干眼症人工泪液 中药热敷联合人工泪液医治干眼症的作用调查

张湘雯

[摘要]意图 研讨中药热敷联合人工泪液医治干眼症的临床作用。办法 选取我院2016年6～10月诊治的58例（116眼）干眼症患者作为研讨目标，一切患者均为双眼发病，将归入患者抽签随机分为中西医组与惯例组，每组29例（58眼）。惯例组给予人工泪液医治，中西医组在惯例组的基础上给予中药热敷，比较两组的临床效果、证候积分、泪液排泄量、淚膜决裂时刻、角膜病变程度。成果 中西医组的医治总有功率明显高于惯例组，差异有统计学含义（P<0.05）。中西医组医治后的干涩感、疲劳感、炙烤感、异物感证候积分及总分明显低于惯例组医治后，差异有统计学含义（P<0.05）。中西医组医治后的泪液排泄量多于惯例组医治后，泪膜决裂时刻善于惯例组医治后，角膜病变程度评分低于惯例组医治后，差异有统计学含义（P<0.05）。定论 中药热敷能够直接作用于患处，改进部分血液循环，联合人工泪液医治干眼症，能够促进泪液排泄，康复泪膜稳定性，改进临床症状。

[关键词]干眼症；中药热敷；人工泪液

[中图分类号] R777.2 [文献标识码] A [文章编号] 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.