中药联合人工泪液治疗白内障术后干眼的临床观察  

The Clinical Observation of Traditional Chinese Medicine Combined with Artificial Aears for the Treatment of Xerophthalmia after Cataract Surgery

作　　者：陈黛茜 陈国孝[1] 徐东[2] 

机构地区：[1]浙江中医药大学第一临床医学院,浙江杭州310006 [2]浙江省新华医院眼科,浙江杭州310005

出　　处：《云南中医学院学报》2015年第6期68-70,共3页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：浙江省中医药科技计划项目(2014ZB046)

摘　　要：目的探讨中药联合人工泪液治疗白内障术后干眼的临床疗效。方法选取白内障术后干眼患者76例(76眼),随机分为治疗组和对照组各38例(38眼)。治疗组采用杞菊地黄汤化裁联合人工泪液治疗,对照组采用人工泪液治疗,均以7d为1个疗程,连续治疗4个疗程,比较2组临床疗效和治疗后眼表症状、泪膜破裂时间(BUT)、基础泪液分泌试验I(Schirmer I test)的变化。结果治疗组总有效率为86.84%,对照组为65.79%,治疗组疗效优于对照组(P<0.05);2组治疗后组间眼表症状的变化与治疗前比较,除眼部烧灼感外,其余差异均有统计学意义(P<0.05);2组治疗后BUT和Schirmer I test均存在统计学差异(P<0.05)。结论杞菊地黄汤联合人工泪液对于改善白内障术后的干眼有较好的临床疗效,是一种治病求本的方法。Objective To explore the clinical effect of Chinese herb combined with artificial tears in treatment of xerophthalmia after cataract surgery. Methods Select 76 cases of dry eye patients those were diagnosed after cataract surgery and randomly divided them into control group（38 eyes） and treatment group（38 eyes）. The control group was given artificial tears, while on the basis of artificial tears, the treatment group was given Chinese herb （Qijndihuangtang）. 7d is a course of treatment and continuous 4 courses. Then compares the clinical efficacy, the change of ocular surface symptoms, BUT, Shirmer Ⅰ test of the twe groups after treatment. Results The total efficiency in the treatment group was 86. 84%, obviously higher than in the control group （P〈0.05）;The change of ocular surface symptoms （except for the burning sensation in the eyes）, BUT and SchirmerⅠ test all have statistical significance afte treatment （P〈0.05）. Conclusion Traditional Chinese medicine combined with artificial tears has a good effect to improve the symptoms of xerophthalmia after cataract surgery.

关 键 词：白内障术后 干眼 中药治疗 临床观察 

分 类 号：R276.7[医药卫生—中医五官科学]