中药熏蒸联合人工泪液滴眼在干眼症患者中疗效探讨.docVIP

中药熏蒸联合人工泪液滴眼在干眼症患者中的疗效探讨 　　[摘要] 目的 探讨中药熏蒸联合人工泪液滴眼在干眼症患者中的临床治疗效果。方法 方便选取2015年1月―2016年7月中国人民解放军第456医院眼科收治干眼症患者120例，随机分为对照组（n=60）和观察组（n=60）。对照组采用人工泪液滴眼治疗，观察组在对照组基础上联合中药熏蒸治疗，比较两组临床疗效。结果 两组治疗前SIt、BUT与FL指标比较差异无统计学意义（P0.05）；观察组治疗后SIt（6.89±0.99）mm、BUT指标（6.07±0.70）s，高于对照组（P0.05）；观察组治疗后FL评分（1.74±0.82）分，低于对照组（P0.05）；观察组治疗1个月后疗效率为93.33%，高于对照组的76.67%（P0.05）。结论 干眼症患者在人工泪液滴眼治疗基础上联合中药熏蒸治疗效果理想，值得推广应用。 　　[关键词] 中药熏蒸；人工泪液滴眼；干眼症；治疗效果 　　[中图分类号] R777 [文献标识码] A [文章编号] 1674-0742（2017）02（a）-0174-03 　　[Abstract] Objective To discuss the clinical treatment effect of herbal fumigation and artificial tear mytear eye drops in patients with xeroma. Methods 120 cases of patients with xeroma admitted and treated in our hospital from January 2015 to July 2016 were convenient selected and randomly divided into two groups with 60 cases in each， the control group were treated with artificial tear mytear eye drops， while the observation group were treated with Herbal fumigation and artificial tear mytear eye drops， and the clinical curative effect was compared between the two groups. Results Before treatment， the differences in the Sit， BUT and FL between the two groups had no statistical significance（P0.05）， and after treatment， the Sit and BUT were respectively（6.89±0.99）mm and（6.07±0.70）s in the observation group， and the FL score was（1.74±0.82）scores in the observation group， which was lower than that in the control group（P0.05）， and the effective rate at 1-month after treatment was higher than that in the control group（93.33% vs 76.67%）. Conclusion The effect of herbal fumigation and artificial tear mytear eye drops in patients with xeroma is ideal， which is worth promotion and application. 　　[Key words] Herbal fumigation； Artificial tear mytear eye drops； Xeroma； Treatment effect 　　干眼症是临床上常?的疾病，主要是由于泪液蒸发过多或者分泌不足引起的眼睛干涩，从而引起视力模糊、下降，临床上又称为角结膜干燥症。患者发病后如果得不到及时有效的治疗，将会引起泪膜异常影响患者视力及生活质量[1]。人工泪液滴眼是干眼症患者中常用的治疗方法，该方法虽然能改善患者视力，但是长期疗效欠佳，复发率较高，难以达到预期的治疗效果。近年来，中药熏蒸联合人工泪液滴眼在部分干眼症患者中得到应用，且效果理想。为了探讨中药熏蒸联合人工