point of convergence in the trial group were significantly improved after treatment( P<0.05).CONCLUSION: Local treatment near the eyes in combination with systemic comprehensive treatment can effectively improve the accommodative and convergent functions of patients with VDT syndrome,and relieve their symptoms of asthenopia and fatigue.
引文
1瞿小妹,褚仁远,汪琳,等.注视视频终端对视觉功能的影响.中华眼科杂志2005;41(11):986-989
2 Iwakiri K,Mori I,Sotoyama M,et al.Survey on visual and musculoskeletal symptoms in VDT workers.Sangyo Eiseigaku Zasshi2004;46(6):201-212
3中华医学会眼科学分会眼视光学组.视疲劳诊疗专家共识(2014年).中华眼视光学与视觉科学杂志2014;16(7):385-387
4 Blehm C,Vishnu S,Khattak A,et al.Computer vision syndrome:a review.Surv Ophthalmol 2005;50(3):253-262
5李凤鸣.中华眼科学.第2版.北京:人民卫生出版社2004:2490-2493
6瞿小妹,褚仁远.电脑终端病与视功能障碍.眼科新进展2000;20(5):331-332
7 Borsting E,Rouse MW,Deland PN,et al.Association of symptoms and convergence and accommodative insufficiency in school-age children.Optometry 2003;74(1):25-34
8苏晶,刘新泉.VDT操作者双眼视功能参数的测定及其与视疲劳的关系.眼科2016;25(2):110-114
9 Thiagarajan P,Ciuffreda KJ.Visual fatigue effects on vergence dynamics in asymptomatic individuals.Ophthalmic Physiol Opt 2013;33(6):642-651
10 Mclean L,Tingley M,Scott RN,et al.Computer terminal work and the benefit of microbreaks.Appl Ergon 2001;32(3):225-237
11 Balci R,Aghazadeh F.The effect of work-rest schedules and type of task on the discomfort and performance of VDT users.Ergonomics 2003;46(5):455-465
12尹旭辉.针刺治疗视频终端综合征临床观察.山西中医学院学报2016;17(4):33-35
13张花治,侯春英,刘莹.针刺配合耳穴压丸治疗视疲劳的临床观察.中国中医眼科杂志2011;21(1):19-21
14郭佳.点揉风池穴防治眼轮匝肌痉挛.天津中医药2008;25(1):36
2 Iwakiri K,Mori I,Sotoyama M,et al.Survey on visual and musculoskeletal symptoms in VDT workers.Sangyo Eiseigaku Zasshi2004;46(6):201-212
3中华医学会眼科学分会眼视光学组.视疲劳诊疗专家共识(2014年).中华眼视光学与视觉科学杂志2014;16(7):385-387
4 Blehm C,Vishnu S,Khattak A,et al.Computer vision syndrome:a review.Surv Ophthalmol 2005;50(3):253-262
5李凤鸣.中华眼科学.第2版.北京:人民卫生出版社2004:2490-2493
6瞿小妹,褚仁远.电脑终端病与视功能障碍.眼科新进展2000;20(5):331-332
7 Borsting E,Rouse MW,Deland PN,et al.Association of symptoms and convergence and accommodative insufficiency in school-age children.Optometry 2003;74(1):25-34
8苏晶,刘新泉.VDT操作者双眼视功能参数的测定及其与视疲劳的关系.眼科2016;25(2):110-114
9 Thiagarajan P,Ciuffreda KJ.Visual fatigue effects on vergence dynamics in asymptomatic individuals.Ophthalmic Physiol Opt 2013;33(6):642-651
10 Mclean L,Tingley M,Scott RN,et al.Computer terminal work and the benefit of microbreaks.Appl Ergon 2001;32(3):225-237
11 Balci R,Aghazadeh F.The effect of work-rest schedules and type of task on the discomfort and performance of VDT users.Ergonomics 2003;46(5):455-465
12尹旭辉.针刺治疗视频终端综合征临床观察.山西中医学院学报2016;17(4):33-35
13张花治,侯春英,刘莹.针刺配合耳穴压丸治疗视疲劳的临床观察.中国中医眼科杂志2011;21(1):19-21
14郭佳.点揉风池穴防治眼轮匝肌痉挛.天津中医药2008;25(1):36