远端取穴与眼周取穴治疗干眼症疗效对比观察  

Comparison effects of acupuncture at distal acupoints and local acupoints on treatment of xerophthalmia

作　　者：王超[1] 丁文涛[1] 于颖梅[1] 张博[1] 徐栋 张晨迪 WANG Chao DING Wentao YU Yingmei ZHANG Bo XU Dong ZHANG Chendi(South Branch of Guang＇anmen Hospital of China Academy of Chinese Medical Sciences, Beijing 102600, China)

机构地区：[1]中国中医科学院广安门医院南区,北京102600

出　　处：《中国针灸》2017年第10期1069-1072,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较远端取穴与眼周取穴治疗干眼症的临床疗效差异。方法:将干眼患者40例随机分为远端组和眼周组,每组20例,眼周组脱落1例,最终远端组20例、眼周组19例。远端组针刺光明、地五会穴,眼周组针刺攒竹、瞳子髎、太阳穴。两组均每天1次,每周5次,治疗2周。分别于治疗前、治疗2周后(治疗结束)、治疗结束后2周(随访)评价患者主观症状(视觉模拟VAS评分)、泪液分泌情况、生活质量(OSDI评分)、泪膜破裂时间(BUT)。结果:治疗结束及随访,两组VAS评分、泪液分泌量、OSDI评分、泪膜破裂时间均较治疗前改善(P<0.05,P<0.01);两组VAS评分、OSDI评分比较差异无统计学意义(均P>0.05)。随访时两组泪液分泌量、泪膜破裂时间比较差异有统计学意义(均P<0.05)。结论:远端取穴(光明穴、地五会穴)有促进干眼症状改善、提高生活质量、增加泪液分泌量、延长泪膜破裂时间的作用,且持续效应优于眼周取穴。Objective To compare the clinical efficacy differences between acupuncture at distal acupoints and local acupoints on treatment of xerophthalmia.Methods A total of 40 patients of xerophthalmia were randomly divided into a distal group and a local group,20 cases in each one.One patient in local group lost contact,and finally 20 cases in the distal group and 19 cases in the local group finished treatment.The patients in the distal group were treated with acupuncture at Guangming（GB 37） and Diwuhui（GB 42）,while those in the local group were treated with acupuncture at Cuanzhu（BL 2）,Tongziliao（GB 1） and Taiyang（EX-HN 5）.Patients in both groups were treated once a day,five times per week,and totally 2-week treatment were given.The subjective symptom based on visual analogue scale（VAS）,tear secretion,ocular surface disease index（OSDI） and breakup time（BUT） were evaluated before treatment,after two-week treatment（end of treatment） and two weeks after end of treatment（follow-up visit） in the two groups.Results After treatment and follow-up visit,the VAS,tear secretion,OSDI and BUT were all improved（P〈0.05,P〈0.01）,but the differences of VAS and OSDI between the two groups were not significant（both P〉0.05）.At follow-up visit,the differences of tear secretion and BUT between the two groups were significant（both P〈0.05）.Conclusion The acupuncture at distal acupoints could relieve xerophthalmia symptoms,improve quality of life,increase tear secretion and prolong BUT,which is superior to local acupoints in long term.

关 键 词：干眼症 针刺疗法 眼泪 分泌 

分 类 号：R246.8[医药卫生—针灸推拿学]