眼针联合常规针刺治疗肝肾阴虚型干眼临床观察  

Clinical observation of eye acupuncture combined with conventional acupuncture on dry eye syndrome with yin deficiency of liver and kidney

作　　者：程娟[1] 李琦 任丽红[1] 赵亚楠 王芳芳[1] CHENG Juan;LI Qi;REN Li-hong;ZHAO Ya-nan;WANG Fang-fang(Shanxi Eye Hospital, Taiyuan 030002, China)

机构地区：[1]山西省眼科医院

出　　处：《中国针灸》2019年第9期945-949,共5页Chinese Acupuncture & Moxibustion

基　　金：山西省重点研发计划项目：201803D31186

摘　　要：目的:验证眼针联合常规针刺治疗肝肾阴虚型干眼的临床疗效。方法:将90例肝肾阴虚型干眼患者随机分为眼针联合常规针刺组(眼针联合组)、常规针刺组、西药组,每组30例。西药组采用玻璃酸钠滴眼液点眼,每日3次,每次1~2滴,10 d为一疗程,治疗3个疗程;常规针刺组穴取睛明、攒竹、承泣、风池、合谷、三阴交、足三里、光明等;联合组在常规针刺组的基础上加用眼区穴上焦、肝、肾、脾。眼针联合组、常规针刺组每日1次,10 d为一疗程,共治疗3个疗程。治疗前、治疗中每10天行主观症状评分;治疗前后行眼表综合分析仪检查;半年后随访。结果:治疗10、20、30 d眼针联合组、常规针刺组、西药组主观症状评分较治疗前降低(P<0.05);与常规针刺组和西药组治疗30 d比较,眼针联合组主观症状评分降低(P<0.05)。眼针联合组、常规针刺组治疗后泪膜破裂时间延长、泪河高度增加(P<0.05);眼针联合组与常规针刺组和西药组治疗后比较,泪膜破裂时间延长、泪河高度增加(P<0.05)。眼针联合组、常规针刺组、西药组角膜染色较治疗前均好转(P<0.05)。眼针联合组总有效率为93.3%(28/30),高于常规针刺组、西药组的86.7%(26/30)、73.3%(21/30,P<0.05)。结论:眼针联合常规针刺能显著改善肝肾阴虚型干眼患者的临床症状,增加患者泪液分泌,延长患者泪膜破裂时间,恢复角膜上皮完整性。Objective To verify the efficacy of eye acupuncture combined with conventional acupuncture in the treatment of dry eye syndrome with yin deficiency of liver and kidney. Methods A total of 90 patients with dry eye syndrome with yin deficiency of liver and kidney were randomly divided into an eye acupuncture combination with conventional acupuncture group(eye acupuncture combination group), a conventional acupuncture group and a western medication group, 30 cases in each group. In the western medication group, sodium hyaluronate eye drops were used 3 times a day, each time 1-2 drops, 10 days as one course for 3 courses;conventional acupuncture was applied at Jingming(BL 1), Cuanzhu(BL 2), Chengqi(ST 1), Fengchi(GB 20), Hegu(LI 4), Sanyinjiao(SP 6), Zusanli(ST 36), Guangming(GB 37) in the conventional acupuncture group;on the basis of the treatment in the conventional acupuncture, eye acupuncture was added at Shangjiao, Gan(liver), Shen(kidney), Pi(spleen) in the eye acupuncture combination group. The treatment in the eye acupuncture combination group and the conventional acupuncture group were given once a day, 10 days as one course, and a total of 3 courses were needed. Subjective symptom score was performed before treatment and every 10 days during treatment. Ocular surface analyzer was used before and after treatment. Results The subjective symptom scores in the three groups were lower than those before treatment(P<0.05). Compared with the conventional acupuncture group and the western medication group, the subjective symptom score after 30 d of treatment in the eye acupuncture combination group was decreased(P<0.05). After treatment, the tear film break up time(BUT) was prolonged and the tear meniscus height increased in the eye acupuncture combination group and the conventional acupuncture group(P<0.05). Compared with the conventional acupuncture group and the western medication group, the tear film break up time was prolonged and the tear meniscus height increased in the eye acupuncture combination group(P<0.

关 键 词：干眼 眼针 针刺 肝肾阴虚 眼表综合分析仪 

分 类 号：R246.82[医药卫生—针灸推拿学]