摘要
目的:观察浮针再灌注治疗肝肾阴虚型老年性干眼症的疗效。方法:60例肝肾阴虚型老年性干眼症患者随机均分为治疗组与对照组。治疗组从天突穴下3 cm、颧髎穴下3 cm进针,行浮针再灌注治疗,留针6 h,2次/周;对照组予以玻璃酸钠滴眼液滴眼,1滴/次,5次/d,两组均治疗4周。观察两组治疗前、治疗后1个月、治疗后3个月中医证候积分、泪膜破裂时间(BUT)、泪液分泌试验(SⅠT)和角膜荧光素染色(FL)评分,对比两组疗效。结果:两组治疗后1个月、治疗后3个月中医证候积分及FL评分均较治疗前降低(P<0.05),BUT、SⅠT较治疗前升高(P<0.05),治疗组治疗后1个月、3个月中医证候积分及FL评分低于对照组(P<0.05),BUT、SⅠT高于对照组(P<0.05)。治疗组总有效率为96.67%(29/30),高于对照组的86.67%(26/30)。结论:浮针再灌注治疗肝肾阴虚型老年性干眼症有效,可以刺激泪腺分泌,促进眼表损伤修复,且长期疗效稳定。
Objective:To observe the effect of floating needling and reperfusion on senile xerophthalmia of Yin-deficiency of Liver and Kidney.Methods:60 cases of senile xerophthalmia of Yin-deficiency of Liver and Kidney,were randomly divided into the treatment group and the control group,with 30 cases in each group.The treatment group was treated with floating needling 3 cm below Tiantu(RN22)and 3 cm below Quanliao(SI18).Afterwards,the reperfusion treatment was performed,with needles retaining for 6 hours a day,twice a week for 4 weeks.The control group was treated with Sodium Hyaluronate Eye Drops,1 drop at a time,5 times a day for 4 weeks.TCM symptom scores,break-up time of tear film(BUT),the scores of Schirmer I test(SⅠT)and corneal fluorescein staining(FL)were observed before the treatment,one month and three months after the treatment in the two groups,and the clinical efficacy was compared between the two groups.Results:The scores of TCM symptoms and FL were decreased(P<0.05),whereas BUT and SⅠT were increased one month and three months after the treatment compared with those before the treatment in the two groups(P<0.05);FL score was lower(P<0.05),and BUT and SⅠT were higher in the treatment group than those in the control group(P<0.05).The total effective rate was 96.67%(29/30)in the treatment group,which was higher than 86.67%(26/30)in the control group(P<0.05).Conclusion:The effect of floating needling and reperfusion is effective in treating senile xerophthalmia of Yin-deficiency of Liver and Kidney,it can stimulate the secretion of lacrimal gland and promote the repair of ocular surface injury,with its stable long-term effect.
作者
蔡国锋
徐珂
高子茵
马兴武
崔亚男
吴珍琦
薛佳欣
何雪
张瑞
孙嘉鸿
冯宇飞
CAI Guofeng;XU Ke;GAO Ziyin;MA Xingwu;CUI Yanan;WU Zhenqi;XUE Jiaxin;HE Xue;ZHANG Rui;SUN Jiahong;FENG Yufei(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《针灸临床杂志》
2022年第8期25-29,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
国家自然科学基金,编号:82174232
教育部“春晖计划”合作科研项目,编号:HLJ2019031
中国民族医药学会科研项目,编号:2020ZY251-411002
黑龙江省中医药科研项目,编号:ZHY2021-WH022、ZHY18-081。
关键词
干眼症
肝肾阴虚型
浮针再灌注
泪液分泌试验
泪膜破裂时间
随机对照试验
Xerophthalmia
Yin-deficiency of Liver and Kidney
Floating needling and reperfussion
Schirmer I test
Break-up time of tear film
Randomized controlled trial
