针刺治疗水液缺乏型干眼症临床观察

目的：观察针刺治疗水液缺乏型干眼症的临床疗效。方法：回顾性分析诊断为水液缺乏型干眼症的87例患者的资料，治疗组45例采用针刺治疗，对照组42例采用人工泪液治疗。观察2组患者治疗前后角膜染色、泪膜破裂时间、泪液流量及眼部症状积分等指标的变化。结果：2组治疗后角膜染色改善、泪液流量增加、泪膜破裂时间延长、眼部症状积分改善，分别与治疗前比较，差异均有非常显著性意义（P〈0．01）；2组治疗后泪液流量、泪膜破裂时间、眼部症状积分分别比较，差异均有非常显著性意义（P〈0．01），在改善角膜染色方面，差异有显著性意义（P〈0．05），治疗组优于对照组。2组临床疗效比较，差异有非常显著性意义（P〈0．01），治疗组疗效优于对照组。结论：针刺治疗水液缺乏型干眼症疗效满意。

Clinical Observation of Acupuncture in Treating Xerophthalmia of Body Fluid Deficiency Type

Objective= To observe the clinical effect of acupuncture for xerophthalmia of body fluid deficiency（BFD） type. Methods： A retrospective analysis was carried out in 87 BFD xerophthalmia patients. Forty-five patients were enrolled into the treatment group and were treated with acupuncture, and the control group had 42 patients and was treated with artificial tears. The corneal fluorescein staining, breaking-up time of tear film, tear fluid volume and the eye symptom scores were observed before and after treatment in two groups. Results- After treatment the outcomes of corneal fluorescein staining, breaking-up time of tear film, tear fluid volume and the eye symptom scores in two groups were improved in both groups after treatment （P 〈 0.01 compared with those before treatment）, and the improvements in the treatment group were superior to those in the control group（P〈 0.05 or P 〈 0.01）. The total effective rate of the treatment group was better than that of the control group（P 〈 0.01）. Conclusion： Acupuncture in treating xerophthalmia of BFS type can achieve satisfied efficacy.