电针治疗干眼症临床疗效观察

目的观察比较不同针刺方法对于干眼症的临床疗效。方法将47例干眼症患者随机分为针刺组和电针组，针刺组23例，电针组24例。观察两组患者治疗前后眼部症状积分、泪液分泌试验、泪膜破裂时间、角膜荧光染色及视觉模拟评分的变化。结果经过1个疗程治疗后，两组患者眼部症状积分、泪液分泌试验、泪膜破裂时间、角膜荧光染色以及视觉模拟评分均较治疗前有显著改善（P〈0．001）。电针组总有效率优于针刺组（P〈0．05），且在改善眼部症状积分和泪液分泌试验方面均优于针刺组（P〈0．05），而两组在改善视觉模拟评分、泪膜破裂时间及角膜荧光染色方面均无统计学差异（P〉0．05）。结论电针治疗干眼症疗效优于普通针刺，且在改善眼部症状积分和泪液分泌试验方面优于针刺：而两者在改善VAS评分、泪膜破裂时间、角膜荧光染色方面无明显差异。

Observations on the Clinical Therapeutic Effect of Electroacupuncture on Xerophthalmia

Objective To compare the clinical therapeutic effects of different needling methods on xerophthalmia.Method Forty-seven xerophthalmia patients were randomly allocated to an acupuncture group of 23 cases and an electroacupuncture group of 24 cases.The eye symptoms were scored,Schirmer I test conducted,tear film break-up time determined,corneal fluorescein staining performed and the Visual Analogue Scale score counted in the two groups before and after treatment.Result The eye symptom score,Schirmer I test result,tear film break-up time,corneal fluorescein staining and the Visual Analogue Scale score improved significantly in both groups of patients after one course of treatment compared with before(P<0.001).The total efficacy rate was higher(P<0.05) and the eye symptom score and Schirmer I test result improved more(both P<0.05) in the electroacupuncture group than in the acupuncture group.There were no statistically significant differences in the Visual Analogue Scale score,tear film break-up time and corneal fluorescein staining between the two groups(all P>0.05).Conclusion Electroacupuncture is more effective in treating xerophthalmia and better in improving the eye symptom score and Schirmer I test result than conventional acupuncture.The two have no significant differences in improving the Visual Analogue Scale score,tear film break-up time and corneal fluorescein staining.