远端取穴与眼周取穴治疗干眼症疗效对比观察

发布时间：2019-08-13 20:54

【摘要】：目的:比较远端取穴与眼周取穴治疗干眼症的临床疗效差异。方法:将干眼患者40例随机分为远端组和眼周组,每组20例,眼周组脱落1例,最终远端组20例、眼周组19例。远端组针刺光明、地五会穴,眼周组针刺攒竹、瞳子毼、太阳穴。两组均每天1次,每周5次,治疗2周。分别于治疗前、治疗2周后(治疗结束)、治疗结束后2周(随访)评价患者主观症状(视觉模拟VAS评分)、泪液分泌情况、生活质量(OSDI评分)、泪膜破裂时间(BUT)。结果:治疗结束及随访,两组VAS评分、泪液分泌量、OSDI评分、泪膜破裂时间均较治疗前改善(P0.05,P0.01);两组VAS评分、OSDI评分比较差异无统计学意义(均P0.05)。随访时两组泪液分泌量、泪膜破裂时间比较差异有统计学意义(均P0.05)。结论:远端取穴(光明穴、地五会穴)有促进干眼症状改善、提高生活质量、增加泪液分泌量、延长泪膜破裂时间的作用,且持续效应优于眼周取穴。
[Abstract]:Objective: to compare the clinical efficacy of distal acupoint selection and periophthalmic acupoint selection in the treatment of dry eye. Methods: forty patients with dry eye were randomly divided into distal group (n = 20) and periocular group (n = 20). There were 1 case in periocular group, 20 cases in final distal group and 19 cases in periophthalmic group. The far group acupuncture bright, Di Wuhui point, the eye group acupuncture save bamboo, pupil, temple point. Both groups were treated once a day, 5 times a week, for 2 weeks. Subjective symptoms (visual simulated VAS score), tear secretion, quality of life (OSDI score) and tear film rupture time (BUT). Were evaluated before treatment, 2 weeks after treatment (end of treatment) and 2 weeks after treatment (follow-up). Results: at the end of treatment and follow-up, VAS score, tear secretion, OSDI score and tear film rupture time were improved in the two groups (P0.05, P 0.01), but there was no significant difference in VAS score and OSDI score between the two groups (P 0.05, P 0.05). There were significant differences in tear secretion and tear film rupture time between the two groups during follow-up (P 0.05). Conclusion: distal acupoint selection (Guangming acupoint, Di Wuhui acupoint) can promote the improvement of dry eye symptoms, improve the quality of life, increase the secretion of tears and prolong the rupture time of tear film, and the continuous effect is better than that of periophthalmic acupoint selection.
【作者单位】：中国中医科学院广安门医院南区;
【分类号】：R246.82

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