[1]毛光兰,贾奎. 针灸联合人工泪液治疗对干眼症患者眼表功能的影响分析[J].眼科新进展,2015,35(6):582-584.[doi:10.13389/j.cnki.rao.2015.0158]
　MAO Guang-Lan,JIA Kui. Effects of acupuncture and artificial tears treatment on ocular surface function in patients with dry eye[J].Recent Advances in Ophthalmology,2015,35(6):582-584.[doi:10.13389/j.cnki.rao.2015.0158]
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 针灸联合人工泪液治疗对干眼症患者眼表功能的影响分析
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年6期
页码:
582-584
栏目:
应用研究
出版日期:
2015-06-05

文章信息/Info

Title:
 Effects of acupuncture and artificial tears treatment on ocular surface function in patients with dry eye
作者:
 毛光兰; 贾奎
 453003　河南省新乡市，新乡医学院第三附属医院针灸科
Author(s):
 MAO Guang-Lan ; JIA Kui
 Department of Acupuncture, the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003.Henan Province. China
关键词:
 ; 针灸; 干眼; 人工泪液; 眼表功能
Keywords:
 ; acupuncture ;  dry eye ;  artificial tears ;  ocular surface function
DOI:
10.13389/j.cnki.rao.2015.0158
文献标志码:
A
摘要:
 目的　探讨针灸治疗对干眼症患者眼表功能的影响。方法　回顾性分析２０１０年１月至２０１３年１２月于我院就诊的干眼症患者８４例（１６８眼）临床资料，其中采用针灸联合人工泪液治疗者４２例（观察组），采用单纯人工泪液治疗者４２例（对照组）。两组均随访１～６个月，平均３个月，观察两组治疗前后眼表功能变化，相关指标包括泪膜破裂时间（ｂｒｅａｋ-ｕｐｔｉｍｅ，ＢＵＴ）、ＳｃｈｉｒｍｅｒＩ试验（ＳｃｈｉｒｍｅｒＩｔｅｓｔ，ＳＩＴ）、角膜荧光素染色（ｆｌｕｏｒｅｓｃｅｉｎ，ＦＬ）、视功能评分等，对结果进行统计比较。结果　与治疗前比较，观察组治疗后ＢＵＴ、视功能评分显著延长或增高，差异均有统计学意义（均为Ｐ＜０．０５），而对照组差异均无统计学意义（均为Ｐ＞０．０５）；治疗后观察组ＢＵＴ、视功能评分均显著高于对照组，差异均有统计学意义（均为Ｐ＜０．０５）。与治疗前比较，２组治疗后ＳＩＴ值均显著延长，差异均有统计学意义（均为Ｐ＜０．０５）；２组治疗后ＳＩＴ值比较，虽然观察组高于对照组，但差异无统计学意义（Ｐ＞０．０５）。与治疗前比较，２组治疗后ＦＬ评分显著降低，差异均有统计学意义（均为Ｐ＜０．０５）；治疗后２组ＦＬ评分比较，差异无统计学意义（Ｐ＞０．０５）。结论　针灸联合人工泪液是治疗干眼症的一种有效方法，能显著改善干眼症患者的泪膜稳定性，增加泪液分泌，减少眼表损害。
Abstract:
 Objective To investigate the effects of acupuncture and artificial tears treatment on ocular surface function in patients with dry eye. Methods The clinical data of 84 patients( 168 eyes) with dry eye in our hospital from January ,2010 to December ,2013 were retrospectively analyzed. In 84 patients , acupuncture and artificial tears treatment were performed in 42 cases ( observation group) , and single artificial tears treatment was given in another 42 cases ( control group) . The follow-up time was from I month t0 6 months( mean 3 months) , the ocular surface function indexes , such as break-up time ( BUT ) . Schirmer I test ( SIT ) , corneal fluorescein staining ( FL ) , visual functional scoring were observed and recorded. and the results between two groups were statistical analyzed. Results Compared with pre-treatment.the BUT and visual functional scores after treatment in observation group were all increased or prolonged, the differences were statistical significant ( all P < 0. 05 ) , but no difference was found in control group ( all P > 0. 05 ) . The BUT and visual functional scores after treatment in observation group were higher than those in control group , the difference were statistical significant ( all P < 0. 05 ) . Compared with pre-treatment , the SIT value after treatment in two groups were all increased, the differences were statistical significant ( all P < 0. 05 ) . and the difference in the SIT value after treatment between two groups was not significant ( P > 0. 05 ) . Compared with pre-treatment , the FL scores after treatment in two groups were all decreased. the differences were statistical significant ( all P < 0. 05 ) . and the difference in the FL scores after treatment between two groups was not significant ( P > 0. 05 ) . Conclusion Acupuncture and artificial tears treatment is effective for dry eye , can obviously improve the tear film stability ,increases the tear secretion and reduces the ocular surface damage.

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更新日期/Last Update: 2015-06-01