中医辨证论治配合局部用药治疗干眼临床的研究.pdf

2.1 中医症候定量积分及检查结果 ·······························10 2.2 临床疗效观察 ·············································10 3.讨 论 ···················································11 3.1祖国医学对干眼的认识 ·····································11 3.1.1 病名 ···················································11 3.1.2 病因病机 ···············································11 3.1.3 辨证论治 ··············································13 3.2 现代医学对干眼的认识 ····································13 3.2.1 病因 ··················································13 3.2.2 泪膜与干眼············································15 3.2.3 发病机制 ··············································16 3.2.4 分类 ··················································18 3.2.5 临床检查 ··············································19 3.2.6 治疗 ···················································20 3.3 疗效分析 〃················································23 3.3.1 离子导入···············································23 3.3.2 疗效与辨证分型的关系 ···································23 4.存在的问题和展望 ·······································24 4.1存在的问题 〃·············································24 4.2 展望 〃···················································24 结 论 ··················································25 参考文献 ··················································26 附 录 ··················································29 综 述 ··················································31 致 谢 ··················································41 攻读学位期间发表的学术论文目录 ·······················42 作者声明 ··················································43 个人简历 ··················································44 中 文 摘 要 目 的: 对单纯西药治疗效果不佳，或西药治疗配合中医辨证治 疗效果仍不满意的水液缺乏型干眼、蒸发过强型干眼采用中医辨证论 治配合点眼药水及中药离子导入进行治疗，用自身前后对照法评估其 临床疗效，从而为本病治疗提供新的有效方法。 方 法 : 对单纯西药治疗效果不佳，或西药治疗配合中医辨证治 疗效果仍不满意的水液缺乏型及蒸发过强型30 例（60 只眼）干眼患 者采用中医辨证论治配合点眼药水及离子导入进行治疗，对临床症 状、泪膜破裂时间、泪液分泌量、角膜修复情况、泪河高度进行观察， 对照比较治疗前后的观察指标。 结 果 :用药1 月后随访：通过对治疗前后的