摘要
目的:分析针刺联合玻璃酸钠滴眼液治疗肺阴不足型干眼的临床效果。方法:选择2021年11月—2022年10月就诊于南京中医药大学附属南京中医院眼科门诊的58例肺阴不足型干眼患者,随机分为观察组和对照组,各29例。对照组给予玻璃酸钠滴眼液治疗,观察组给予针刺联合玻璃酸钠滴眼液治疗。比较两组治疗前后的眼表疾病指数(OSDI)、中医症候评分、泪液分泌试验(SⅠT)、泪膜破裂时间(BUT)、泪河高度(TMH)、角膜荧光素染色(FL)及临床疗效。结果:治疗前,两组OSDI评分、中医症候评分、SⅠT、BUT、TMH、FL比较,差异无统计学意义(P>0.05);治疗后,两组中医症候评分、OSDI评分、FL均低于治疗前,SⅠT、BUT、TMH高于治疗前,且观察组中医症候评分、OSDI评分、FL低于对照组,SⅠT、BUT、TMH高于对照组,差异有统计学意义(P<0.05)。观察组总有效率为93.1%,高于对照组的55.2%,差异有统计学意义(P<0.05)。结论:针刺联合玻璃酸钠滴眼液治疗干眼患者效果显著,可改善中医症候、缓解干眼症状,延长泪膜破裂时间,增加泪液分泌量,改善角膜损伤,增加泪河高度。
Objective:To analyze the clinical effect of acupuncture combined with Sodium Hyaluronate Eye Drops in the treatment of lung Yin deficiency type dry eye.Method:A total of 58 patients with lung Yin deficiency type dry eye admitted to the Ophthalmology Clinic of Nanjing Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine from November 2021 to October 2022 were selected,and they were randomly divided into observation group and control group,with 29 cases in each group.The control group was treated with Sodium Hyaluronate Eye Drops,and the observation group was treated with acupuncture combined with Sodium Hyaluronate Eye Drops.Ocular surface disease index(OSDI),traditional Chinese medicine symptom score,Schirmer-Ⅰtest(SⅠT),break-up time(BUT),tear meniscus height(TMH),corneal fluorescence stain(FL)before and after treatment and clinical efficacy were compared between the two groups.Result:Before treatment,there were no significant differences in OSDI score,traditional Chinese medicine symptom score,SⅠT,BUT,TMH and FL between the two groups(P>0.05).After treatment,traditional Chinese medicine symptom score,OSDI score and FL in both groups were lower than those before treatment,and SⅠT,BUT and TMH were higher than those before treatment,and traditional Chinese medicine symptom score,OSDI score and FL in observation group were lower than those in control group,SⅠT,BUT and TMH were higher than those in control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was 93.1%,which was higher than 55.2%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture combined with Sodium Hyaluronate Eye Drops is effective in the treatment of dry eye patients,which can improve the symptoms of traditional Chinese medicine,relieve dry eye symptoms,prolong the time of tear film rupture,increase tear secretion,improve corneal injury,and increase the tear meniscus height.
作者
方雨婷
耿玉倩
刘昳
FANG Yuting;GENG Yuqian;LIU Yi(Nanjing Hospital of Chinese Medicine,Nanjing 2100022,China;不详)
出处
《中外医学研究》
2024年第8期37-41,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
南京市科技发展计划项目(201803019)
名中医工作室基金项目(HHQ-2017-NJ)。
关键词
干眼
肺阴不足
针刺
玻璃酸钠滴眼液
临床疗效
Dry eye
Lung Yin deficiency
Acupuncture
Sodium Hyaluronate Eye Drops
Clinical efficacy
