耳尖不同放血量对初期麦粒肿患者疼痛的影响:随机对照研究  

Effect of bloodletting at tip of ear with different amounts on pain in patients with early-stage stye: a randomized controlled trial

作　　者：乔红伟[1] 高晨明[2] 刘增业 黄山 马诚 刘纳文[1] QIAO Hong-wei;GAO Chen-ming;LIU Zeng-ye;HUANG Shan;MA Cheng;LIU Na-wen(Department of TCM,First Central Hospital of Tianjin,Tianjin 300192,China;Department of Ophthalmology,First Central Hospital of Tianjin,Tianjin 300192,China)

机构地区：[1]天津市第一中心医院中医科,天津300192 [2]天津市第一中心医院眼科,天津300192

出　　处：《中国针灸》2020年第8期845-848,共4页Chinese Acupuncture & Moxibustion

基　　金：天津市第一中心医院院内临床研究项目:院LC2017019。

摘　　要：目的:比较耳尖不同放血量配合西药治疗与单纯西药治疗初期麦粒肿的疗效。方法:将108例初期麦粒肿患者随机分为耳尖放血50μL组(36例,脱落4例)、耳尖放血100μL组(36例,脱落2例)和西药组(36例,脱落5例)。西药组外用左氧氟沙星滴眼液和盐酸左氧氟沙星眼用凝胶治疗;在西药组治疗基础上,两耳尖放血组分别加用耳尖放血50μL(约3滴)、100μL(约6滴),每天1次,均治疗3 d。观察治疗后各组疼痛视觉模拟量表(visual analogue scale,VAS)评分变化和临床疗效,并于发病第8天进行电话随访。结果:治疗后,各组患者VAS评分均较治疗前降低(P<0.01);治疗后,耳尖放血50μL、100μL组VAS评分低于西药组(P<0.05,P<0.01),耳尖放血100μL组VAS评分低于耳尖放血50μL组(P<0.05)。治疗后,耳尖放血100μL组治愈率为76.5%(26/34),耳尖放血50μL组为71.9%(23/32),西药组为51.6%(16/31),差异无统计学意义(P>0.05)。发病1周后随访,两耳尖放血组患者均全部治愈,西药组有1例患者未治愈,行常规手术治疗。结论:在常规西药治疗基础上,加用耳尖放血能明显减轻麦粒肿疼痛,且耳尖放血100μL减轻疼痛效果优于耳尖放血50μL。Objective To compare the curative effect between bloodletting at tip of ear with different amounts combined with western medication and western medication alone for early-stage stye.Methods A total of 108 patients with early-stage stye were randomly divided into a 50μL group(36 cases,4 cases dropped off),a 100μL group(36 cases,2 cases dropped off)and a western medication group(36 cases,5 cases dropped off).The patients in the western medication group were treated with levofloxacin eye drops and levofloxacin hydrochloride eye gel.Based on the treatment of the western medication group,the patients in the 50μL group were treated with 50μL bloodletting(about 3 drops)at tip of ear while the patients in the 100μL group were treated with 100μL bloodletting(about 6 drops)at tip of ear;the bloodletting was given once a day for 3 days.After treatment,the changes of visual analogue scale(VAS)and clinical effect were observed,and the patients were followed up by telephone on the 8 th day.Results After treatment,the VAS score in each group was reduced(P<0.01),and the score in the 50μL group and 100μL group was lower than that in the western medication group(P<0.05,P<0.01),and the score in the 100μL group was lower than that in the 50μL group(P<0.05).After treatment,the cured rate was 76.5%(26/34)in the 100μL group,71.9%(23/32)in the 50μL group and 51.6%(16/31)in the western medication group,and there were no significant differences among three groups(P>0.05).One week after the onset of the disease,all the patients in the 50μL group and 100μL group were cured,and one patient in the western medication group was not cured,and treated with routine surgery.Conclusion Based on the conventional western medication treatment,bloodletting at tip of ear can significantly reduce the pain of stye,and the effect of 100μL bleeding is better than 50μL.

关 键 词：麦粒肿 耳尖放血 量效关系 随机对照试验 

分 类 号：R245.3[医药卫生—针灸推拿学]