| Objective: To observe the clinical effect of Finger-pressing Therapy combined with Auricular Point Sticking Therapy on myopia children with Syndrome of Deficiency of Spleen Qi.Methods: A total of 96 myopia children with Syndrome of Deficiency of Spleen Qi who were treated in the ophthalmology clinic of the First Hospital of Hunan University of Chinese Medicine from January 2022 to December 2022 were selected,and they were divided into an auricular point group,a finger-pressing group and a combination group according to the random number table method,with 32 cases in each group.All three groups received routine treatment and routine care.The auricular point group was given auricular point sticking therapy on the basis of routine treatment and routine nursing.The finger-pressing group was given finger-pressing therapy on the basis of routine treatment and routine nursing.The combined group was treated with finger-pressing therapy on the basis of the auricular point group.The intervention time of the three groups was 6 weeks.The children’s uncorrected visual acuity,diopter,axial length,eye fatigue score,traditional Chinese medicine syndrome score and vision-related quality of life score were evaluated before intervention,after intervention and during follow-up.One-way analysis of variance,Kruskal Wallis test,chi-square test,paired sample non-parametric test and repeated measures analysis of variance were used for statistical analysis.Results: 1.Comparison of case completion and baseline.A total of 94 children completed the study.There were 31 cases in the auricular point group,31 cases in the finger acupuncture group and 32 cases in the combination group.There was no significant difference in the dropout rate among the three groups(P>0.05),which was comparable.Before intervention,there was no significant difference in general data,uncorrected visual acuity,diopter,axial length,eye fatigue score,TCM syndrome score,and vision-related quality of life score among the three groups(P>0.05).2.Comparison of uncorrected visual acuity before and after intervention.(1)The time point effect could significantly affect the change of Log MAR(P<0.05).The Log MAR of the three groups after intervention was significantly lower than that before intervention(P<0.001).Compared with that after intervention,the Log MAR of the auricular point group and the finger acupuncture group increased significantly during follow-up(P<0.05),and the Log MAR of the combined group did not increase significantly(P>0.05).(2)There were significant differences in Log MAR measured under different intervention methods(P<0.05).After intervention and during follow-up,the Log MAR of the combined group was significantly different from that of the auricular point group and the finger acupuncture group(P<0.05),while there was no significant difference between the auricular point group and the finger acupuncture group(P>0.05).(3)There was a significant interaction effect between time point and intervention method(P <0.001).3.Comparison of refraction and axial length before and after intervention.The diopters of the three groups after intervention were significantly different from those before intervention(P<0.05).After the intervention,the diopter of the combined group was significantly different from that of the auricular point group and the finger acupuncture group(P<0.05),while the diopter of the finger acupuncture group was not significantly different from that of the auricular point group(P>0.05).There was no significant difference in the axial length of the three groups before and after intervention(P>0.05).After intervention,there was no statistically significant difference in axial length between the three groups(P>0.05).4.Comparison of eye fatigue scores before and after intervention.(1)The time point effect could significantly affect the change of eye fatigue score(P<0.05).The eye fatigue scores of the three groups after intervention were significantly lower than those before intervention(P<0.001).The eye fatigue scores of the three groups at follow-up were significantly higher than those after intervention(P<0.05).(2)There were significant differences in eye fatigue scores measured by different intervention methods(P<0.05).After intervention and during follow-up,the score of eye fatigue in the combined group was significantly different from that in the auricular point group and the finger acupuncture group(P<0.001),while there was no significant difference between the auricular point group and the finger acupuncture group(P>0.05).(3)There was a significant interaction effect between time point and intervention method(P<0.001).5.Comparison of TCM syndrome scores before and after intervention.(1)Time point effect could significantly affect the changes of TCM syndrome score(P<0.05).The TCM syndrome scores of the three groups after intervention were significantly lower than those before intervention(P<0.001).During the follow-up period,the TCM syndrome score in the auricular point group and the finger acupuncture group increased significantly compared with that after intervention(P<0.05),while the TCM syndrome score in the combination group did not recover significantly(P>0.05).(2)There were significant differences in TCM syndrome scores measured by different intervention methods(P<0.05).After intervention,the TCM syndrome score of the combination group was significantly different from that of the auricular point group(P<0.001),but there was no significant difference between the combination group and the finger acupuncture group(P>0.05).There was no significant difference in the TCM syndrome score between the auricular point group and the finger acupuncture group(P>0.05).At the follow-up,the TCM syndrome scores of the combination group were significantly different from those of the auricular point group and the finger acupuncture group(P<0.05),but there was no significant difference between the auricular point group and the finger acupuncture group(P>0.05).(3)There was a significant interaction effect between time point and intervention method(P<0.001).6.Comparison of vision-related quality of life scores before and after intervention.(1)The time point effect could significantly affect the changes of vision-related quality of life scores(P<0.05).The vision-related quality of life scores of the three groups after intervention were significantly higher than those before intervention(P<0.001).At follow-up,the vision-related quality of life scores in the auricular point group and the finger acupuncture group decreased significantly compared with those after intervention(P<0.001),while the vision-related quality of life scores in the combined group did not decrease significantly(P>0.05).(2)There were significant differences in vision-related quality of life scores measured by different intervention methods(P<0.05).After the intervention and during the follow-up,the vision-related quality of life scores of the combined group were significantly different from those of the auricular point group and the finger acupuncture group(P<0.05),and the difference between the auricular point group and the finger acupuncture group was also statistically significant(P<0.05).(3)There was a significant interaction effect between time point and intervention method(P<0.05).7.Comparison of total effective rate after treatment.The total effective rate was 84.4% in the combined group,61.3% in the auricular point group and 77.4% in the finger acupuncture group.There was no significant difference in the total effective rate among the three groups(P>0.05).Conclusion:(1)Finger acupoint therapy combined with auricular point sticking therapy can effectively improve the uncorrected visual acuity of children,reduce their diopter,relieve their TCM syndromes,relieve their eye fatigue,and improve their vision-related quality of life,and the overall clinical effect is significant.Combined therapy is superior to single finger acupoint therapy and single auricular point sticking therapy.(2)With the cessation of intervention,the overall efficacy of finger acupoint therapy,auricular point sticking therapy and combined therapy was gradually weakened. |
PDF Full Text Request