中药热敷联合人工泪液治疗干眼症的效果观察

张湘雯

[摘要]目的 研究中药热敷联合人工泪液治疗干眼症的临床效果。方法 选取我院2016年6～10月诊治的58例（116眼）干眼症患者作为研究对象，所有患者均为双眼发病，将纳入患者抽签随机分为中西医组与常规组，每组29例（58眼）。常规组给予人工泪液治疗，中西医组在常规组的基础上给予中药热敷，比较两组的临床疗效、证候积分、泪液分泌量、淚膜破裂时间、角膜病变程度。结果 中西医组的治疗总有效率显著高于常规组，差异有统计学意义（P<0.05）。中西医组治疗后的干涩感、疲劳感、烧灼感、异物感证候积分及总分显著低于常规组治疗后，差异有统计学意义（P<0.05）。中西医组治疗后的泪液分泌量多于常规组治疗后，泪膜破裂时间长于常规组治疗后，角膜病变程度评分低于常规组治疗后，差异有统计学意义（P<0.05）。结论 中药热敷可以直接作用于患处，改善局部血液循环，联合人工泪液治疗干眼症，可以促进泪液分泌，恢复泪膜稳定性，改善临床症状。

[关键词]干眼症；中药热敷；人工泪液

[中图分类号] R777.2 [文献标识码] A [文章编号] 1674-4721（2017）04（b）-0107-04

Effect observation of traditional Chinese medicine hot compress combined with artificial tears in the treatment of dry eye

ZHANG Xiang-wen

Department of Ophthalmology，Shangdi Hospital of Beijing City，Beijing 100083，China

[Abstract]Objective To study the clinical effect of traditional Chinese medicine hot compress combined with artificial tears in the treatment of dry eye.Methods From June to October in 2016，58 cases （116 eyes） with dry eye in our hospital were enrolled in the study，and all patients had binocular disease.The patients were randomly divided into the traditional Chinese and Western medicine group and the routine group，29 cases （58 eyes） in each group.The routine group was treated with artificial tears，and the traditional Chinese and Western medicine group was additionally treated with traditional Chinese medicine hot compress on the basis of the routine group.The clinical efficacy，the scores of symptoms，volume of secreted tear，tear breakup time and degree of corneal lesions were compared between the two groups.Results The total effective rate of the traditional Chinese and Western medicine group was significantly higher than that of the routine group，with significant difference （P<0.05）.The symptom score of the sense of dryness，fatigue，burning，foreign body sensation，and the total score after treatment in the traditional Chinese and Western medicine group was lower than that in the routine group，with significant difference （P<0.05）.The amount of tear secretion after treatment in the traditional Chinese and Western medicine group was more than that in the routine group，and the tear film break-up time in the traditional Chinese and Western medicine group was longer than that in the routine group，the score of corneal lesion in the traditional Chinese and Western medicine group was lower than that in the routine group，with significant difference （P<0.05）.Conclusion The traditional Chinese medicine hot compress can be directly applied to the affected area，and improve local blood circulation.The combined used of artificial tears in the treatment of dry eye can promote the recovery of tear secretion and tear film stability，and relieve the clinical symptoms.