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VitB<sub>l</sub>>VitB<sub>12</sub>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-min<sup>l</sup>,DONGJing-kai<sup>6</sup>,WANGHui-min〈sup>6〈/sup>,ZHANGZhi-hong<sup>2</sup>,LIYin-xiao<sup>3</sup>,WANGRong-xia❷4,LIUSu-qiao❷5(1.DepartmentofAcupuncture,2.DepartmentofOphthalmology?3.DepartmentofNeurology,4.DepartmentofLaboratory,5.DepartmentofGynecology,TheSecondHospitalofShijiazhuang,Shijiazhuang050051,China；6.QiaodongDistrictHospitalofShijiazhuang)ABSTRACT:ObjectiveTofindoutabettertherapyforparalyticstrabismus・MethodsNinetycaseswererandomlydividedintoanacupuncture-medicinegroup,anacupuncturegroup,awesternmedicinegroup,30casesineachgroup・Theacupuncture-medicinegroupweretreatedwithacupunctureatShuigou(GV26),Fengchi(GB20),Yifeng(TE17),Yiming(EX-HN14),Taiyang(EXHIN5),Jingming(BL1),Cuanzhu(BL2),etc.inttdinuscularinjectionofVitB<sub>l</sub>andVitB<sub>12</sub>,andoraladministrationofATP；theacupuncturegroupweretreatedwithsimpleacupuncture,andthewesternmedicinegroupweretreatedwithsimplewesternmedicine・Theirtherapeuticeffectswerecompared.ResultsThecuredrateof66.7%intheacupuncture-medicinegroupwassignificantlyhigherthan26.7%intheacupuncturegroupand26.7%inthewesternmedicinegroup(bothP〈0・01)・ConclusionAcupuncturecombinedwithwesternmedicinehasobvioustherapeuticeffect,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、炎症、脑血管病、重症肌无力、糖尿病、甲状腺功能障碍等有关<sup>[l]</sup>o笔者自2003年以来运用针刺配合西医疗法治疗该病，并设立对照组进行对比观察，收到了很好疗效，现报道如下。1临床资料1.1一般资料本组90例患者按就诊先后顺序随机分为针药组(30例)、针刺组(30例)、西药组(30例)。针药组中男25例,女5例;年龄最小45岁,最大75岁；病程最短5天，最长35天。针刺组中男22例，女8例；年龄最小48岁，最大70岁；病程放短6天，最长1.5个月。西药组中男26例，女4例；年龄最小38岁，最大78岁；病程最短3天，最长1个月。3组病例的性别、年龄、病程等一般资料经统计学处理，差异均无显著性意义(均P>0.05),具有可比性。1.2诊断标准参照曾庆华主编的新世纪全国高等中医药院校规划教材《中医眼科学》(2005)中有关内容制定标准。复视；眼球斜向麻痹肌作用方向的对侧，出现不同程度的转动受限；笫二斜视角大于笫一斜视角。2治疗方法2.1针药组(1)针刺：穴取水沟、风池、翳明、翳风、太阳、睛明、攒竹、光明、合谷、太冲等。操作：患者取坐位或侧卧位，穴位皮肤常规消毒。先刺水沟，用0.30mmX25mm毫针向鼻中隔方向...
