| Objective:The incidence of myopia is high in clinical practice.In recent years,the proportion of children with low myopia has increased.In this study,the clinical efficacy of auricular pressure pills combined with snap acupuncture was observed to prevent and control low myopia in children,to explore its clinical feasibility,and to provide an objective basis for the treatment of low myopia in children by Chinese medicine.Methods:In this study,120 patients(240 eyes)with low myopia who met the conditions were randomly divided into 4 groups,30 cases(60 eyes)in each group.The treatment group : prescription lenses + press-needle + ear acupoint pressing pills+ health education;control group 1 : prescription lenses +press-needle + health education;control group 2 : prescription lenses + ear acupoint pressing pills+ health education;the control group 3 : prescription lenses + health education,observe the four groups of uncorrected visual acuity(UCVA),refractive diopter,axial length and the growth rate of axis of eye,eye symptom score changes,statistical analysis,comparative analysis of the clinical efficacy of the four groups.(Auricular main points : eye 1,eye 2,eye;points : liver,kidney,spleen,heart,endocrine;daily auricular massage3-5 times,each point at least 30 seconds,press 5 days,change once a week,change the contralateral ear point;press-needle : bilateral acupoints Yangbai,Sizhukong,Yuyao,2 times a week,2 days after pressing,removed,once every other day;matching prescription lenses : the subjects ’ frame prescription lenses were corrected by the optometry center of our hospital;health education : Ask the subjects to develop a good habit of using their eyes,pay attention to the combination of work and rest,increase outdoor activity time and maintain a balanced diet.)Note : Four groups were treated for 4 weeks as a course of treatment,continuous treatment of 1 course of treatment.Results:1.The general data(gender,age)and the indexes(UCVA,refraction,axial length and the growth rate of axis of eye,and ocular symptom score)of the four groups of patients before treatment were not statistically different(P>0.05)and were comparable.2.UCVA: Four groups of UCVA were compared before treatment,4 weeks after treatment,and 24 weeks after treatment.The differences between the treatment group and control group 1 and 2 were statistically significant(P<0.05),while the differences between control group 3 were not statistically significant(P>0.05).After 4 weeks of treatment and 24 weeks of treatment,the comparison between the four groups of UCVA showed that the treatment group was superior to the control group 1,2,and 3,while the control group 1and 2 were superior to the control group 3.The differences were statistically significant(P<0.05),and there was no statistically significant difference between the control group 1 and the control group 2(P>0.05).3.Refractive diopter: There was no significant difference in refractive diopter between the four groups before treatment and 4 weeks after treatment and 24 weeks after treatment(P>0.05).There was no significant difference in refractive diopter between the four groups before treatment,4 weeks after treatment and 24 weeks after treatment(P>0.05).4.Axial length and the growth rate of axis of eye: There was no significant difference between the four groups before and after 4 weeks of treatment(P>0.05).There was no significant difference between the four groups before and after treatment(P>0.05).The axial length of the four groups before treatment was compared with that at 24 weeks after treatment,and the differences were statistically significant(P>0.05).The growth rate of axis of eye of the four groups was compared between the groups before treatment and 24 weeks after treatment.The differences between the treatment group and the control group 1,2,3 were statistically significant(P>0.05).5.Ocular symptom scores: the ocular symptom scores of the four groups before treatment and after 4 weeks of treatment were compared within the group,respectively.The differences were statistically significant(P>0.05)for treatment group and control group 1 and 2,and not statistically significant(P>0.05)for control group 3.In the comparison between the four groups after4 weeks of treatment,the treatment group was better than the control group 1,2 and 3,and the control group 1 and 2 were better than the control group 3,and the differences were statistically significant(P<0.05),and the differences between the control group 1 and control group 2 were not statistically significant(P>0.05).6.Analysis of the efficacy of ocular symptoms in the four groups: the total effective rate of the four groups was 90.00%,73.33%,70.00%,10.00%,the overall efficacy of the four groups compared P<0.05,there was a significant difference in efficacy between the four groups.7.Clinical efficacy analysis: the total effective rates of the four groups were 80.0%,60.0%,61.67%,and 13.33% in order,The overall efficacy of the four groups was compared at P< 0.05,and there was a significant difference in efficacy between the four groups.8.Safety evaluation: No adverse reactions were associated with any of the four groups of patients during the treatment period.Conclusion:1.The combination of ear acupoint pressing pills with press-needle and prescription lenses with health education therapy could improve UCVA and ocular symptoms in children with low myopia,and the results were better than those of ear acupoint pressing pills with prescription lenses and health education therapy and prescription lenses and health education therapy with press-needle.2.There was no significant difference in the improvement of UCVA and ocular symptoms between the ear acupoint pressing pills combined with prescription lenses and health education therapy and the press-needle combined with prescription lenses and health education therapy.3.All four treatment methods cannot improve refractive power and control the progression of the eye axis.However,according to the results of half a year of follow-up,the combination of ear acupoint pressing pills,pressing needles,glasses,and health education therapy can delay the growth rate of the eye axis.4.During the treatment period,patients had no significant adverse reactions,and the combination of ear acupoint pressing pills and press-needle for prevention and control of childhood The combination of auricular acupressure pills and acupressure needles to prevent and control low myopia in children is safe and suitable for clinical use. |
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