To Observe The Clinical Effect Of Press-needle Combined With Bujingyishi Tablets On Mild Myopia In Primary School Students

Objective:To observe the clinical effect of press-needle(shuangtaiyang,sizhukong)combined with bujingyishi tablets on simple and mild myopia in primary school students and explore its influencing mechanism.Methods:In this study,subjects with true and simple myopia aged 7-12 years who were admitted to the optometry clinic of the affiliated hospital of chengdu university of TCM from December 2017 to December 2018 were randomly divided into control group and experimental group according to the treatment order,with a total of 116cases(232 eyes),66 cases(132 eyes)in the control group and 50 cases(100 eyes)in the experimental group.The control group received conventional treatment(with glasses and eye health education work)+ press-needle(shuangtaiyang,sizhukong),and the experimental group received conventional treatment + press-needle(shuangtaiyang,sizhukong)combined with bujingyishi tablets.The course of treatment was 6 months.The visual acuity,diopter and diopter changes,clinical symptom score and other efficacy evaluation indexes of patients in different age groups were observed before and after treatment.Results:(1)There were no statistically significant differences between the two groups in age,gender,diopter,naked eye vision,local and systemic symptom scores(P > 0.05).(2)changes in naked eye vision: the difference between the two groups before and after the experiment was statistically significant(P < 0.05),indicating that the visual acuity of the two groups was improved after treatment.After the experiment,the differences between the ages of 7-9 and 10-12 years old were statistically significant(P < 0.05),and the visual acuity of the naked eyes of 7-9 years old was higher than that of 10-12 years old.(3)Diopter: compared with the control group before and after intervention,thedifference was not statistically significant(P > 0.05);compared with the experimental group before and after treatment,the difference was statistically significant(P < 0.05),and the diopter decreased in the experimental group.(4)Diopter changes: there was no significant difference between the two groups(P > 0.05).There was no statistically significant difference in diopter changes between the two age groups after the test(P > 0.05),but the diopter reduction trend between 7 and 9 years old was better than that between 10 and 12 years old.Local and systemic symptoms of eyes: The symptoms of blurred vision,eye distension and discomfort,dryness in eyes,inability to see for a long time,soreness of waist and knees and tinnitus and dizziness in Group B have all improved obviously,with the total effective rate being about 76.3%,significantly higher than that in Group A by 12.9%.(5)Improvement of eye symptoms:(1)unclear vision,the control group significant efficiency 4.55%,effective rate of 13.6%,the experimental group40%,70%;(2)eye distension discomfort,the control group significant efficiency3.03%,effective rate of 9.1%,the experimental group 39%,73%;(3)dry eyes,the control group significant efficiency 4.55%,effective rate of 15.2%,the experimental group 39%,77%;(4)can not long vision,the control group significant efficiency3.03%,effective rate of 12.1%,experimental group 36%,78%,both groups after treatment symptoms improved(P < 0.05).The total effective rate of symptom improvement was 3.28% in the control group,41.17% in the test group,11.3% in the total effective rate control group,and 71.5% in the test group,with statistically significant differences(P < 0.05).Conclusion:(1)Both single application of press-needle and press-needle combined application of bujingyishi tablets can improve the naked eye vision of primary school students with simple mild myopia,but the effect of press-needle combined application of bujingyishi tablets is more obvious,especially for 7-9 years old than 10-12 years old.Pressing needle combined with supplementing lean visual film has a certain stabilizing effect on diopter of patients.(2)Both single use of press-needle and press-needle combined with bujingyishitablets can improve the symptoms of simple and mild myopia,blurred vision,eye distension and discomfort,dryness in the eye and inability to see for a long time,especially the effect of press-needle combined with bujingyishi tablets is better.(3)The press-needle combined with bujingyishi tablets can alleviate the diopter of simple and mild myopia in primary school students.