干眼的中西医治疗新进展

Advanced progress of Traditional Chinese Medicine and Western Medicine in treating dry eye

干眼是目前最常见的眼部疾病之一,常导致患者生活质量的下降。本文通过回顾近5年干眼的中西医治疗方法发现,辨证使用中药内服、超声雾化、雷火灸及针刺等中医特色治疗取得了良好疗效,泪液替代及抗炎治疗是目前西医治疗的主要有效手段,新型人工泪液及抗炎药物也在不断更新,针对眼表损伤、角膜神经的修复逐渐成为新的研究热点,腺体移植术的应用给中重度干眼患者带来了康复希望,其他新的治疗方法也相继出现,如揿针、核桃灸的运用,泪点塞、巩膜隐形镜等的产生及补充ω-3脂肪酸治疗思路的提出等,这为干眼的治疗带来了更多的选择和更新的研究思路。本文进一步指出,干眼的中医综合干预、中西医结合治疗等方向有望提升干眼的临床疗效。

Dry eye is one of the most common eye diseases,which often leads to a decline in life quality of the patient.By reviewing the treatment methods of Traditional Chinese Medicine(TCM)and western medicine on dry eye in the past 5 years,this research found that TCM decoction by oral under guidance of syndrome differentiation,ultrasonic atomization,thunder-fire moxibustion,acupuncture,and other characteristic treatment of TCM obtained good curative effect.Tear replacement and anti-inflammatory therapy were currently the main effective means of western medicine,moreover,new types of artificial tear and anti-inflammatory drug were constantly being updated.The repair of ocular surface injury and corneal nerve had gradually become a new research hot spot.The application of gland transplantation had brought hope for patients with moderate to severe dry eyes.Other new treatment methods had also been devised,such as press needle and walnut moxibustion,punctal plugs,scleral contact lenses and the supplementary omega-3 fatty acid treatment,which brought more options and updated research ideas for the treatment of dry eye.Meanwhile,this article pointed out that further research on the comprehensive intervention of TCM and integrated treatment of traditional Chinese and western medicine in management of dry eye was expected to improve the clinical efficacy of dry eye.