养阴生津宣肺法对泪液分泌不足型干眼症的临床研究  

A clinical study on treating dry eye of insufficient tear secretion with the Yangyin Shengjin Xuanfei therapy

作　　者：谢礼丹 谢启龙[1] 叶小琴 吕霞 曾庆华[2,3,4] Xie Lidan

机构地区：[1]眉山市中医医院,四川眉山620010 [2]成都中医药大学附属医院,四川成都610075 [3]中国中西医结合学会眼科专委会 [4]四川省中西医结合学会眼科专委会

出　　处：《中医临床研究》2019年第16期49-51,共3页Clinical Journal Of Chinese Medicine

基　　金：眉山市科学技术局科技计划(指导性)项目(眉市科发[2016]22-49)

摘　　要：目的:探讨养阴生津宣肺法治疗泪液分泌不足型干眼的临床疗效。方法:将2016年5月-2018年3月在眉山市中医医院眼科门诊及住院收治的90例(180只眼)泪液分泌不足型干眼患者。采用随机数字表,借助PASS 14.0软件均分为三组,即单纯西药治疗组(A组)、单纯中药汤剂治疗组(B组)、中药汤剂联合西药治疗组(即中西医结合治疗组,C组)。A组采用临床上治疗干眼的常规西医疗法,B组采用单纯养阴生津宣肺法治疗,C组采用A组+B组疗法。结果:单纯口服养阴生津宣肺汤与中西医结合治疗在治疗泪液分泌不足型干眼的疗效相当,能有效改善干眼症状,提高泪腺分泌试验(Schirmer Test, SIT)水平、降低角膜荧光染色(FL)评分,疗效优于单纯给予思然滴眼液治疗。结论:养阴生津宣肺法能增加干眼患者的泪液分泌量,改善其眼部炎发症状,从而根本上治疗干眼症。Objective: To explore the clinical efficacy of the Yangyin Shengjin Xuanfei therapy (养阴生津宣肺法) on dry eye with insufficient tear secretion. Methods: 90 patients(180 eyes) met the inclusion criteria and were enrolled in our hospital from May 2016 to March 2018. These patients were divided into the Western medicine group(A group), Chinese medicine group(B group) and the integrative medicine group(C group) according to using random number table by PASS 14.0 software. Results: The Yangyin Shengjin Xuanfei therapy with conventional western treatment was more effective on dry eye insufficient tear secretion, by effectively improving dry eye symptoms,increasing the SIT level, and reducing the FL score. Conclusion: The Yangyin Shengjin Xuanfei therapy can increase the amount of tear secretion in dry eye patients, improve the symptoms, and thus fundamentally treat dry eye syndrome.

关 键 词：养阴生津宣肺法 泪液分泌不足 干眼 

分 类 号：R246.82[医药卫生—针灸推拿学]