摘要
目的评价针刺联合中药凉雾熏眼治疗中重度干眼症患者的疗效。方法收集门诊就诊的中重度干眼症患者26例,按中医辨证分为热炽阴伤型11例(20眼)和痰瘀互结型15例(23眼),同时给予针刺及中药凉雾熏眼治疗,治疗前及治疗后1个月、3个月、6个月分别观察患者的泪膜破裂时间(BUT)、基础泪液分泌量(SIT),并对患者的自觉症状积分进行分析。结果治疗后1个月,3个月,6个月SIT、BUT、自觉症状积分等均优于治疗前(P<0.01),两型治疗后6个月SIT、BUT、自觉症状积分均低于治疗后3个月(P<0.05),但与治疗前比较也有统计学差异(P<0.05)。结论针刺联合中药凉雾熏眼治疗可改善干眼症患者的症状和体征,在长期随访中疗效略有下降。
Objective To evaluate the therapeutic efficacy of acupuncture plus fumigating eyes with cool Chinese medicinal fog in treating severe dry eye syndrome（DES）. Method Twenty-six outpatients with moderate-severe DES patients were classified into 11 cases of heat damaging yin type（20 eyes） and 15 cases of phlegm-stagnation type（23 eyes）, to simultaneously receive acupuncture and fumigating eyes with cool Chinese medicinal fog. Tear break-up time（BUT）, tear production（Schirmer Ⅰtest, SIT）, and subjective symptoms score were observed and analyzed before treatment, 1 month, 3 months, and 6 months after treatment. Result The SIT, BUT, and subjective symptoms score 1 month, 3 months, and 6 months after treatment were superior to that before treatment（P〈0.01）; The SIT, BUT, and subjective symptoms score 6 months after treatment were lower than that of 3 months after treatment（P〈0.05） but still significantly different from that before treatment（P〈0.05）. Conclusion Acupuncture plus fumigating eyes with cool Chinese medicinal fog can improve the symptoms and signs of DES, though the therapeutic efficacy decreases during the long-term follow-up study.
出处
《上海针灸杂志》
2015年第12期1192-1194,共3页
Shanghai Journal of Acupuncture and Moxibustion
关键词
针刺
中药凉雾
干眼症
Acupuncture
Cool Chinese medicinal fog
Dry eye syndrome
