针刺治疗睑板腺功能障碍临床观察

Clinical Study on Acupuncture for Meibomian Gland Dysfunction

目的观察针刺治疗睑板腺功能障碍的临床疗效。方法以诊断为睑板腺功能障碍40例患者(80眼)作为研究对象,随机分为针刺组、西药组。针刺组采用针刺眼周穴位治疗,西药组为滴用糖皮质激素联合人工泪液治疗。两组治疗前后分别对患者主观症状,睑缘评分以及对角膜荧光染色、泪膜破裂时间、泪液分泌量进行测定。结果两组在改善眼部症状及睑缘评分、改善角膜染色、延长泪膜破裂时间、增加泪液分泌量方面,治疗前后比较均有统计学差异。且针刺组在改善睑缘评分、增加泪液分泌量方面,治疗效果明显优于西药组。结论针刺治疗睑板腺功能障碍有良好疗效。

Objective To observe the clinical efficacy of acupuncture in treating meibomian gland dysfunction. Method Forty patients （80 eyes） diagnosed with meibomian gland dysfunction were randomized into an acupuncture group and a Western medication group. The acupuncture group was intervened by acupuncture at the periocular points, while the control group was by dropping of glucocorticoid and artificial tear. The subjective symptoms, palpebral margin score, ftuoreseein staining, tear film break-up time, and tear secretion were evaluated and determined before and after treatment. Result After treatment, the two groups both had significant changes in improving the optic symptoms, palpebral margin score, fluorescein staining, extending the tear film break-up time, and increasing the tear secretion. The acupuncture group was better in improving the palpebral margin score and increasing the tear secretion, indicating that its therapeutic efficacy should be better than that of the Western medication group. Conelusion Acupuncture has a content therapeutic efficacy in treating meibomian gland dysfunction.