低强度单波长红光仪与针刺疗法防控青少年儿童近视的疗效对比分析

Comparative Analysis of the Efficacy of Low-Intensity Single-Wavelength Red Light Instrument and Acupuncture Therapy for Preventing and Controlling Myopia in Adolescent Children

摘要: 目的：观察低强度单波长红光仪与针刺疗法对青少年儿童近视进展的防控效果。方法：随机对照研究。在我院眼视光学中心就诊的患者中，选取7~15岁近视患者90例(180只眼)，分为低强度单波长红光仪组30例(60只眼)、针刺组30例(60只眼)和对照组30例(60只眼)。低强度单波长红光仪组采用低强度单波长红光仪进行近视防控干预，非干预时间佩戴普通近视框架眼镜，针刺组每周一次穴位针刺疗法进行近视防控干预，非干预时间佩戴普通近视框架眼镜，对照组佩戴普通近视框架进行日常生活及学习。干预期间规律复诊，观察并比较干预前和干预后1、2、3、6个月患者的裸眼视力、屈光度以及眼轴长度。采用SPSS25.0软件对数据进行统计学分析。结果：与初筛时相比，干预1、2、3、6个月后，低强度单波长红光仪组裸眼视力基本趋于稳定，针刺组裸眼视力稍有所改善，对照组裸眼视力呈下降趋势，三组间比较差异具有统计学意义(P < 0.05)；干预1、2、3、6个月后，低强度单波长红光仪组屈光度基本保持稳定，针刺组屈光度增长缓慢，对照组屈光度增长较明显，三组间比较差异具有统计学意义(P < 0.05)；干预1、2、3、6个月后，低强度单波长红光仪组眼轴长度逐渐缩短，针刺组眼轴长度增长缓慢，对照组眼轴长度增长较明显，三组间比较差异均有统计学意义(P < 0.05)。结论：低强度单波长红光仪及针刺疗法对延缓青少年儿童近视进展有一定疗效，干预期间未见明显不良反应。

Abstract: Objective: To observe the prevention and control effect of low-intensity single-wavelength red light instrument and acupuncture on the progress of myopia in adolescents and children. Methods: Ran-domized controlled study. A total of 90 myopic patients aged 7~15 years (180 eyes) were selected and divided into low-intensity single-wavelength red light instrument group (30 cases, 60 eyes), acupuncture group (30 cases, 60 eyes) and control group (30 cases, 60 eyes). Low-intensity sin-gle-wavelength red light instrument group with low-intensity of single-wavelength red light in-strument myopia prevention and control intervention, the non-intervention time wear ordinary myopia glasses, acupuncture group once a week point acupuncture myopia prevention and control intervention, the non-intervention time wear ordinary myopia glasses, control group wear ordinary myopia framework in daily life and study. Regular review during intervention. The naked eye visual acuity, diopter and axial length of patients were observed and compared before intervention and 1, 2, 3 and 6 months after intervention. SPSS25.0 software was used for statistical analysis. Results: Compared with the initial screening, after 1, 2, 3 and 6 months of intervention, the naked eye visual acuity of the low-intensity single-wavelength red light instrument group basically tended to be sta-ble, the naked eye visual acuity of the acupuncture group was slightly improved, and the naked eye visual acuity of the control group showed a downward trend, with statistical significance among the three groups (P < 0.05). After 1, 2, 3 and 6 months of intervention, the diopter of the low-intensity single-wavelength red light instrument group was basically stable, while the diopter of the acu-puncture group increased slowly, and the diopter of the control group increased significantly, with statistical significance among the three groups (P < 0.05). After 1, 2, 3 and 6 months of intervention, the axial length of the low-intensity single-wavelength red light instrument group was gradually shortened, the axial length of the acupuncture group was slowly increased, and the axial length of the control group was significantly increased, with statistical significance among the three groups (P < 0.05). Conclusion: Low-intensity single-wavelength red light instrument and acupuncture therapy can delay the progress of myopia in children and adolescents.