Observation on the clinical efficacy of acupuncture in treatment of oculomotor nerve palsy guided by Biaoben Genjie theory

目的: 观察标本根结理论指导的针刺治疗动眼神经麻痹的临床疗效。方法: 选取符合标准的62例动眼神经麻痹患者，随机分为对照组和观察组，每组31例。两组均给予西医常规基础治疗，在此基础上，对照组给予常规针刺治疗，观察组予以标本根结理论指导下的针刺治疗，两组均每天治疗1次，每次30 min，6 d为1疗程，疗程间休息1天，共治疗6个疗程。分别记录两组患者治疗前后复视度数、斜视度数及中医主症积分，评价两组患者的临床疗效。结果: 两组患者复视度数和斜视度数较治疗前均显著下降（P<0.05），观察组优于对照组（P<0.05）。两组患者中医主症积分较治疗前均显著下降（P<0.05），观察组优于对照组（P<0.05）。观察组总有效率为93.55%（29/31），优于对照组总有效率83.87%（26/31，P<0.05）。结论: 标本根结理论指导针刺治疗动眼神经麻痹可有效改善患者的受累眼部症状，且疗效优于常规针刺治疗。.; OBJECTIVES: To observe the clinical effect of acupuncture in treatment of oculomotor nerve palsy guided by Biaoben Genjie theory (focusing on the distribution, connection and gathering of meridian qi in the body). METHODS: A total of 62 patients with oculomotor nerve palsy were selected according to inclusion criteria of the trial. They were randomly divided into a control group and an observation group, with 31 cases in each group. The conventional treatment with Western medicine was used in the two groups. Besides, in the control group, the regular acupuncture was provided, and in the observation group, acupuncture was delivered under the guidance of Biaoben Genjie theory. In the 2 groups, the treatment was given once daily, for 30 min each time and one course of treatment was composed of 6 d. Six courses were required with the interval of 1 d between two courses. The degree of diplopia, the degree of strabismus and the score of traditional Chinese medicine (TCM) main symptoms were recorded before and after the treatment of the 2 groups separately, and the clinical efficacy was evaluated in each group. RESULTS: The degrees of diplopia and strabismus decreased significantly (P<0.05) compared with those before treatment in the 2 groups, and the degrees in the observation group were lower (P<0.05) than those of the control group. The TCM main symptoms score of both groups were reduced significantly (P<0.05) compared with those before treatment, and the score in the observation group was lower (P<0.05) than that of the control group. The effective rate was 93.55% (29/31) in the observation group, better (P<0.05) than that (83.87%, 26/31) of the control group. CONCLUSIONS: Acupuncture based on Biaoben Genjie theory can effectively relieve the ocular symptoms of the affected eyes in the patients with oculomotor nerve palsy, and the effect is better when compared with the regular acupuncture.