目的 :为应用针刺预防和治疗老年性白内障提供理论依据。方法 :应用针刺疗法对 2 0例老年性白内障 (针刺治疗组 )进行术前治疗

然后应用等离子多通道光谱仪和激光散射浊度法测定术中抽取的房水中的钾 (K+)、钙 (Ca2 +)、磷 (P5 +)、镁 (Mg2 +)等离子元素及免疫球蛋白IgG、IgA、IgM、白蛋白、补体C3及C4含量 ;同步测定 2 0例成年健康组 (对照组 )及未经针刺治疗的老年性白内障患者 (白内障组 )的房水中的相同指标作为对照。结果 :白内障组房水中的K+、Ca2 +、Mg2 +等离子元素较对照组明显降低

而IgG、IgA、IgM、白蛋白、C3及C4含量均比对照组高 (P均<0 0 5)

针刺治疗后可明显改善这种状况。结论 :针刺疗法可以调整老年性白内障患者房水中物理和生物化学环境

从而推测应用针刺疗法可以延缓老年性白内障的形成Objective:To observe the effect of acupuncture therapy on changes of ion element

immunoglubulin

albumin and complement levels of aqueous humor in order to provide a theoretical basis for the treatment and prevention of senile cataract with acupuncture. Methods: A total of 40 senile cataract outpatients were randomly divided into acupuncture group ( n =20)and cataract control group ( n =20). In the former group

Jingming (BL 1)

Yuyao (EX HN 4)

Qiuhou (EX HN 7)

Sizhukong (TE 23)

Chengqi (ST 1)

Cuanzhu (BL 2)

Ganshu (BL 18) and Shenshu (BL 23) were punctured with Gauge 28 filiform needles

with the needles retained for 30 min. Acupuncture treatment was conducted twice daily. Following 10 days' treatment

aqueous humor samples were collected. In cataract control group

the aqueous humor samples were collected from senile cataract patients during operation treatment.In addition

from other 20 cases of accidental death adult healthy patients

the aqueous humor was also sampled to be used as the normal control group. Contents of ion element K +

Ca 2+

Mg 2+ and P 5+

IgG

IgA

IgM

albumin

C 3 and C 4 of aqueous humor samples were assayed by using laser nephelometric method and an inductively coupled plasma(ICP) spectrometry. Results:① It was found that the levels of K +

Ca 2+

Mg 2+ and P 5+ in aqueous humor of senile cataract patients are significantly more than those of normal control people ( P <0.05);after acupuncture treatment

these elements increased obviously ( P <0.05) in spite of being still apparently lower than normal control group ( P < 0.05 ). ② In cataract control group

IgG

IgA

IgM

albumin

C 3 and C 4 contents of aqueous humor were strikingly higher than those of normal control group( P <0.05)

while after acupuncture treatment

they all increased obviously( P <0.05)in spite of being still apparently lower than those of normal control group ( P <0.05).Conclusion: Acupuncture can regulate the physical and biochemical conditions of the aqueous humor of senile cataract patients.Thus

it is possible that acupuncture could delay the formation of senile cataract.