爆裂性眶壁骨折伴眼球运动障碍经针刺治疗的安全性及疗效分析

摘要

Objective To explore the clinical effect of eye-acupuncture on eye movement disorders caused by orbital blowout fracture and its security. Methods 70 eyes movement disorder patients with burst orbital wall fracture treated in our hospital from October 201 3 to September of 201 5 were selected and divided into two groups,each group contains 35 cases.The routine group was given routine drug treatment,beside this,we gave the therapy of eye-acupuncture for 30 minutes to the acu-puncture group according to the type to select the corresponding extraocular muscle holes.Both with 1 5 days was for a course of treatment.After two courses,compared the eye movement disorder level changes and the limbus range of movement of the two groups before and after treatment,we evaluated the efficacy based on efficacy standard. Results After treatment,the corneal limbus range of movement were significantly improved of both groups,and the acupuncture group were better than that of the rou-tine group (P <0.05);after treatment,the eye movement disorder rating of the acupuncture group was as follows:the number of level 0,1 ,2,3 was 1 4,1 5,3,3,respectively,among which the number of level 0 was significantly higher than that of the routine group (P <0.05);The total effective rate of the acupuncture group was 91 .43 %,which was significantly higher than that of the control group,the difference was statistically significant (P <0.05). Conclusion Eye-acupuncture may im-prove the corneal limbus range of movement in patients with eye movement disorders caused by orbital blowout fracture.It could promote the recovery of extraocular muscles function and thus lower the level of eye movement disorders.It significantly improves the total efficiency and is worthy of popularization and application clinically.%目的：探讨经针刺治疗爆裂性眶壁骨折伴眼球运动障碍的临床疗效及安全性。方法选取2013年10月—2015年9月在我院接受治疗的70例（70只眼）爆裂性眶壁骨折致眼球运动障碍患者，按照治疗方式的不同分为常规组和针刺组，每组各35例，其中常规组给予常规药物治疗，针刺组除了接受常规治疗外，依据眶壁骨折部位的不同选取相应临近眼外肌穴进行针刺，每日1次，每次留针30 min，15天为一个疗程，两组患者均持续治疗两个疗程。对比分析两组患者治疗前后的角膜缘移动范围、眼球运动障碍级别以及临床疗效。结果经过治疗后，两组患者的角膜缘移动范围均较治疗前明显改善，且与常规组患者相比，针刺组患者改善得更显著（P ＜0．05）；经过治疗后，针刺组0级、I 级、II 级、III 级的眼数分别为14、15、3、3只眼，其中0级的眼数明显多于常规组患者，差异有统计学意义（P ＜0．05）；针刺组的治疗总有效率高达91．43％，明显高于常规组的62．86％，差异有统计学意义（P＜0．05）。结论针刺眼外肌穴有助于改善爆裂性眶壁骨折伴眼球运动障碍患者的角膜缘移动范围，促进患者眼外肌功能的恢复而降低眼球运动障碍级别，明显提高治疗总有效率，在临床上值得推广应用。