|
|
Observation on the Effect of Parallel Piercing of the Orbicularis Oculi Muscle Compared with Periocular Acupuncture in Treating Benign Essential Blepharospasm |
Xiaohan Jiang, Na Tang, Lewei Tang, Yan Li, Shengjin Xiang |
Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China |
|
|
Guide |
|
Abstract Objective: To observe the effect of a parallel prick of the orbicularis oculi muscle in the treatment of
benign idiopathic blepharospasm. Methods: This is a series of case studies. A total of 70 patients with
benign idiopathic blepharospasm were collected from the TCM Ophthalmology, Eye Hospital of Wenzhou
Medical University from January 2019 to December 2020. Patients were randomly divided into the
observation group and the control group. The observation group underwent parallel acupuncture of the
orbicularis oculi muscle on the affected side and conventional acupuncture such as BL2, TE23, EX-HN5,
and GB20, while the control group was underwent just acupuncture of periocular acupuncture points. The
Chi-square test was used to compare the number and severity grade of the spasms, the frequency grade
of the spasms and curative effect. Results: In the observation group of 35 cases, results show that the
procedure clinically cured 3 cases, was significantly effective in 12 cases, was effective in 17 cases, and
was ineffective in 3 cases, with a total effective rate of 91%. In the control group, the procedure clinically
cured 1 case, was significantly effective in 5 cases, was effective in 18 cases and ineffective in 11 cases,
with a total effective rate of 69%. There was a statistically significant difference in the treatment outcomes
between the two groups (χ2=8.48, P=0.037). Conclusion: Parallel acupuncture of the orbicularis oculi
muscle combined with periocular point acupuncture for benign essential blepharospasm is more effective
than periocular point acupuncture alone.
|
Received: 30 August 2020
|
|
Fund: |
Corresponding Authors:
Shengjin Xiang, Eye Hospital, Wenzhou Medical University, Wenzhou 325027,China (Email: xsj4228@163.com)
|
|
|
|
[1] |
Hellman A, Torres-Russotto D. Botulinum toxin in the management of blepharospasm: current evidence and recent developments. Ther Adv Neurol Disord, 2015, 8(2): 82-91. DOI:10.1177/1756285614557475.
|
[2] |
罗丽华, 王康, 韩燕飞, 等. 良性特发性眼睑痉挛的研究进展. 国际眼科杂志, 2016, 16(10): 1855-1857. DOI: 10.3980/j.issn.1672-5123.2016.10.16.
|
[3] |
汪晓楠, 万新华. 眼睑痉挛研究及治疗进展. 中国现代神经疾病杂志, 2009, 9(3): 302-305. DOI: 10.3969/j.issn.1672-6731.2009.03.023.
|
[4] |
李会会, 罗曙光. 眼睑痉挛的研究进展. 临床神经病学杂志,
|
20 |
14, 27(4): 317-319.
|
[5] |
刘坚, 徐红, 张仁. 益气通络针刺法治疗眼睑痉挛疗效观.中国针灸, 2014, 34(1): 37-40. DOI: LNKI: SUN: ZGZE.0. 2014-01-015.
|
[6] |
宋阳光. 眼轮匝肌毫针排刺联合复方樟柳碱注射治疗特发性眼睑痉挛. 中国中医眼科杂志, 2015(4): 262-264. DOI: 10.13444/j.cnki.zgzyykzz.2015.04.009.
|
[7] |
窦仁慧, 李艳, 向圣锦. 神经干刺激疗法及其在中医眼科的应用. 新中医, 2017, 49(3): 162-164. DOI: 10.13457/j.cnki.jncm.2017.03.056.
|
[8] |
Jankovic J, Havins WE, Wilkins RB. Blinking and blepharospasm.Mechanism, diagnosis, and management. JAMA, 1982, 248(23):
|
31 |
60-3164.
|
[9] |
Molloy A, Williams L, Kimmich O, et al. Sun exposure is an environmental factor for the development of blepharospasm. J Neurol Neurosurg Psychiatry, 2016, 87(4): 420-424. DOI: 10.1136/jnnp-2014-310266.
|
[10] |
Hallett M, Evinger C, Jankovic J, et al. Update on blepharospasm: report from the BEBRF International Workshop.Neurology, 2008, 71(16): 1275-1282. DOI: 10.1212/01.wnl.0000327601.46315.85.
|
[11] |
Hallett M. Blepharospasm: recent advances. Neurology, 2002,59(9): 1306-1312. DOI: 10.1212/01.wnl.0000027361.73814.0e.
|
[12] |
鲍芳芳, 张振永, 张兴儒. 眼睑痉挛的中医药治疗进展. 中国中医眼科杂志, 2015, 25(5): 374-376. DOI: 10.13444/j.cnki.zgzyykzz.2015.05.021.
|
[13] |
汤红. 眼轮匝肌毫针排刺治疗特发性眼睑痉挛患者的临床疗效. 中医眼耳鼻喉杂志, 2021, 11(2): 79-82. DOI: 10.3969/j.issn.1674-9006.2021.02.006.
|
[14] |
叶珊珊, 童圣治, 陈小娟, 等. 眼睑痉挛的中医治疗进展. 实用中西医结合临床, 2019, 19(5): 180-182. DOI: LNKI: SUN:SZXL.0.2019-05-094.
|
[15] |
蒋怡, 周华祥, 陈家利, 等. 特发性眼睑痉挛的中西医治疗进展. 中国中医眼科杂志, 2019, 29(5): 424-427. DOI: 10. 13444/j.cnki.zgzyykzz.2019.05.023.
|
|
|
|