本文選題：重癥干眼 + 氣陰兩虛型��； 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過觀察“眼周四穴摩灸法”聯(lián)合人工淚液在治療氣陰兩虛型重癥干眼中所起的療效,評價該方法治療氣陰兩虛型重癥干眼的有效性。方法:將90例氣陰兩虛型重癥干眼患者,隨機(jī)分成A組、B組、C組,每組30例。A組予人工淚液(0.1%玻璃酸鈉滴眼液)每日4次點眼治療,每次一滴。B組予以眼周四穴摩灸法治療,C組予A組加B組療法治療,3組均每日治療,療程均為15天。比較治療前與治療后的淚液分泌試驗(SIT)、淚膜破裂時間(BUT)、角膜熒光素染色評分(FL)及干眼主觀癥狀,評價治療效果。結(jié)果:1.A、B、C三組治療前及治療后的淚液分泌值進(jìn)行比較,組內(nèi)比較差異均具有統(tǒng)計學(xué)意義(P0.05),組間比較C組與B組無統(tǒng)計學(xué)差異(P0.05),C組與A組比較有統(tǒng)計學(xué)差異(P0.05),B組與A組比較有統(tǒng)計學(xué)差異(P0.05)。2.A、B、C三組治療前及治療后的淚膜破裂時間進(jìn)行比較,組內(nèi)比較差異均具有統(tǒng)計學(xué)意義(P0.05)。治療后組間兩兩比較均具有統(tǒng)計學(xué)差異(P0.05)。3.A、B、C三組治療前及治療后的角膜熒光素染色評分進(jìn)行比較,組內(nèi)比較差異均具有統(tǒng)計學(xué)意義(P0.05)。治療后組間兩兩比較均具有統(tǒng)計學(xué)意義(P0.05)。4.A、B、C三組治療前及治療后的干眼癥狀評分進(jìn)行比較,組內(nèi)比較差異均具有統(tǒng)計學(xué)意義(P0.05)。治療后組間兩兩比較均具有統(tǒng)計學(xué)意義(P0.05)。A、B、C三組治療后癥狀緩解的有效率分別為26.7%,83.3%,93.3%。結(jié)論:1.在促進(jìn)淚液分泌方面,眼周四穴摩灸法聯(lián)合人工淚液優(yōu)于單純應(yīng)用人工淚液點眼;單純應(yīng)用眼周四穴摩灸法要優(yōu)于單純應(yīng)用人工淚液者;眼周四穴摩灸法聯(lián)合人工淚液與單純應(yīng)用眼周四穴摩灸法無明顯區(qū)別。2.在延緩淚膜破裂時間方面,眼周四穴摩灸法聯(lián)合人工淚液要優(yōu)于單純應(yīng)用眼周四穴摩灸法和單純應(yīng)用人工淚液點眼者。單純應(yīng)用眼周四穴摩灸法優(yōu)于單純應(yīng)用人工淚液點眼者。3.在角膜熒光素染色評分方面,眼周四穴摩灸法聯(lián)合人工淚液點眼要優(yōu)于單純應(yīng)用眼周四穴摩灸法和單純應(yīng)用人工淚液者。單純應(yīng)用眼周四穴摩灸法優(yōu)于單純應(yīng)用人工淚液點眼者。4.在干眼癥狀評分方面,眼周四穴摩灸法聯(lián)合人工淚液點眼要優(yōu)于單純應(yīng)用眼周四穴摩灸法和單純應(yīng)用人工淚液者。單純應(yīng)用眼周四穴摩灸法優(yōu)于單純應(yīng)用人工淚液者。
[Abstract]:Objective: to observe the therapeutic effect of "eye Thursday acupoint moxibustion" combined with artificial tear on dry eyes of severe dry eyes with deficiency of qi and yin, and to evaluate the effectiveness of this method in treating severe dry eyes with deficiency of both qi and yin. Methods: 90 cases of severe dry eye with deficiency of qi and yin were randomly divided into group A and group B, and 30 cases in group A were treated with artificial tear (0.1% sodium hyaluronate eye drops) 4 times a day. Group B was treated with acupoint moxibustion on Thursday, group C was treated with group A and group B, and group 3 were treated daily, the course of treatment was 15 days. Tear secretion test (sit), tear film rupture time (but), corneal fluorescein staining (FL) and dry eye subjective symptoms were compared before and after treatment. Results 1. The tear secretion values before and after treatment were compared among the three groups. There was no statistical difference between group C and group B (P0.05). There was statistical difference between group C and group A (P0.05). There was significant difference between group B and group A (P0.05). 2. Tear film rupture before and after treatment in group A and group B (P0.05). The crack time is compared, The differences were statistically significant (P0.05). After treatment, there was statistical difference between the two groups (P0.05). 3. The corneal fluorescein staining scores before and after treatment were compared among the three groups, and the differences were statistically significant (P0.05). After treatment, there were significant differences between the two groups (P0.05). 4. The scores of dry eye symptoms before and after treatment were compared among the three groups, and the differences were statistically significant (P0.05). After treatment, the effective rate of symptom relief was 26.70.83.3% (P0.05). Conclusion 1. In the aspect of promoting tear secretion, the combination of acupoint moxibustion and artificial tear on eye Thursday is better than that of artificial tear point only, but it is superior to artificial tear moxibustion method only by using eye Thursday point moxibustion method. There was no significant difference between acupuncture and moxibustion combined with artificial tear and simple moxibustion on eye Thursday. 2. In the aspect of delaying the time of tear film rupture, the combination of acupoint moxibustion and artificial tear therapy on eye Thursday is better than that of the eyes only with eye Thursday point moxibustion and artificial tear point. Simple application of eye Thursday point moxibustion is better than using artificial tear point eyes. 3. In the score of corneal fluorescein staining, the combination of acupoint moxibustion and artificial tear point on Thursday was better than that of those who only applied acupoint moxibustion on Thursday and artificial tear only. Simple application of eye Thursday point moxibustion is better than artificial tear point eyes. 4. In the score of dry eye syndrome, the combination of acupoint moxibustion and artificial tear point on eye Thursday was superior to those who only applied acupoint moxibustion on Thursday and artificial tear only. Simple application of eye Thursday point moxibustion was better than that of artificial tear.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R777.34

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