| ObjectiveAmetropic amblyopia is the main type of amblyopia,and it is also a common and frequently-occurring disease of children with eye diseases,which seriously damages children' s visual development.The therapeutic effect ofacupuncture on amblyopia is widely recognized in clinical practice,but the mechanism of acupuncture treatment is still unclear.Based on the treatment of refractive correction,this study compared the changes in the regulation function of children with ametropic amblyopia before and after acupuncture treatment.To evaluate the therapeutic effect of acupuncture on amblyopia,and provide a reference for acupuncture treatment to be more standardized in clinical application.MethodAccording to the inclusion criteria,47 children(94 eyes)with 4 to 12 years old ametropic amblyopia were included in the study.They were randomly divided into 2 groups.The control group received glasses correction treatment,and the treatment group received glasses correction plus acupuncture treatment.The spurs were taken twice a week,and both groups of patients were treated for 4 weeks as a course of treatment for a total of 3 courses.Before the first treatment and after the end of each treatment,the visual acuity,diopter,adjustment amplitude,accommodative facility and the accommodative lag were examined.According to the statistical analysis results,the influence of acupuncture treatment on the regulation function of amblyopia patients was evaluated,and the treatment of acupuncture was objectively evaluated.effect.Results1.There was no significant difference in the distribution of age and sex between the two groups before treatment(P>0.05).There were no significant differences between the two groups in terms of naked eye vision,corrected visual acuity,adjustment amplitude,accommodative facility and adjustment delay(P>0.05).2.Corrected visual acuity:After 3 courses of treatment,the corrected visual acuity of the treatment group was 0.66±0.18,the difference before and after treatment was 0.23±0.13,the corrected visual acuity of the control group was 0.56±0.11,and the difference before and after treatment was 0.02±0.09.The difference was statistically significant(P<0.05),and the treatment group was significantly better than the control group;the corrected visual acuity was significantly improved in the treatment group compared with that before treatment(P<0.05).3.Adjustment function:Before treatment,the accommodative amplitudethe treatment group was(10.51±0.65)D,the accommodative facility was(5.85±0.77)times/min,and the the accommodative lag was(1.64±0.34)D.the accommodative amplitudethe control group was(10.74±0.76)D,the accommodative facility was(5.69±0.72)times/min,and the accommodative lag was(1.58±0.27)D.After statistical analysis,there was no significant difference between the treatment group and the control group before the treatment,the accommodative facility,and the accommodative lag.After treatment,the accommodative amplitudethe treatment group was(12.43±0.85)D,the accommodative facility was(6.87±0.84)times/min,and the accommodative lag was(1.32±0.32)D.the accommodative amplitudethe control group was(11.07±0.73)D,the accommodative facility was(6.11±0.60)times/min,and the accommodative lag was(1.40±0.17)D.After treatment,the difference between the treatment group and the control group was statistically significant(P value was less than 0.05).Treatment group:Before treatment:the accommodative amplitudethe was(10.51±0.65)D,the accommodative facility was(5.85±0.77)times/min,and the accommodative lag was(5.85±0.77)D.After treatment:the accommodative amplitudethe is(12.43±0.85)D,the accommodative facility is(6.87±0.84)times/min,and the accommodative lag is(1.32±0.32)D.After treatment for 3 courses,the treatment group increased significantly,and the difference was statistically significant(P<0.05).The accommodative lag was significantly reduced,and there was significant difference before treatment(P<0.05).There was no significant difference before and after(P>0.05).In the control group,before treatment:the accommodative amplitudethe was(10.74±0.76)D,the accommodative facility was(5.69±0.72)times/min,and the accommodative lag was(1.58±0.27)D.After treatment:the accommodative amplitudethe is(11.07±0.73)D,the accommodative facility is(6.11±0.60)times/min,and the accommodative lag is(1.40±0.17)D.Statistical analysis showed that there was no significant difference in adjustment amplitude,accommodative facility and the accommodative lag before and after treatment in the control group(P values were greater than 0.05).Treatment group before treatment:Patients with mild amblyopia:the accommodative amplitudethe was(10.93±0.69)D,the accommodative facility was(6.36±0.63)times/min,and the accommodative lag was(1.35±0.28)D.Patients with moderate amblyopia:the accommodative amplitudethe was(10.45±0.64)D,the accommodative facility was(5.77±0.78)times/min,and the accommodative lag was(1.66±0.32)D.Patients with severe amblyopia:the accommodative amplitudethe was(10.25±0.35)D,the accommodative facility was(5.50±0.71)times/min,and the accommodative lag was(2.00±0.35)D.After statistical analysis,there was no significant difference between the adjustment amplitude and the sensitivity of the three groups before treatment.There was a statistically significant difference between the three groups(P<0.05).Further,the differential lags of the three groups were compared.The adjustment lag of the mild amblyopia group was significantly lower than that of the moderate amblyopia group(P<0.05)and the severe amblyopia group(P<0.05).The moderate amblyopia group was heavier.There was no significant difference in the amblyopia group(P>0.05).After treatment:the accommodative amplitudethe mild amblyopia group was(12.71±0.91)D,the accommodative facility was(7.00±0.58)times/min,and the accommodative lag was(1.32±0.24)D.The degree of adjustment in the mild amblyopia group was significantly improved after treatment,which was statistically significant(P<0.05).The accommodative facility was significantly higher than that before treatment(P<0.05).There was no significant difference in the adjustment delay compared with before treatment(P>0.05).The accommodative amplitudethe of the moderate amblyopia group was(12.32±0.83)D,the accommodative facility was(6.87±0.89)times/min,and the accommodative lag was(1.32±0.34)D.The adjusted amplitude of the moderate amblyopia group was significantly higher than that before treatment.(P<0.05),the sensitivity of adjustment was significantly higher than that before treatment(P<0.05),and there was no significant difference between the accommodative lag before and after treatment(P>0.05).The accommodative amplitudethe of the severe amblyopia group was(11.13±0.18)D,the accommodative facility was(6.50±0.71)times/min,and the accommodative lag was(1.50±0.00)D.After statistical analysis,after treatment,the adjustment amplitude,accommodative facility and the accommodative lag of severe amblyopia group were not significantly different from those before treatment(P>0.05).Conclusion1.Acupuncture treatment can effectively improve the corrected vision of children with ametropic amblyopia and improve the regulation function of patients with amblyopia;2.Acupuncture treatment is more effective in correcting visual acuity and regulating function in children with mild and moderate refractive ametropia. |
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