眼睑针联合常规针刺治疗面瘫眼睑闭合不全患者50例

目的:比较微针针刺眼睑局部联合常规针刺与常规针刺治疗面瘫恢复期眼睑闭合不全的临床疗效。方法:将100例面瘫恢复期眼睑闭合不全患者随机分为观察组和对照组,每组50例。对照组采用常规针刺方法,穴取患侧攒竹、阳白、瞳子髎、四白等。观察组在对照组基础上加用眼睑局部微针针刺。两组均每日治疗1次,留针30 min,每周5次,治疗4周后评定疗效。结果:治疗后,观察组总有效率为94.0%(47/50),高于对照组的78.0%(39/50,P<0.05)。结论:眼睑针联合常规针刺能促进面瘫恢复期眼睑闭合功能的恢复,疗效优于常规针刺。

张吉玲主任治疗面瘫眼睑闭合不全临床经验

总结张吉玲主任运用郑氏“喜鹊登梅”针法配合眼睑针治疗面瘫眼睑闭合不全的临床经验。眼睑闭合不全是面瘫治疗中恢复较慢的临床症状之一,亦可诱发眼部其他疾病,且影响患者美观。笔者将从疾病病因病机、经络循行、取穴特点、补泻手法方面进行经验总结,分享典型案例,以期为今后临床治疗本病提供方法。

陈旧性泪小管断裂的手术治疗

目的 :探讨陈旧性泪小管断裂不同治疗方法的治疗效果。方法 :采用眼睑前叶切开 弯针法 ,眼睑全层切开 弯针法治疗陈旧性泪小管断裂。结果 :陈旧性泪小管断裂的治愈率 ,眼睑前叶切开 弯针法为 6 8.4 2 % ,眼睑全层切开 弯针法为 5 7.1 4 %。结论 :眼睑前叶切开 弯针法 ,眼睑全层切开 弯针法治疗陈旧性泪小管断裂效果较好。

Physical Therapy Modalities of Western Medicine and Traditional Chinese Medicine for Meibomian Gland Dysfunction

The meibomian gland is a unique sebaceous gland located in the eyelid.Its main function is to secrete lipids and form the lipid layer of the tear film to delay the evaporation of waterborne tears,increase the surface tension of the tear film,and to lubricate the contact area of the eyelid and eyeball.Abnormal secretion of the meibomian gland is known as meibomian gland dysfunction(MGD),which has become the most important cause of evaporative dry eye disease(DED).The clinical pathophysiological process and underlying molecular mechanisms of MGD are not clear.As serious side effects may occur with the long-term use of hormonotherapy and non-steroidal anti-inflammatory drugs(NSAIDs)for the treatment of MGD,meibomian gland physiotherapy is considered the most effective and safest therapy for MGD.This review summarizes the physical therapy modalities of western medicine(WM)and traditiond Chinese medicine(TCM)for the treatment of MGD to provide optimal treatments for these patients and to further lay a foundation for mechanistic studies of MGD.