160第18卷第5期2016年5月辽宁中医药大学学报JOURNALOFLIAONINGUNIVERSITYOFTCMVol.18No.5May,2016综合护理雷火灸治疗VDT视疲劳张月,左韬,赵磊,张祝强(辽宁中医药大学附属第二医院,辽宁沈阳110034)摘要:目的:观察综合护理雷火灸治疗视频显示终端视疲劳(VDT视疲劳)的临床疗效,探讨综合护理雷火灸治疗VDT视疲劳的作用机理。方法:将180例VDT视疲劳患者随机分为3组,其中雷火灸治疗组60例,予以眶周雷火灸;按摩治疗组60例,予以手法按摩治疗;综合治疗组60例,予以眶周雷火灸加手法按摩。雷火灸施灸时进行规范护理操作,疗程10d,进行临床疗效统计。结果:雷火灸治疗组总有效率为73.33%,按摩治疗组36.67%,综合治疗组91.67%,雷火灸治疗组、综合治疗组分别与按摩治疗组进行比较,差异有显著统计学意义(P<0.01);雷火灸治疗组与综合治疗组进行比较,差异有统计学意义(P<0.05)。结论:综合护理雷火灸在治疗VDT视疲劳方面具有值得肯定的临床效果,结合手法按摩的雷火灸在治疗VDT视疲劳方面疗效更佳。关键词:护理;雷火灸;手法按摩;VDT;视疲劳中图分类号:R771文献标志码:A文章编号:1673-842X(2016)05-0160-03收稿日期:2015-10-10基金项目:辽宁省卫生和计划生育委员会资助项目(2014-Lnzyxzk-04)作者简介:张月(1970-),女,河北博镇人,主管护师,研究方向:中医护理学。通讯作者:左韬(1967-),女,辽宁沈阳人,教授、主任医师,博士,研究方向:中西医结合眼科。E-mail:ykzt208@163.com。ClinicalAnalysisofSynthesisNursingandThunderFireMoxibustionforSevereVisualDisplayTerminals(VDT)AsthenopiaZHANGYue,ZUOTao,ZHAOLei,ZHANGZhuqiang(TheSecondAffiliatedHospitalofLiaoningUniversityofTraditionalChineseMedicine,Shenyang110034,Liaoning,China)Abstract:Objective:Toobservetheclinicalcurativeeffectofsynthesisnursingandthunderfiremoxibustioninthetreatmentofvisualdisplayterminals(VDT)asthenopia.Methods:OnehundredandeightypatientswithVDTwererandomlydividedintothreegroupsinthestudy.PatientsinThunderfiremoxibustiontreatmentgroupwereadministratedbythunderfiremoxibustion,thoseinthemassagetreatmentgroupwereadministratedbythechinesemedicinemassage.WhilethoseintheComprehensivetreatmentgroupweregiventhunderfiremoxibustionandtheChinesemedicinemassage.10daysasaperiodoftreatment.Afteraperiodoftreatment,accordingtothepatients'ocularsymptomsquantificationscore,theclinicalcurativeeffectisevaluated.Results:Aftertreatment,betweenthethreegroups:ThetotaleffectiverateoftheThunderfiremoxibustiontreatmentgroupwas73.33%,whilethemassagetreatmentgroupwas36.67%,thecomprehensivegroupwas91.67%.BothofthethunderfiremoxibustionandThemassagetreatmentgroups'curativeeffectwerebetterthanthecontrolgroup(P<0.01).Therewasdifferencebetweenthethunderfiremoxibustionandmassagegroupsingeneral(P<0.05).Conclusion:ThunderfiremoxibustioncombinednursingcarehavepositiveclinicaleffecttoimprovethesymptomsofpatientswithsevereVDTasthenopia.ComprehensivetreatmentgroupgivenThunderfiremoxibustionandmassagehasbettertherapyeffects.Keywords:nursing;thunderfiremoxibustion;massage;VDT;asthenopia视疲劳,是由于各种病因使得人眼视物时超过其视觉功能所能承载的负荷,导致用眼后出现视觉障碍、眼部不适或伴有全身症状等以致不能正常进行视作业的一组症候群[1]。其主要以患者主观症状为主,眼或全身与心理因素相交织,因此,它并非一种独立的眼科疾病。眼部临床表现主要有流泪、眼刺痛、视物模糊、复视、眼痛、畏光、眨眼、眼沉重感,严重影响着患者的学习、工作和生活。而重度视疲劳是指除了具有眼部症状外,还兼有全身症状者[1]。如头痛、头晕、记忆力减退、失眠、恶心等。相关研究表明视频终端使用的患者泪液分泌功能障碍较其他行业更为多见,...