中医刮痧联合耳穴贴压护理在玻璃体切割术后气滞血瘀型高眼压中的应用效果

中华养生保健 ›› 2024, Vol. 42 ›› Issue (14): 110-113.

中医刮痧联合耳穴贴压护理在玻璃体切割术后气滞血瘀型高眼压中的应用效果

于明瑞, 崔凌亚, 夏婷婷, 陈庆, 王文娟^*

江苏省中医院眼科,江苏南京,210009

出版日期:2024-07-16 发布日期:2024-07-08
通讯作者: ^*王文娟,E-mail：656117669@qq.com。
作者简介:于明瑞（1988—）,女,汉族,籍贯：安徽省蚌埠市,本科,主管护师,研究方向：中医眼科护理。

The Application Effect of Traditional Chinese Medicine Scraping Combined with Ear Point Sticking and Pressure Nursing on High Intraocular Pressure Caused by Qi Stagnation and Blood Stasis after Vitrectomy

YU Ming-rui, CUI Ling-ya, XIA Ting-ting, CHEN Qing, WANG Wen-juan^*

Department of Ophthalmology, Jiangsu Province Hospital of Chinese Medicine, Nanjing Jiangsu, 210009, China

Online:2024-07-16 Published:2024-07-08

摘要/Abstract

摘要： 目的探讨中医刮痧联合耳穴贴压护理在玻璃体切割术后气滞血瘀型高眼压中的应用效果。方法选择2020年1月—2022年12月江苏省中医院收治的96例玻璃体切割术后气滞血瘀型高眼压患者作为研究对象,根据1∶1随机掷硬币原则分为观察组与对照组,每组48例。对照组给予耳穴贴压护理,观察组在对照组护理的基础上给予中医刮痧护理,两组护理观察1个月,比较两组眼压、视力、疼痛与不良反应发生情况。结果护理后,观察组的总有效率高于对照组,差异有统计学意义（P<0.05）。护理后,两组眼压均低于护理前、最佳裸眼视力均高于护理前,且观察组眼压降低幅度更大、最佳裸眼视力升高幅度更大,差异有统计学意义（P<0.05）。护理后,两组疼痛NRS评分均低于护理前,且观察组降低幅度更大,差异有统计学意义（P<0.05）。观察组护理1个月期间的失眠、肩颈腰背酸痛、疲乏不适等不良反应发生率显著低于对照组,差异有统计学意义（P<0.05）。结论中医刮痧联合耳穴贴压护理在玻璃体切割术后气滞血瘀型高眼压中的应用,能降低患者的眼压,提高总体治疗效果,提高最佳裸眼视力,缓解疼痛,降低其不良反应发生率。

关键词: 中医刮痧, 耳穴贴压, 玻璃体切割术, 气滞血瘀型, 高眼压

Abstract: Objective To explore the application effects of traditional Chinese medicine scraping combined with ear acupoint pressing nursing in the treatment of high intraocular pressure caused by qi stagnation and blood stasis after vitrectomy. Methods A total of 96 patients with intraocular hypertension with qi stagnation and blood stasis after vitrectomy treated in Jiangsu Provincial Hospital of Traditional Chinese Medicine from January 2020 to December 2022 were selected as the study objects, and were divided into observation group (48 cases) and control group (48 cases) according to 1:1 random coin toss principle. The control group was given auricular point sticking care, and the observation group was given traditional Chinese medicine scraping care on the basis of the control group's care. The two groups were observed for 1 month, and the occurrence of IOP, vision, pain and adverse reactions were recorded in the two groups. Results After nursing, the total effective rate of the observation group was significantly higher than the control group (P<0.05). After care, the IOP of both groups was lower than before care, and the optimal naked eye visual acuity was higher than before care (P<0.05), and the IOP of the observation group was lower and the optimal naked eye visual acuity was higher (P<0.05). After nursing, the pain NRS scores in both groups were lower than before nursing (P<0.05), and the decrease in observation group was greater (P<0.05). The incidence of adverse reactions such as insomnia, shoulder, neck and back pain, fatigue and discomfort in the observation group was significantly lower than the control group (P<0.05). Conclusion The application of TCM Gua Sha combined with auricular point sticking nursing in the treatment of high IOP with qi stasis and blood stasis after vitrectomy can promote the reduction of IOP, improve the overall treatment effect, reduce the best naked eye vision, promote pain relief and reduce the incidence of adverse reactions.

Key words: traditional Chinese medicine scraping, ear acupoint pressure application, vitrectomy, qi stagnation and blood stasis type, high intraocular pressure

中图分类号:

R473.77

于明瑞, 崔凌亚, 夏婷婷, 陈庆, 王文娟. 中医刮痧联合耳穴贴压护理在玻璃体切割术后气滞血瘀型高眼压中的应用效果[J]. 中华养生保健, 2024, 42(14): 110-113.

YU Ming-rui, CUI Ling-ya, XIA Ting-ting, CHEN Qing, WANG Wen-juan. The Application Effect of Traditional Chinese Medicine Scraping Combined with Ear Point Sticking and Pressure Nursing on High Intraocular Pressure Caused by Qi Stagnation and Blood Stasis after Vitrectomy[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(14): 110-113.

参考文献

[1] 魏文娟,韩治华,杨永红,等.中药穴位离子导入联合眼部刮痧治疗泪液分泌减少型干眼症临床研究[J].陕西中医,2023,44(1):115-118.
[2] 卢玉燕,钟新娜,田青青,等.头面部全息刮痧联合养肝丸眼部热熨治疗肝肾阴虚型干眼症60例[J].浙江中医杂志,2021,56(11):815-816.
[3] 关新,张红林.眼周刮痧联合贴敷疗法治疗干眼的疗效观察[J].中国中医眼科杂志,2021,31(4):254-259.
[4] 白小芳,赵芃芃,秦梅,等.雷珠单抗联合Ozurdex治疗视网膜分支静脉阻塞继发黄斑水肿的疗效观察[J].眼科新进展,2022,42(5):394-398.
[5] 中华医学会眼科学分会青光眼学组.中国高眼压症诊断治疗和随访专家共识(2020年)[J].中华眼科杂志,2020,56(1):21-24.
[6] 国家市场监督管理总局.中医临床诊疗术语第2部分:证候:GB/T 16751.2-2021[S].2021.
[7] 郑筱萸. 中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:9-12.
[8] 湖南省眼视光斜视弱视防治中心.标准对数视力表[M].长沙:湖南科学技术出版社,2011.
[9] 严广斌. NRS疼痛数字评价量表numerical rating scale[J].中华关节外科杂志(电子版),2014,8(3):410.
[10] 钟新娜,卢玉燕.刮痧联合一贯煎治疗肝肾阴虚型干眼症40例[J].浙江中医杂志,2019,54(10):738.
[11] 李亚静,马纳,屈金源.眼部刮痧治疗视疲劳的疗效观察[J].中华中医药杂志,2018,33(9):4235-4236.
[12] 余海,李慧丽,李小丹,等.中药红花注射液穴位离子导入治疗外伤性玻璃体积血[J].国际眼科杂志,2012,12(11):2160-2162.
[13] 余海,李慧丽,李小丹,等.红花穴位离子导入治疗外伤性玻璃体积血实验研究[J].中国实用眼科杂志,2013,31(4):485-488.
[14] 郭西西,李春霞.基于中西医理论指导下的糖尿病视网膜病变的诊疗进展[J].中国基层医药,2022,29(12):1904-1907.
[15] 薛灿灿,李书珊,苗金红,等.视网膜脱离患者玻璃体切除硅油填充术后3天高眼压发生率及危险因素[J].眼科,2022,31(1):27-32.
[16] 王晓波,吴国基,刘丛.地塞米松玻璃体内植入剂联合抗VEGF药物治疗视网膜静脉阻塞[J].国际眼科杂志,2022,22(10):1717-1721.
[17] 尹利,邓俐.飞秒激光辅助治疗外伤性白内障合并晶状体脱位1例[J].中国眼耳鼻喉科杂志,2023,23(2):173-174.
[18] 刘新,王海波,张帆,等.球周注射曲安奈德联合玻璃体切割治疗脉络膜脱离型孔源性视网膜脱离的疗效分析[J].中国医师杂志,2023,25(4):502-506.
[19] 李璐瑶,李静,李艳,等.地塞米松玻璃体内植入剂对不同糖尿病性黄斑水肿的疗效与安全性评价[J].中华眼科杂志,2023,59(5):398-403.
[20] 高韶晖,裴晗,李梦迪,等.玻璃体内注射抗血管内皮生长因子药物后早期低眼压发生情况及其影响因素[J].中华实验眼科杂志,2023,41(3):276-281.