雷火灸联合耳穴压豆在玻璃酸钠滴眼液治疗干眼症中的叠加效果

The superposition effect of moxibustion and ear acupoint pressing method in Sodium Hyaluronate Eye Drops treatment of dry eye

目的 观察在玻璃酸钠滴眼液点眼基础上联合雷火灸及耳穴压豆治疗干眼症的临床疗效.方法 将符合纳入标准的63例干眼症患者采用随机数字表法分为治疗组（31例）和对照组（32例）.对照组采用单纯玻璃酸钠滴眼液点眼,治疗组在对照组基础上联合雷火灸及耳穴压豆治疗,连续治疗 4 周.观察2组患者治疗前后症状积分、泪膜破裂时间（break-up time of tear film, BUT）、角膜荧光素染色（fluorescence staining, FL）评分、泪河高度（tear meniscus height, TMH）的变化.结果 治疗后,治疗组BUT[（8.33±1.66）s 比（5.00±1.58）s , t=11.948]较对照组延长（P〈0.01）、TMH[（0.28±0.06）mm 比（0.20±0.06）mm,t=7.186]较对照组升高（P〈0.01）、FL评分[（1.00±0.90）分比（1.85±1.45）分,t=4.057]较对照组降低（P〈0.01）;治疗组干涩感[（1.61±0.67）分比（2.60±0.89）分, t=6.053]、异物感[（1.00±0.45）分比（2.44±0.67）分,t=10.460]、烧灼感[（0.39±0.67）分比（1.59±0.87）分,t=6.142]、视疲劳[（0.61±0.67）分比（1.50±1.16）分,t=3.725]、眼胀感[（0.29±0.46）分比（1.28±1.02）分,t=4.980]、畏光[（0.77±0.76）分比（1.67±0.90）分,t=4.092]、流泪[（0.29±0.46）分比（0.59±0.91）分,t=2.038]积分均较对照组降低（P〈0.05或P〈0.01）.结论 玻璃酸钠滴眼液联合雷火灸及耳穴压豆治疗干眼症疗效优于单纯玻璃酸钠滴眼液治疗.

Objective To observe the effect of moxibustion and ear acupoint pressing method in treating dry eye syndrome.Methods Will meet the inclusion criteria of 63 patients were randomly divided into a treatment group （n=31） , treated with moxibustion and ear acupoint pressing method, and a control group （n=32） who were given with sodium hyaluronate eye drops. After 4 weeks＇ treatment, clinic symptom,break-up time of tear film（BUT）, fluorescence staining（FL） and tear meniscus height（TMH） were measured and compared respectively.Results After treatment, the BUT （8.28 ± 1.73 svs.5.00 ± 1.51 s,t=11.948） in the treatment group was longer than the control group （P〈0.01）, FL score （1.00 ± 0.90vs.1.85 ± 1.45,t=4.057） in the treatment group were lower than the control group; TMH（0.28 ± 0.06 mm vs.0.20 ± 0.06 mm,t=6.768） in the treatment group were higher than the control group （P〈0.01）. After treatment, dry sense （1.61 ± 0.67 vs.2.60 ± 0.89,t=6.053）, foreign body（1.00 ± 0.45 vs.1.85 ± 1.45,t=10.460）, burning（0. 39 ± 0.67 vs.1.59 ± 0.87, t=6.142）, visual fatigue （0.61 ± 0.67 vs.1.50 ± 1.16,t=3.725）, eye expansion （0.29 ± 0.46 vs.1.28 ± 1.02, t=4.980）, Photophobia （0.77 ± 0.76 vs.1.67 ± 0.90,t=4.092）, cry （0.29 ± 0.46 vs.0.59 ± 0.91,t=2.038） integral in the treatment group were lower than those in the control group （P〈0.05,P〈0.01）.Conclusion The effect of moxibustion and ear acupoint pressing method in treating dry eye syndrome is more effective than sodium hyaluronate eye drops.