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清热解毒利湿方熏蒸对近视干眼病患者泪膜破裂时间、泪液分泌及CFS评分的影响 被引量:10
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作者 樊颖 李游 《环球中医药》 CAS 2020年第11期1894-1897,共4页
目的探究清热解毒利湿方熏蒸对近视干眼病患者泪膜破裂时间(break-up time,BUT)、泪液分泌量实验(schirmer test,SIt)及角膜荧光素染色(corneal fluorescein staining,CFS)评分的影响。方法选取2018年4月到2018年10月陕西省商洛市中心... 目的探究清热解毒利湿方熏蒸对近视干眼病患者泪膜破裂时间(break-up time,BUT)、泪液分泌量实验(schirmer test,SIt)及角膜荧光素染色(corneal fluorescein staining,CFS)评分的影响。方法选取2018年4月到2018年10月陕西省商洛市中心医院眼科收治的84例近视干眼发病患者,采用随机数字法分为观察组(42例)和对照组(42例),观察者采用常规西药治疗;对照组采用清热解毒利湿方熏蒸,观察两组患者术前及术后4周临床疗效、泪膜破裂时间、泪液分泌量、CFS评分、症状评分及并发症情况。结果治疗后观察组临床总有效率(95.92%)显著高于对照组(81.25%),差异具有统计学意义(P<0.05);治疗后两组术后4周随访其泪膜破裂时间、泪液分泌量均升高,症状评分和CFS评分均下降,且观察组BuT、SIt值高于对照组,症状和CFS评分低于对照组,差异均具有统计学意义(P<0.05);观察组并发症发生率(9.52%)和对照组(11.9%)比较无显著差异(P>0.05)。结论清热解毒利湿方熏蒸治疗近视干眼病能延长泪膜破裂时间,降低CFS评分和改善泪液分泌效果,且并发症发生率低,是一种安全有效的方法。 展开更多
关键词 清热解毒利湿方 近视 干眼病 泪膜破裂时间 泪膜分泌 角膜荧光素染色评分
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干燥综合征患者136例的临床特点分析 被引量:6
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作者 田甜 杨亚梦 朱炎华 《国际眼科杂志》 CAS 2014年第11期2098-2100,共3页
目的:分析干燥综合征(Sjgren's syndrome,SS)患者干眼的临床特点。方法:回顾性分析2011-07/2014-06我院风湿免疫科SS患者136例272眼的干眼诊断性检查数据。结果:在136例患者中:(1)干眼症状中最常见的症状是干燥感,有88例,34例有... 目的:分析干燥综合征(Sjgren's syndrome,SS)患者干眼的临床特点。方法:回顾性分析2011-07/2014-06我院风湿免疫科SS患者136例272眼的干眼诊断性检查数据。结果:在136例患者中:(1)干眼症状中最常见的症状是干燥感,有88例,34例有两种以上的干眼症状;(2)睑缘情况:232眼发现睑缘变化;(3)泪河高度检测:244眼<0.3mm,平均值为0.19±0.11mm;(4)泪膜破裂时间(BUT)检查:206眼BUT≤5s,40眼5s<BUT≤10s,26眼BUT>10s,平均值为3.5±1.6s;(5)SchiemerⅠ试验(SⅠt):200眼SⅠt≤5mm/5min,72眼5<SⅠt≤10mm/5min;(6)角膜荧光素(CF)染色:平均得分为5.0±2.5;(7)睑板腺功能评分:平均值为2.7±0.8。结论:SS干眼患者可见干燥感等干眼的常见症状,且BUT缩短、SⅠt减少、CF染色阳性,同时泪河高度降低、睑缘变化、睑板腺功能障碍,应密切关注SS患者中干眼的诊断和治疗。 展开更多
关键词 干燥综合征 干眼 泪膜破裂时间 泪膜分泌试验
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Efficacy observation of acupuncture for dry eye syndrome of lung-yin deficiency pattern 被引量:2
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作者 Liu Jing-wen Zhao Yao-dong +1 位作者 Zhu Ling Han Cong 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第1期72-77,共6页
Objective:To observe the clinical efficacy of combining two needling manipulations,Er Long Xi Zhu(two dragons playing with a pearl)and Guo Yan Re(heat produced to reach the eyes),in treating dry eye syndrome(DES)of lu... Objective:To observe the clinical efficacy of combining two needling manipulations,Er Long Xi Zhu(two dragons playing with a pearl)and Guo Yan Re(heat produced to reach the eyes),in treating dry eye syndrome(DES)of lung-yin deficiency pattern.Methods:Fifty-six eligible DES patients of lung-yin deficiency were randomized into an observation group and a control group,with 28 cases in each group.Same acupoints were selected in the two groups:Cuanzhu(BL 2),Sizhukong(TE 23),Taiyang(EX-HN 5)and Fengchi(GB 20)were chosen as the major points and Feishu(BL 13)and Chize(LU 5)as the adjuvant.Er Long Xi Zhu and Guo Yan Re needling manipulations were applied in the observation group while twirling reinforcing manipulation was used in the control group.Treatment was conducted once per day in both groups,for two sets of 15 consecutive days at a 2-day interval.Changes in the symptom score,tear break-up time(BUT)and tear production were observed afterwards,and the clinical efficacy was also compared between the two groups.Results:The total effective rate was 92.8%in the observation group,higher than 71.4%in the control group,and the between-group difference was statistically significant(P<0.05).After treatment,the symptom score,tear BUT and tear production showed significant improvements in both groups(all P<0.05);the symptom score,BUT and tear production in the observation group were significantly different from those in the control group(all P<0.05).Conclusion:Given the same acupoint selection,combining Er Long Xi Zhu and Guo Yan Re needling manipulations can produce more significant clinical efficacy than twirling reinforcing manipulation in treating DES of lung-yin deficiency pattern. 展开更多
关键词 Acupuncture Therapy Acupuncture Reinforcing Method Tear Break-up Time Tear Secretion Lung-yin Deficiency Dry Eye Syndrome
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