首页|加味沙参麦冬汤+中药熏蒸治疗干眼症的效果及角膜荧光素染色评分分析

加味沙参麦冬汤+中药熏蒸治疗干眼症的效果及角膜荧光素染色评分分析

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目的 分析加味沙参麦冬汤+中药熏蒸治疗干眼症的效果及角膜荧光素染色评分.方法 随机选取2021年12月—2023年12月天水市中医医院罹患干眼症的80例患者为研究对象,按随机抽签法分为对照组、观察组,每组40例;采用对照组中药熏蒸治疗,采用观察组加味沙参麦冬汤+中药熏蒸治疗,比较两组的近远视力水平、角膜荧光素染色评分、中医证候积分.结果 治疗前两组近、远视力水平比较,差异无统计学意义(P均>0.05);治疗后,观察组近、远视力水平均更优,差异有统计学意义(P均<0.05).治疗后,观察组的角膜荧光素染色评分为(0.91±0.23)分,低于对照组的(1.32±0.41)分,差异有统计学意义(t=5.515,P<0.05).治疗前两组各项中医证候积分比较,差异无统计学意义(P>0.05);治疗后,观察组各项中医证候积分低于对照组,差异有统计学意义(P<0.05).结论 干眼症患者在临床采取加味沙参麦冬汤与中药熏蒸联合治疗方案,可明显改善症状,明显提高角膜荧光素染色评分.
Effect and Corneal Fluorescein Staining Score of Supplemented Shashen Maidong Decoction and Chinese Herbal Fumigation in the Treatment of Dry Eye
Objective To analyze the effect of supplemented Shashen Maidong Decoction plus Chinese herbal fumiga-tion in the treatment of dry eye disease and the score of corneal fluorescein staining.Methods 80 patients suffering from dry eye disease from Tianshui Hospital of Traditional Chinese Medicine from December 2021 to December 2023 were randomly selected as the study objects,and they were divided into control group and observation group by ran-dom drawing method,with 40 cases in each group.Chinese herbal fumigation treatment was used in control group,and supplemented Shashen Maidong decoction plus Chinese herbal fumigation treatment was used in observation group.The near and far visual acuity level,corneal fluorescein staining score and traditional Chinese medicine(TCM)symp-tom scores were compared between the two groups.Results There was no statistically significant difference in near and far visual acuity between the two groups before treatment(both P>0.05).After treatment,observation group had better near and far visual acuity,and the differences were statistically significant(both P<0.05).After treatment,the corneal fluorescein staining score in the observation group(0.91±0.23)points,which was lower than that in the control group(1.32±0.41)points,and the difference was statistically significant(t=5.515,P<0.05).There was no statistically significant difference in TCM syndrome scores between the two groups before treatment(P>0.05).After treatment,the TCM syndrome scores of the observation group were lower than the control group,and the differences were statistically significant(all P<0.05).Conclusion After using supplemented shashen maidong dection pius Chinese herbal funiga-tion in the clinical treatment of patients with dry eye,the symptoms of dry eye were significantly improved,and the score of corneal fluorescein staining was also significantly improved.

Dry eyesSupplemented Shashen Maidong decoctionChinese herbal fumigationTherapeutic effectCorneal fluorescein staining score

黄江丽、张抒燕、辛瑞

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天水市中医医院眼科,甘肃天水 741000

干眼症 加味沙参麦冬汤 中药熏蒸 治疗效果 角膜荧光素染色评分

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(9)