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补中益气汤结合针灸治疗眼肌型重症肌无力患者临床研究
引用本文:于敬妮,刘宝玉,董博. 补中益气汤结合针灸治疗眼肌型重症肌无力患者临床研究[J]. 现代中医药, 2021, 0(1): 82-85
作者姓名:于敬妮  刘宝玉  董博
作者单位:西安市第四医院眼科;宝鸡市中医医院;陕西中医药大学附属医院
基金项目:西安市卫生局项目(J201601013)。
摘    要:目的 观察补中益气汤结合针灸治疗眼肌型重症肌无力的临床效果.方技2013年7月-2019年12月选取164例眼肌型肌无力患者为研究对象,随机分成治疗组和对照组,每组82人.治疗组采用针灸配合中药补中益气汤加减口服治疗,一个月为一个疗程,连续治疗2个疗程.对照组给予溴吡斯的明片(上海中西三维药业有限公司)口服,初始剂量6...

关 键 词:补中益气汤  针灸  眼肌型肌无力  溴吡斯的明  中医症状积分

Clinical Observation of Buzhong Yiqi Decoction Combined with Acupuncture in The Treatment of Ocular Myasthenia Gravis
YU Jing-ni,LIU Bao-yu,DONG Bo. Clinical Observation of Buzhong Yiqi Decoction Combined with Acupuncture in The Treatment of Ocular Myasthenia Gravis[J]. Modern Traditional Chinese Medicine, 2021, 0(1): 82-85
Authors:YU Jing-ni  LIU Bao-yu  DONG Bo
Affiliation:(Ophthalmology of the fourth hospital of Xi'an,Xi'an 710004,China;Baoji Hospital of traditional Chinese medicine,Shaanxi Baoji 721013,China;Affiliated Hospital of Shaanxi University of traditional Chinese medicine,Shaanxi Xianyang 712000,China)
Abstract:Objective: To observe the clinical effect of Buzhong Yiqi Decoction Combined with acupuncture in the treatment of ocular myasthenia gravis. Methods:From July 2013 to December 2019, 164 patients with ocular myasthenia were randomly divided into treatment group and control group, 82 in each group. The treatment group was treated with acupuncture plus Buzhong Yiqi Decoction, one month as a course of treatment, two courses of continuous treatment. The patients in the control group were treated with bromopyrimidine tablets(Shanghai Zhongxi Sanwei Pharmaceutical Co., Ltd.) orally, with an initial dose of 60 mg/time, once every 4 hours. The maximum daily dosage should not exceed 480 mg according to the patient’s condition. If the symptoms improve, it can be reduced to 30 mg once a time and once every 6 hours. After 2 months of treatment, the curative effect was observed, and the changes and curative effect of TCM symptom scores in the two groups were evaluated. Results:Before treatment, there was no significant difference in TCM symptom scores between the two groups(P > 0.05). After treatment, the TCM symptom scores of the two groups were lower than those before treatment(P < 0.05), and the TCM symptom scores of the treatment group were lower than those of the control group(P < 0.05). The total effective rate of the two groups was higher than that of the control group(P < 0.05). Conclusion:Buzhong Yiqi Decoction Combined with acupuncture and moxibustion in the treatment of ocular myasthenia gravis has good curative effect, which can be promoted clinically.
Keywords:Buzhong Yiqi Decoction  Acupuncture  Ocular myasthenia  Bromopyrimethamine  TCM symptom score
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