补肾丸合明目五子治疗干眼症的临床疗效

Clinical observation on treating evaporative dry eye with the tonifying kidney pill combining with mingmuwuzi

目的:观察补肾丸合明目五子治疗蒸发过强型干眼症的治疗效果。方法:本研究采用阳性药物对照、前瞻性研究、随机数余数分组法,将65例门诊确诊为蒸发过强型干眼症的患者分为治疗组32例64眼和对照组33例66眼。治疗组口服补肾丸合明目五子汤剂治疗,联合使用玻璃酸钠滴眼液,对照组单纯使用玻璃酸钠滴眼液点眼,两组患者均以4wk为1个疗程。观察两组患者治疗前后泪膜稳定性、中医临床症状评分的变化,并进行疗效评价。结果:治疗组较对照组泪膜稳定性增加,中医临床症状评分下降。治疗组疗效优于对照组,差异有统计学意义(z=-3.149,P<0.05)。结论:补肾丸合明目五子联合玻璃酸钠滴眼液治疗蒸发过强型干眼症的疗效优于单纯使用玻璃酸钠滴眼液。

AIM： To observe the clinical effect of the tonifying kidney pills with mingmuwuzi treating evaporative dry eyes.METHODS： This study adopted the positive drug control,prospective study,random number remainder grouping method to 65 cases of outpatient patients diagnosed with evaporative dry eyes which were divided into the treatment group 32 cases （64 eyes） and the control group 33 cases （66 eyes）.The treatment group took the decoction of kidney pills with mingmuwuzi,combined with sodium hyaluronate eye drops.The control group simply use sodium hyaluronate eye drops,both group were set to 4wk for a course of treatment.To observe the symptoms and signs of two groups before and after the treatment,the change of the evaluation index and curative effect were evaluated.RESULTS： The effectiveness of the treatment group was 87.5%,the control group was 78.8%,the difference was statistically significant （z=-3.149,P〈0.05）.CONCLUSION： The treatment of the kidney pills with mingmuwuzi combined with sodium hyaluronate eye drops to evaporative dry eyes is more effective than the simple use of sodium hyaluronate eye drops.