中西结合治疗内眼术后干眼症的疗效观察

Clinical observation on curative effect of combination of traditional Chinese medicine with Western medicine on the xerophthalmia after inner eye operation

目的:观察内眼术后干眼症发生情况,探讨中西医结合干预治疗方案。方法:用病例-对照研究方法,将763例834眼内眼术后患者随机分为两组。A组术后常规处理,B组术后常规处理+右旋糖酐70滴眼液点术眼、芪明颗粒口服,观察术后1,7,30,90d的干眼症状、泪膜破裂时间(BUT)、角膜荧光素染色,并对数据进行统计学分析。结果:两组患者术后1,90d的干眼症状、BUT、角膜荧光评分比较差异无统计学意义(P>0.05);术后7,30d的干眼症的症状评分、BUT、角膜荧光素钠染色评分比较差异有统计学意义(P<0.05)。结论:内眼术后干眼通过中西医结合治疗,对早期干眼症的症状改善有很好的作用,疗效显著。

AIM：To explore the curative scheme of combined traditional Chinese medicine（TCM） with Western medicine on the xerophthalmia after inner eye operation.METHODS：Seven hundred and sixty-three patients（834 eyes） with xerophthalmia after inner eye operation in the hospital were randomly divided into control group and treatment group,with 417 cases in each group.Conventional treatment after operation was taken in the control group.The treatment group was given conventional treatment and TCM based on the treatment of the control group,patients were given dextran gutta and qiming granules.One day,7,30,90 days after operation,patients xerophthalmia symptom,tear film break-up time（BUT）,luciferin dye on cornea and clinical efficacy in the two groups were analyzed and compared.RESULTS：The results of xerophthalmia symptom,tear film BUT,luciferin dye of the treatment group were not superior to control group 1 day,90 days after operation,with no statistical significance（P0.05）;but the results of the treatment group were superior to control group 7 days,30 days after operation,with statistical significance（P0.05）.CONCLUSION：The combination of TCM with Western medicine on xerophthalmia can significantly improve curative clinical effect,it has important implications in improving the quality of life and the prognosis of patients.