文章摘要
浮针再灌注治疗肝肾阴虚型老年性干眼症的临床观察
Clinical observation of floating needle reperfusion in the treatment of senile dry eye of yin deficiency of liver and kidney
投稿时间:2022-04-30  录用日期:2022-05-26
DOI:
中文关键词: 干眼症  肝肾阴虚型  浮针再灌注  泪液分泌实验(SⅠT)  泪膜破裂时间(BUT)  随机对照试验
英文关键词: Dry eye syndrome  Yin deficiency of liver and kidney  Floating needle reperfussion  Schirmer I test (SⅠT)  Break-up time (BUT)  Randomized controlled trial (RCT)
基金项目:国家自然科学基金项目(面上项目,重点项目,重大项目)
作者单位邮编
徐珂 黑龙江中医药大学 150040
蔡国锋* 黑龙江中医药大学附属第二医院 150001
高子茵 黑龙江中医药大学 150040
马裕财 黑龙江中医药大学 150040
崔亚男 黑龙江中医药大学 150040
吴珍琦 黑龙江中医药大学 150040
薛佳欣 黑龙江中医药大学 150040
何雪 黑龙江中医药大学 150040
张瑞 黑龙江中医药大学 150040
孙嘉鸿 黑龙江中医药大学 150040
冯宇飞 黑龙江中医药大学 150040
摘要点击次数: 337
全文下载次数: 0
中文摘要:
      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:将60例肝肾阴虚型老年性干眼症患者随机分为治疗组,对照组,每组30例。治疗组从天突穴下3 cm、颧髎穴下3cm进针,行浮针再灌注治疗,留针6h,2次/周;对照组予以玻璃酸钠滴眼液滴眼,1滴/次,5次/天,两组均治疗4周。观察两组治疗前、治疗后1个月、3个月中医证候积分、泪膜破裂时间(BUT)、泪液分泌实验(SⅠT)、角膜荧光素染色(FL)评分,比较两组临床疗效。结果:两组治疗后1个月、3个月中医证候积分及FL评分均较前降低(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97.77%(29/30),高于对照组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,其可以刺激泪腺分泌,促进眼表损伤修复,且长期疗效稳定。
英文摘要:
      Objective: To observe the effect of floating needle reperfusion on senile dry eye of yin deficiency of liver and kidney. Methods: 60 cases (120 eyes) of senile dry eye of yin deficiency of liver and kidney were randomly divided into treatment group and control group, with 30 cases in each group. In the treatment group, the sternocleidomastoid muscle at 3 cm below the Tiantu point and 3 cm below the zygomatic point were selected as the needle entry points, and the floating needle combined with reperfusion treatment was performed, with the needle retained for 6 hours a day, twice a week in total. The control group was given sodium hyaluronate eye drops, 1 drop a time, 5 times a day. Both groups were treated for 4 weeks. The TCM syndrome score, tear film rupture time (BUT), tear secretion test (SⅠT) and corneal fluorescein staining (FL) scores of the two groups before treatment, 1 month and 3 months after treatment were observed, and the clinical effects of the two groups were compared. Results: The TCM syndrome score and corneal FL score of the two groups decreased, 1 month and 3 months after treatment (P< 0.05), but and SⅠT increased (P < 0.05). The TCM syndrome score and corneal FL score of the treatment group were lower than those of the control group 1 month and 3 months after treatment (P < 0.05). BUT and SⅠT of the treatment group were higher than those of the control group (P < 0.05). The total effective rate in the treatment group was 97.77% (29 / 30), which was higher than 86.67% (26 / 30) in the control group. Conclusion: The effect of floating needle reperfusion in the treatment of senile dry eye of yin deficiency of liver and kidney can stimulate the secretion of lacrimal gland, improve the quality of tears, and promote the repair of ocular surface injury. The long-term effect of floating needle reperfusion is stable, which is better than artificial tears.
View Fulltext   查看/发表评论  下载PDF阅读器
关闭
微信公众号
分享按钮