整体辨证针刺为主对干眼症患者泪膜稳定性的影响

目的:探索提高干眼症临床疗效的治疗方法.方法:将45例干眼症患者随机分为整体辨证针刺组(针刺1组)、局部取穴针刺组(针刺2组)和人工泪液组(对照组).针刺1组根据患者证型,全身辨证取穴针刺;针刺2组取眼局部穴位针刺;对照组点人工泪液.治疗前后分别检查眼局部症状和泪流量(S1T)、泪膜破裂时间(BUT)、角膜荧光素染色(FL).结果:针刺1、2组治疗后S1T增多、BUT增加,治疗前后差异有非常显著性或显著性意义(P<0.01,P<0.05);对照组治疗前后差异无显著性意义.对照组和针刺1、2组间FL差异均有非常显著性意义.针刺1、2组和对照组总有效率分别为86.7%、66.7%、33.3%.结论:整体辨证针刺治疗干眼症,能提高干眼症的临床疗效,其疗效优于局部取穴针刺和人工泪液治疗者.

Effect of integral syndrome differentiation acupuncture on the tear film stability in the patient of xerophthalmia

Objective To probe into a treatment method for increasing clinical therapeutic effect on xerophthalmia. Methods Forty-five cases were randomly divided into acupuncture group 1, acupuncture group 2 and control group. The acupuncture group 1 were treated with acupuncture based on syndrome types, and the acupuncture group 2 with acupuncture at local acupoints, and the control group with dripping of artificial tears. Local symptoms of eyes, S1T, BUT and FL were observed before and after treatment. Results S1T and BUT increased after treatment in the two groups (P<0.01, P<0.05), but did not significantly change in the control group (P> 0. 05). There were significant differences in change of FL as the control group compared with the acupuncture group 1 and 2. The total effective rate was 86. 7%, 66. 7% and 33. 3% in the acupuncture group 1, 2 and the control group, respectively. Conclusion The integral syndrome differentiation acupuncture can improve secretion of tear, increase stability of tear film, improve local symptoms of eyes with a therapeutic effect better than acupuncture at local acupoints and artificial tears.