中藥熱敷聯合人工淚液治療干眼癥的效果觀察

張湘雯

[摘要]目的 研究中藥熱敷聯合人工淚液治療干眼癥的臨床效果。方法 選取我院2016年6～10月診治的58例（116眼）干眼癥患者作為研究對象，所有患者均為雙眼發病，將納入患者抽簽隨機分為中西醫組與常規組，每組29例（58眼）。常規組給予人工淚液治療，中西醫組在常規組的基礎上給予中藥熱敷，比較兩組的臨床療效、證候積分、淚液分泌量、淚膜破裂時間、角膜病變程度。結果 中西醫組的治療總有效率顯著高于常規組，差異有統計學意義（P<0.05）。中西醫組治療后的干澀感、疲勞感、燒灼感、異物感證候積分及總分顯著低于常規組治療后，差異有統計學意義（P<0.05）。中西醫組治療后的淚液分泌量多于常規組治療后，淚膜破裂時間長于常規組治療后，角膜病變程度評分低于常規組治療后，差異有統計學意義（P<0.05）。結論 中藥熱敷可以直接作用于患處，改善局部血液循環，聯合人工淚液治療干眼癥，可以促進淚液分泌，恢復淚膜穩定性，改善臨床癥狀。

[關鍵詞]干眼癥；中藥熱敷；人工淚液

[中圖分類號] R777.2 [文獻標識碼] A [文章編號] 1674-4721（2017）04（b）-0107-04

Effect observation of traditional Chinese medicine hot compress combined with artificial tears in the treatment of dry eye

ZHANG Xiang-wen

Department of Ophthalmology，Shangdi Hospital of Beijing City，Beijing 100083，China

[Abstract]Objective To study the clinical effect of traditional Chinese medicine hot compress combined with artificial tears in the treatment of dry eye.Methods From June to October in 2016，58 cases （116 eyes） with dry eye in our hospital were enrolled in the study，and all patients had binocular disease.The patients were randomly divided into the traditional Chinese and Western medicine group and the routine group，29 cases （58 eyes） in each group.The routine group was treated with artificial tears，and the traditional Chinese and Western medicine group was additionally treated with traditional Chinese medicine hot compress on the basis of the routine group.The clinical efficacy，the scores of symptoms，volume of secreted tear，tear breakup time and degree of corneal lesions were compared between the two groups.Results The total effective rate of the traditional Chinese and Western medicine group was significantly higher than that of the routine group，with significant difference （P<0.05）.The symptom score of the sense of dryness，fatigue，burning，foreign body sensation，and the total score after treatment in the traditional Chinese and Western medicine group was lower than that in the routine group，with significant difference （P<0.05）.The amount of tear secretion after treatment in the traditional Chinese and Western medicine group was more than that in the routine group，and the tear film break-up time in the traditional Chinese and Western medicine group was longer than that in the routine group，the score of corneal lesion in the traditional Chinese and Western medicine group was lower than that in the routine group，with significant difference （P<0.05）.Conclusion The traditional Chinese medicine hot compress can be directly applied to the affected area，and improve local blood circulation.The combined used of artificial tears in the treatment of dry eye can promote the recovery of tear secretion and tear film stability，and relieve the clinical symptoms.