Acupuncture Treatment Of Primary Open-angle Glaucoma Intraocular Pressure, Vision And Clinical Symptoms

Primary open angle glaucoma(POAG) is because the intraocular pressure elevates causes the optic nerve harm and field of vision damage group of disease incidence rates and the blinding rate very high ophthalmopathy.Although primary although primary open-angle glaucoma morbidity in our country,but its low incidence,progress is slow,,hidden patients often find visual function has suffered serious damage,the more harmful.The common primary open-angle glaucoma(POAG) pressure drop include medication,laser therapy and surgical treatment.The early treatment,or in intraocular pressure(iop) drugs.But the eve drops drug treatment with oral carbonate,enzyme inhibitors,static drops of hypertonic dehydrating agents,it etc,in the long-term use of process all have certain degree of toxicity,so that some of the drug use is restricted. Clinically,looking for effective method is simple,non-toxic side effects of pressure drop is the important task of glaucoma work.This thesis mainly by acupuncture treatment compared with control group,and summarizing and evaluating its curative effect,and discusses the mechanism for primary open-angle glaucoma non-operative therapy and opened a new way.Modern clinical laboratory studies,acupuncture many physiological indexes eyes are benign,mainly displays in:for most eye vision has improved. such as early middle cataract,optic atrophy,improperly,glaucoma,etc: refractive The condition ofali kinds of eve.intraocuiarpressure,especially glaucoma,Through the fundus fluorescence imaging,doppler detection,found that acupuncture can improve eye local blood circulation,Results for patients with evoked potentials and potential fluctuation has obviously improved. Acupuncture treatment of primary open-angle glaucoma large clinical and experimental research proof by acupuncture can improve microring follow[49], influence of aqueous outflow,The ultrastructure of retinal protection, promote the organization structure repair retina,Reducing lop.Its effective treatment's research has taken seriously for the people.Therefore,this research in refers to the domestic and foreign related literature,understood that glaucoma research present situation in the foundation,through the clinical observation,the objective evaluation acupunture therapy opens the angle glaucoma patient intraocular pressure and the field of vision influence to the primary stage,through compares the research acupunture therapy primary stage with the control group to open the angle giaucoma's clinical value and the significance,holds the angle glaucoma for the acupunture therapy primary stage to provide the new method and the way.Literature research:Through the literatures.China is the earliest record of one country to glaucoma certificate,the motherland medicine in the very early on glaucoma have a profound understanding of the system and the treatment method.In this paper,the motherland medicine literature of primary open-angle glaucoma, etiology and treatment of disease,and western methods of primary open-angle glaucoma(primary glaucoma POAG),Angle to the epidemiology investigation, the etiology and pathogenesis of diagnosis,classification and research progress in recent years was summarized,the statistics of primary open-angle glaucoma treatments,including:all kinds of acupuncture,Location,TCM treatments,Combine traditional Chinese and western medicine treatment, Western medicine and surgery for all primary open-angie glaucoma pathogenesis of new drug research and etc,summarizes its advantages and disadvantages, think through randomized study,acupuncture treatment of primary open-angle glaucoma lop and vision effect is very feasible.Clinical research:in July 2007~2008 Taiwan outpatient clinic during the 12 months for the diagnosis of primary open-angle glaucoma and criteria,exclusion standard of patients,46 cases 82 by medical sequence into acupuncture treatment group and control group of 23 cases of 41 eyes.Goal:To observe acupuncture primary open-angle glaucoma after the double, double,smart,double double and liver the pool of distal hole big,double double,three Yin,rows inte double holes and 60min 30min patients after intraocular pressure,clinical symptom and treatment compared with drugs,and the changes in comparison,Two groups of patients were observed after medical treatment and acupuncture treatment with 2 weeks before treatment compared with vision without improvement,The efficacy and efficient,To prove acupuncture treatment of primary open-angle glaucoma is feasible,According to recent research shows that this research progress of acupoint selection for the treatment of primary open-angle glaucoma is effective。Method:This research on into the primary open-angle glaucoma eyes 46 cases 82 by random single randomized,double-blind,placebo-controlled,Ⅰgroup established for acupuncture group 41 eyes,acupuncture treatment.Ⅱgroup for drug group,ant accept conventional medicine therapy(Timolol maleate eye drops).Separately,acupuncture treatment and acupuncture treatment of drugs and treatment before record after the needle 60min 30min.after intraocuiar pressure(iop) change,Statistical treatment before and after the treatment 60min 30min,treatment when eye ministry and systemic symptom accumulative points,and comparing with the drug group,observe the curative effect of acupuncture.Observe acupuncture treatment group and control group, the curative effect of the treatment efficiency,Observe after 2 weeks before treatment with two groups of visual change after treatment.Result:(1) Acupuncture treatment of primary open-angle glaucoma to reduce intraocular pressure has a good role.All the selection criteria included with eyes,after acupuncture needle is to have the varying degree before intraocuiar pressure drop and pressure after needle at different levels.(2) After acupuncture treatment 30min the IOP compared with former have obvious difference.Acupuncture points that selected 30min has started a function.(3) After acupuncture treatment 60min the IOP former have obvious difference. 60min meridians that acupuncture chosen when function continues.(4) The IOP after acupuncture treatment 60min compared with acupuncture treatment 30min have obvious difference.After that acupuncture patient with prolonged lop and gradually reduced.(5) The acupuncture treatment and the impact of drug therapy on the IOP had no significant difference compared.Two groups of intraocular pressure that the same treatment effect.(6) 30min when acupuncture treatment of primary open-angle glaucoma patients with ocular and systemic symptoms and treatment of significant difference compared.After that acupuncture points is selected in addition,also can reduce the patients eye and systemic symptom.(7) 60min when acupuncture treatment of primary open-angle glaucoma patients with ocular and systemic symptoms and treatment of significant difference compared.That acupuncture can improve the primary open-angle glaucoma(8) Acupuncture and moxibustion treatment of 30min at 60min when the primary open-angle glaucoma patients with ocular and systemic symptoms and treatment of significant difference compared.With the characteristics of acupuncture points after that time,the more obvious improvement of symptoms.(9) At 30min treatment of primary open-angle glaucoma patients with ocular and systemic symptoms compared with pre-treatment had no significant differences.Mean that 0.5%Timolol maieate eye drons showed 30min eye drops eyes and systemic symptom after no obvious relief.(10) 60min when drug treatment of primary open-angle glaucoma patients with ocular and systemic symptoms and treatment of significant difference compared. Mean that 0.5%Timolol maleate eye drops showed it to 60min eye drops since primary open-angle glaucoma symptoms improved.(11) 30min treatment with the drug treatment 60min when the primary open-angle glaucoma patients with ocular and systemic symptoms and treatment of significant difference compared,That drip 0.5%Timolol maleate eye drops of symptom improement after water in 30~60min began..(12) Acupuncture treatment group and drug group 2 weeks after pre-treatment vision compared with no significant differences.That acupuncture treatment of primary open-angle glaucoma horizons significantly changed after 2 weeks, drip 0.5%Timolol maleate eye drops treatment after 2 weeks to vision also had no significant effect.Conclusion:1.Acupuncture treatment of primary open-angle glaucoma to reduce IOP has a good role.2.Different time period after acupuncture on IOP effects of different one-hour period after acupuncture in patients with IOP is a gradual downward trend.3 l hour acupuncture treatment for IOP level can be achieved with drops of 0.5%timolol Eve Drops.4.In different period after acupuncture treatment of eye and systemic symptom of different:after 60min 30min acupuncture with acupuncture points when compared to the eye and systemic symptom is obvious difference, acupuncture within hours after primary open-angle glaucoma symptoms in gradually reduce and ease5.Drug treatment compared with treatment after 30min before,the patient's eye and systemic symptom accumulative points,no significant difference with 30min drug therapy after eye and systemic symptom improvement is not obvious.6.60min drug therapy,the patient's eye and systemic symptom and treatment before and during treatment have obvious difference 30min,0.5%Timolol maleate eye drops in primary open-angle glaucoma symptom improement in 30min drip began after the effect.7.2weeks of treatment time and observation time on the primary open-angle glaucoma patients did not cause significant changes in vision.8.This study of the People's Republic of China to the traditional Chinese medicine industry standard disease diagnosis curative standard issued by the state dministration of traditional Chinese medicine(1994),and combined with clinical curative standard of proof,through the statistics and analysis of acupuncture and moxibustion primary pen-angle glaucoma treatment efficiency can reach 87.8%.Thus says this research institute to take points primary open-angle glaucoma treatment effect is positive,with 0.5%Timolol maieate eye drops in primary open-angle glaucoma treatment effect is not obvious difference,0.5%thiazide? Mind(Malay acid thiazide? Explain) eyedrops in primary open-angle glaucoma the hypotensive effect and improvement of symptoms in laboratory studies and clinical use.which has been proved that this research institute to take points primary open-angle glaucoma treatment effect can be sure.9.Acupuncture treatment and drug treatment in different period after the comparison between the two groups of intraocular pressure(iop) were not significantly difference,but after treatment,acupuncture and 60min 30min to 0.5%thiazide??Mind(Malavacid's eyes) showed water to primary open-angle glaucoma has no obvious difference pressure drop role.