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J Healthc Eng:中药热压结合健康教育对青少年视觉疲劳的干预效果

2022-05-31 August MedSci原创

眼睛疲劳主要见于平时全神贯注看电视、电脑、手机等电子产品屏幕的人,导致眨眼频率降低,导致泪液分泌减少。同时,闪烁的屏幕强烈刺激眼睛并引起同样的后果。眼疲劳还会引起和加重多种眼部疾病。

视疲劳是一种基于眼睛主观症状的综合征,并与精神(心理)因素交织在一起。患者主要表现为明视持久性下降和眼部不适症状(如肿胀、异物感、畏光)。是眼科临床常见病。流行病学调查表明,我国青少年视觉疲劳的发生率越来越高,对他们的视觉功能、生活和阅读产生了更大的影响。

中医护理技术是眼疲劳干预的重要方法,主要包括中药敷贴、熏蒸、针灸、超声雾化眼浴等,可有效改善眼疲劳症状,优势明显。据研究,中药热压配合局部理疗和药物治疗可以改善局部微循环。但尚无其在视疲劳干预中的应用报道。为此,为进一步探索缓解青少年视疲劳安全有效的方法,分析中药疗法在此类疾病中的应用价值。

材料和方法为探讨中药热压联合健康教育对青少年视疲劳的干预效果,选取2019年10月至2021年1月在浦东新区光明中医院门诊收治的92名青少年视疲劳患者进行随机分组。分为两组:对照组和试验组,各46例。两人都接受了健康教育。对照组给予透明质酸钠滴眼液,试验组给予中药热烫技术干预。治疗2个疗程后,观察两组视觉疲劳症状评分、临床疗效及眼屈光力。比较两组治疗满意度。干预后6个月比较两组的视疲劳评分。

结果:干预后,对照组和试验组在治疗一到两个疗程后视觉疲劳症状评分均有所降低(对照组:t = 4.167、6.318,P = 0.027、0.010;测试组:t = 4.820, 6.834, P = 0.013, <0.001)。试验组干预1、2个疗程后视疲劳症状评分明显低于对照组(P <0.05);试验组临床总有效率为93.48%,明显高于对照组(80.43%)。组间差异有统计学意义(P < 0.05);对照组干预前后左右眼无明显变化(P> 0.05)。干预后,纸组左右眼明显缩小(P < 0.05)。干预后,两组左右眼屈光力差异有统计学意义(P <0.05)。治疗后实验组满意度显着高于对照组(P< 0.05)。6个月后,实验组视觉疲劳评分无明显变化,而对照组视觉疲劳评分明显升高。

综上所述,中医热压联合健康教育干预可以改善青少年视疲劳症状,提高治疗效率。该方法安全,操作方便。值得临床推广。此外,实验组的满意度明显高于对照组。说明中医疗法因其操作简单、舒适、无不良副作用、疗效高而深受青少年和家长的欢迎。此外,虽然取得了一些成果,但仍存在一些局限性。因此,以后的论文将延长随访时间,以观察该疗法的远期疗效。

原文:

Tang Y, Wei X, Huang Y, Huang J, Jin W, Lu Y, Ge T, Tang Y. Intervention Effect of Traditional Chinese Medicine Hot Pressing Combined with Health Education on the Adolescent's Visual Fatigue. J Healthc Eng. 2022 Mar 22;2022:2450197. doi: 10.1155/2022/2450197. PMID: 35360485; PMCID: PMC8964189.

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    2022-12-09 spoonycyy
  2. [GetPortalCommentsPageByObjectIdResponse(id=2081633, encodeId=0c47208163396, content=<a href='/topic/show?id=57406e8506' target=_blank style='color:#2F92EE;'>#Eng#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6785, encryptionId=57406e8506, topicName=Eng)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3516494, createdName=spoonycyy, createdTime=Fri Dec 09 17:38:55 CST 2022, time=2022-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1861497, encodeId=43b1186149eae, content=<a href='/topic/show?id=401a23e102' target=_blank style='color:#2F92EE;'>#ALT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2371, encryptionId=401a23e102, topicName=ALT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ccbd84, createdName=shizhenshan, createdTime=Thu Mar 23 00:38:55 CST 2023, time=2023-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1223532, encodeId=253a1223532b0, content=好东西 谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0be2111725, createdName=萌宝嘟嘟, createdTime=Tue May 31 09:18:42 CST 2022, time=2022-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1260955, encodeId=9120126095543, content=<a href='/topic/show?id=493ee0559a7' target=_blank style='color:#2F92EE;'>#疲劳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70559, encryptionId=493ee0559a7, topicName=疲劳)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=674961, createdName=tamgche, createdTime=Thu May 12 15:38:55 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1460018, encodeId=e5f21460018e8, content=<a href='/topic/show?id=e4952e8333c' target=_blank style='color:#2F92EE;'>#健康教育#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27833, encryptionId=e4952e8333c, topicName=健康教育)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=245b6226260, createdName=zhu_jun9839, createdTime=Thu May 12 15:38:55 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481156, encodeId=bc2f14811560b, content=<a href='/topic/show?id=c592908329c' target=_blank style='color:#2F92EE;'>#视觉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90832, encryptionId=c592908329c, topicName=视觉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=adcf7732830, createdName=zywlvao, createdTime=Thu May 12 15:38:55 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1621948, encodeId=4970162194804, content=<a href='/topic/show?id=5f1386329e' target=_blank style='color:#2F92EE;'>#Health#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8632, encryptionId=5f1386329e, topicName=Health)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d2020283215, createdName=yyanpro@28cn.c, createdTime=Thu May 12 15:38:55 CST 2022, time=2022-05-12, status=1, ipAttribution=)]
    2023-03-23 shizhenshan
  3. [GetPortalCommentsPageByObjectIdResponse(id=2081633, encodeId=0c47208163396, content=<a href='/topic/show?id=57406e8506' target=_blank style='color:#2F92EE;'>#Eng#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6785, encryptionId=57406e8506, topicName=Eng)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3516494, createdName=spoonycyy, createdTime=Fri Dec 09 17:38:55 CST 2022, time=2022-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1861497, encodeId=43b1186149eae, content=<a href='/topic/show?id=401a23e102' target=_blank style='color:#2F92EE;'>#ALT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2371, encryptionId=401a23e102, topicName=ALT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ccbd84, createdName=shizhenshan, createdTime=Thu Mar 23 00:38:55 CST 2023, time=2023-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1223532, encodeId=253a1223532b0, content=好东西 谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0be2111725, createdName=萌宝嘟嘟, createdTime=Tue May 31 09:18:42 CST 2022, time=2022-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1260955, encodeId=9120126095543, content=<a href='/topic/show?id=493ee0559a7' target=_blank style='color:#2F92EE;'>#疲劳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70559, encryptionId=493ee0559a7, topicName=疲劳)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=674961, createdName=tamgche, createdTime=Thu May 12 15:38:55 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1460018, encodeId=e5f21460018e8, content=<a href='/topic/show?id=e4952e8333c' target=_blank style='color:#2F92EE;'>#健康教育#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27833, encryptionId=e4952e8333c, topicName=健康教育)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=245b6226260, createdName=zhu_jun9839, createdTime=Thu May 12 15:38:55 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481156, encodeId=bc2f14811560b, content=<a href='/topic/show?id=c592908329c' target=_blank style='color:#2F92EE;'>#视觉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90832, encryptionId=c592908329c, topicName=视觉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=adcf7732830, createdName=zywlvao, createdTime=Thu May 12 15:38:55 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1621948, encodeId=4970162194804, content=<a href='/topic/show?id=5f1386329e' target=_blank style='color:#2F92EE;'>#Health#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8632, encryptionId=5f1386329e, topicName=Health)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d2020283215, createdName=yyanpro@28cn.c, createdTime=Thu May 12 15:38:55 CST 2022, time=2022-05-12, status=1, ipAttribution=)]
    2022-05-31 萌宝嘟嘟

    好东西 谢谢分享

    0

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    2022-05-12 tamgche
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    2022-05-12 zywlvao
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