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1、针刺配合西药治疗眼外肌不全麻痹疗效观察针刺配合西药治疗眼外肌不全麻痹疗效观察文章编号:0255-2930(2008)06-0399-02中图分类号:R246.82文献标志码:A临床研究[摘要]目的:探寻眼外肌不全麻痹的较佳疗法。方法:将90例眼外肌不全麻痹患者随机分为针药组、针刺组、西药组,每组30例。针刺组取水沟、风池、翳风、翳明、太阳、睛明、攒竹等穴针刺;西药组釆取VitBl>VitB12肌肉注射,口服三磷酸腺莒(ATP)治疗;针药组采取针刺组及西药组的治法。比较3组疗效。结果:针药组痊愈率为66.7%,显
2、著高于针刺组的26.7%与西药组的26.7%(均P〈0・01)。结论:针刺配合西药治疗眼外肌不全麻痹效果显著,优于单纯针刺与单纯西药治疗。[关键词]眼肌麻痹,慢性进行性外侧/针灸疗法;眼肌麻痹,慢性进行性外侧/药物疗法;针药并用;@眼外肌不全麻痹ObservationontherapeuticeffectofacupuncturecombinedwithwesternmedicineonparalyticstrabismusGUOHui-minl,DONGJing-kai6,WANGHui-min〈sup>6〈
3、/sup>,ZHANGZhi-hong2,LIYin-xiao3,WANGRong-xia❷4,LIUSu-qiao❷5(1.DepartmentofAcupuncture,2.DepartmentofOphthalmology?3.DepartmentofNeurology,4.DepartmentofLaboratory,5.DepartmentofGynecology,TheSecondHospitalofShijiazhuang,Shijiazhuang050051,China;6.QiaodongDi
4、strictHospitalofShijiazhuang)ABSTRACT:ObjectiveTofindoutabettertherapyforparalyticstrabismus・MethodsNinetycaseswererandomlydividedintoanacupuncture-medicinegroup,anacupuncturegroup,awesternmedicinegroup,30casesineachgroup・Theacupuncture-medicinegroupweretreatedwithacupunctureatSh
5、uigou(GV26),Fengchi(GB20),Yifeng(TE17),Yiming(EX-HN14),Taiyang(EXHIN5),Jingming(BL1),Cuanzhu(BL2),etc.inttdinuscularinjectionofVitBlandVitB12,andoraladministrationofATP;theacupuncturegroupweretreatedwithsimpleacupuncture,andthewesternmedicinegroupweretreated
6、withsimplewesternmedicine・Theirtherapeuticeffectswerecompared.ResultsThecuredrateof66.7%intheacupuncture-medicinegroupwassignificantlyhigherthan26.7%intheacupuncturegroupand26.7%inthewesternmedicinegroup(bothP〈0・01)・ConclusionAcupuncturecombinedwithwesternmedicinehasobvioustherap
7、euticeffect,whichisbetterthanthatofsimpleacupunctureorsimplewesternmedicine・KEYWORDS:Ophthalmoplegia,ChronicProgressiveExternal/amther;Ophthalmoplegia,ChronicProgressiveExternal/drugther;AcupunctureMedicationCombined;@ParalyticStrabismus眼外肌不全麻痹为眼科疑难重症之…,多数由于支配眼肌活动的神经受损引起眼球运动障碍,出现
8、眼珠偏斜、转动受限、复视等临床表现。眼外肌不全麻痹发病原因比较复杂,常与眼部外伤