中药熏蒸疗法联合睑板腺按摩治疗糖尿病性干眼的临床观察

目的运用中药熏蒸法和睑板腺按摩治疗糖尿病性干眼,探讨治疗糖尿病性干眼的新思路、新方法。方法选取2016年中国中医科学院眼科医院眼科门诊糖尿病性干眼患者84例(168眼),随机分为治疗组和对照组,每组42例(84眼)。对照组予人工泪液滴眼,治疗组予中药熏蒸联合睑板腺按摩治疗。观察1个月后症状、泪膜破裂时间(BUT)、泪液分泌试验(SIT)、睑板腺功能变化。结果治疗组显效56眼,有效20眼,无效8眼,有效率90.5%;对照组显效20眼,有效36眼,无效28眼,有效率66.7%,治疗后2组症状评分、BUT、SIT及睑板腺功能比较均有统计学差异(P0.05),治疗组优于对照组。结论中药熏蒸疗法联合睑板腺按摩治疗糖尿病性干眼具有较好的疗效。

Effects of herbal fumigation therapy combined with meibomian gland massage on diabetic dry eyes

Objective To explore new therapy for diabetic dry eyes through herbal fumigation therapy combined with meibomian gland massage.Methods 84 cases (168 eyes)of diabetic dry eyes in 2016 from ophthalmology outpatient department of Eye Hospital,affiliated to China Academy of Chinese Medi-cal Sciences,were randomly divided into two groups (n =42 in each group).The control group was given artificial tear eyedrops,while treatment group was given herbal fumigation therapy and meibomian gland massage.One month later,symptoms,tear film breakup time(BUT),results of Schirmer I test(SIT), and changes of meibomian gland function were determined.Results In the experiment group,new thera-py was remarkably effective on 56 eyes,effective on 20 eyes,and ineffective on 8 eyes,and the effective rate was 90.5％;In the control group,artificial tear eyedrops was markedly effective on 20 eyes,effec-tive on 36 eyes,and ineffective on 28 eyes,and the effective rate was 66.7％.There was a significant statistic difference of symptom score,BUT,SIT,and meibomian gland function between the two groups after treatment (P <0.05).The effects of treatment group was superior to that of control group.Conclu-sion Herbal fumigation therapy accompanied with meibomian gland massage appears to be effective for diabetic dry eye syndrome.