| 李远超,叶诗思,张媛,刘春龙,罗庆禄.筋膜手法治疗联合常规护理改善视觉显示终端综合征患者眼部血流动力学及症状研究[J].中国康复,2025,40(11):665-671 |
| 筋膜手法治疗联合常规护理改善视觉显示终端综合征患者眼部血流动力学及症状研究 |
| Effects of fascial manipulation therapy combined with routine care on ocular hemodynamics and symptoms in patients with visual display terminal syndrome |
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| DOI：10.3870/zgkf.2025.11.005 |
| 中文关键词: 视觉显示终端综合征 筋膜手法治疗 视网膜中央动脉 睫状前动脉 视疲劳症状 |
| 英文关键词: visual display terminal syndrome fascial manipulation therapy central retinal artery anterior ciliary artery non-pharmacological intervention symptoms of visual fatigue |
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| 目的：探讨筋膜手法治疗（FMT）联合常规护理对视觉显示终端综合征（VDTS）患者眼部血流动力学和临床症状的改善作用。方法：将47例VDTS患者随机分为治疗组24例（FMT联合常规护理）和对照组23例（常规护理）。通过彩色多普勒超声测量视网膜中央动脉（CRA）和睫状前动脉（ACA）的血流动力学参数，包括收缩期峰值流速（PSV）、舒张末期流速（EDV）及阻力指数（RI）；同时评估症状评分及临床疗效。结果：治疗2周后，治疗组患者CRA的PSV、ACA的PSV和ACA的RI值均较本组治疗前显著降低（P<0.05），且显著低于对照组; 治疗组眼干、眼痒和流泪症严重程度状得分与症状总积分较本组治疗前明显降低（P<0.05），且眼干、眼痒和流泪症严重程度症状得分较同期对照组显著降低（均P<0.05）。治疗组总有效率（41.7%）显著高于对照组（17.3%）。结论：FMT联合常规护理能够显著降低VDTS患者的眼部血管阻力指数和调节血流速度，有效缓解VDTS相关症状，值得临床应用与推广。 |
| 英文摘要: |
| Objective: To investigate the effects of fascial manipulation therapy (FMT) combined with routine care on ocular hemodynamics and clinical symptoms in patients with visual display terminal syndrome (VDTS). Methods: A randomized controlled trial was conducted on 47 VDTS patients, and the patients were randomly divided into a treatment group (24 cases receiving fascial manipulation therapy combined with routine care) and a control group (23 cases receiving basic care only). Color Doppler ultrasonography was used to measure hemodynamic parameters of the central retinal artery (CRA) and anterior ciliary artery (ACA), including peak systolic velocity (PSV), end-diastolic velocity (EDV), and resistance index (RI). Symptom scores and clinical efficacy were also evaluated. Results: The treatment group showed significant reductions in CRA (PSV), ACA (PSV), and ACA (RI) indicators (P<0.05), which were significantly lower than those in the control group. After two weeks of treatment, scores for dry eyes, eye itching, lacrimation severity and total symptom score in the treatment group were significantly reduced compared to pre-treatment (P<0.05), with scores for dry eyes, eye itching, and lacrimation severity showing significant improvement compared to the control group during the same period (P<0.05). The total effective rate in the treatment group (41.7%) was significantly higher than in the control group (17.3%). Conclusion: FMT combined with routine care can significantly reduce the ocular vascular resistance index and regulate blood flow velocity in VDTS patients, effectively alleviating VDTS-related symptoms, making it worthy of clinical application and promotion. |
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