标本根结理论指导针刺治疗外展神经麻痹的临床疗效观察OA

Objective To observe the clinical effect of acupuncture on abducens nerve palsy(ANP)guided by Biaoben Genjie theory(referring to the distribution,connection and gathering of meridian qi in the body).Methods A total of 60 patients with ANP were randomly assigned to an observation group(30 cases)and a control group(30 cases).The conventional treatment with western medicine was used in the two groups.Additionally,in the observation group,based on Biaoben Genjie theory,acupuncture therapy was delivered at the sites of Biao,Ben,Gen and Jie of Shaoyang Meridians of hand and foot,meaning at Sizhukong(TE23),Zhongzhu(TE3),Zuqiaoyin(GB44)and Tongziliao(GB1),combined with Fengchi(GB20),Taiyang(EX-HN5),Qiuhou(EX-HN7)and Guangming(GB37).In the control group,the routine acupuncture therapy was operated.In either group,the intervention was given once daily,and 6 interventions a week as 1 course of treatment;6 courses were required,with a 1-day interval after every 6 interventions.Before and after treatment,diplopia degree,strabismus degree,the score for eye position,and the score for main symptoms of traditional Chinese medicine(TCM)were recorded and the clinical effect was evaluated in the two groups.Results After treatment completion,diplopia degree,strabismus degree,the score for eye position,and the score for main symptoms of TCM were reduced in both of the two groups compared with those before treatment(P<0.05),and the results in the observation group were better than those of the control group(P<0.05).The effective rate was 96.67%(29/30)in the observation group,and it was 86.67%(26/30)in the control group.The effective rate in the observation group was superior to that in the control group(P<0.05).Conclusion Under the guidance of Biaoben Genjie theory,acupuncture therapy can effectively ameliorate diplopia degree,strabismus degree,eye position score and the main symptoms of TCM;and it can promote the functional reconstruction in ANP to a certain extent.