摘要
目的观察针刺治疗干眼对视觉对比敏感度(CS)等指标的影响。方法 2012年1月至2013年12月门诊收集符合入组标准的干眼患者100例,随机分为针刺治疗组和人工泪液对照组。针刺治疗组予辨证选穴针刺治疗,对照组予聚乙烯醇滴眼液,1滴/次,4次/d,滴入结膜囊内,总疗程3周,观察2组患者治疗前后的临床疗效,以及主要症状评分、CS、Schirmer I试验(SIT)和泪膜破裂时间(BUT)的变化。结果针刺治疗组50例,脱失5例,共45例(90只眼);对照组50例,脱失3例,共47例(94只眼)。针刺组显效19只眼,好转56只眼,未愈15只眼,总有效率83.3%;对照组显效21只眼,好转55只眼,未愈18只眼,总有效率80.9%,2组差异无统计学意义。治疗3周后,针刺组的主要症状评分、中高频CS、SIT、BUT均好于治疗前(P<0.05),其中烧灼感症状评分、中频CS、SIT及BUT结果好于同期对照组(P<0.05)。对照组主要症状评分、中高频CS及BUT好于治疗前(P<0.05)。结论针刺治疗干眼可缓解烧灼感等症状,使中高频CS、SIT、BUT指标有所改善。
OBJECTIVE To study the influence of acupuncture on patients with dry eyes in the terms of visu- al contrast sensitivity （CS） and some other indicators. METHODS From January 2012 to December 2013, 100 dry eye patients were randomly allocated to the acupuncture treatment group and the artificial tear control group. The treatment group was treated with acupuncture by dialectical choosing acupuncture point and the control group was given polyvinyl alcohol eye drops, one drop each time and four times a day. The total course was three weeks. The clinical efficacy before and after treatment as well as the changes of the main symptom scores, visual contrast sensi- tivity, Schirmer I test and break-up time （BUT） of those patients were observed and analyzed. RESULTS There were 50 cases in the treatment group, missing 5 cases and 45 cases were left （90 eyes）. Within these 90 eyes, 19 eyes had excellent effects, 56 eyes took a turn for the better; 15eyes were invalid, and the total effective rate was 83.3%.There were 50 cases in the control group, missing 3 cases and 47 cases were left （94 eyes）. Within these 94 eyes, 21 eyes had excellent effects, 55 eyes took a turn for the better, 18eyes were invalid, and the total effective rate was 80.9%.The total curative effect of both groups didnJt show significant difference. After three weeks, the main symptom scores, visual contrast sensitivity （intermediate frequency and high frequency） , Schirmer I test and break- up time of the treatment group were all better than before treatment, especially the variation of burning sensation scores, visual contrast sensitivity （intermediate frequency）, Schirmer I test and break-up time of the treatment group were superior to the corresponding indicators of the control group. The main symptom scores, visual contrast sensitivity （intermediate frequency and high frequency） and break-up time of the control group were all better than before treatment. CONCLUSIONS Acupuncture could relieve the symptoms like burning sensa
出处
《中国中医眼科杂志》
2014年第4期243-246,共4页
China Journal of Chinese Ophthalmology
基金
2013年北京中医药大学自主选题项目(2013-JYBZZ-JS-105)
关键词
针刺
干眼
视觉对比敏感度
acupuncture
dry eye
visual con-trast sensitivity
