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中药熏蒸与人工泪液联用及综合护理对干眼症的治疗效果
张华,宋玲玲,李婧,吕炳霞
0
(山东大学附属省立医院眼科)
摘要:
【摘要】 目的 探讨中药熏蒸结合西医人工泪液及综合护理对干眼症的治疗效果。方法 选取干眼症患者120例为研究对象,随机分为西医人工泪液治疗37例(A组)、中药熏蒸治疗39例(B组)、中药熏蒸结合人工泪液治疗44例(C组),三组均行综合护理,连续治疗20天,并随访1个月,用分泌泪液指数、人工泪液使用频率、眼睛不适症状总数及VAS舒适度评价各组治疗后第20天和随访1个月的临床效果。结果 与治疗前相比,治疗第20天,A、B、C三组在泪液分泌指数、眼睛不适症状总数及VAS舒适度均显著改善(P<0.05)。随访1个月,C组与A组相比,上述指标显著更优(均P<0.05);与B组相比,C组眼睛不适症状总数显著减少(P<0.05),两眼泪液指数显著增加(P<0.05);C组有效率显著高于A及B组(P<0.05)。结论 在综合护理下,中药熏蒸结合西医人工泪液治疗干眼症效果明显优于单独中医和西医治疗效果,可有效提升患者生活质量。
关键词:  干眼症  中药熏蒸;中西医结合;综合护理
DOI:
基金项目:基金项目:山东省科技发展计划项目(2012YD18048)
The treatment effect of Chinese medicine fumigation, artificial tears and comprehensive care on xerophthalmia
ZHANG Hua,SONG Lingling,LI Jing,Lv Bingxia
(Department of Ophthalmology, Shandong Provincial Hospital Affiliated to Shandong University)
Abstract:
【Abstract】 Objective To investigate the effects of traditional Chinese medicine fumigation combined with western medicine artificial tears and comprehensive nursing on xerophthalmia. Methods 120 patients with xerophthalmia were randomly divided into western medicine artificial tears treatment(A group, 37 cases), Chinese medicine fumigation (B group,39 cases), traditional Chinese medicine fumigation combined with artificial tear therapy (C group, 44 cases). The patients of the three groups were treated with comprehensive nursing. The secretion of tear index, artificial tear frequency, total number of discomfort symptoms and VAS comfort were observed. Results Compared with those before treatment, the tear secretion index, the total number of eye discomfort symptoms and the comfort level of VAS significantly improved in the all three groups (P<0.05). Follow up of 1 month, compared with those of A group, the tear secretion index, the total number of eye discomfort symptoms and the comfort level of VAS of C group were significantly improvement or ameliorate ( P<0.05 ). Compared with those of B group, the total number of eye in the C group uncomfortable symptoms decreased significantly(P<0.05 ), and the two tear fluid index increased significantly(P<0.05 ). The effective rate of the C group (88.63 %) was better than that of B group (74.36%) and A group (62.16 %). Conclusion Traditional Chinese medicine fumigation combined with western medicine artificial tears treatment and comprehensive nursing for xerophthalmia is better than traditional Chinese medicine and western medicine.
Key words:  Dry eye  Fumigation of traditional Chinese medicine  Combination of traditional Chinese and western medicine  Comprehensive nursing

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