桑白皮汤加减熏蒸联合西药治疗急性结膜炎痊愈后干眼的临床观察  

Clinical Observation on Fumigation of Modified Sangbaipi Decoction Combined with Western Medicine in the Treatment of Dry Eyes after the Cure of Acute Conjunctivitis

作　　者：李美琳 岳丽菁[2] 唐敏[2] 单婷婷 余秋燕 魏正林 LI Meilin;YUE Lijing;TANG Min;SHAN Tingting;YU Qiuyan;WEI Zhenglin(Guangzhou University of Chinese medicine,Guangzhou,Guangdong 510405,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou,Guangdong 510095,China)

机构地区：[1]广州中医药大学,广东广州510405 [2]广东省第二中医院,广东广州510095

出　　处：《湖南中医药大学学报》2020年第8期992-995,共4页Journal of Hunan University of Chinese Medicine

基　　金：广东省医学科研基金项目(B2019149);广东省中医药局科研项目(20180328164208)。

摘　　要：目的观察桑白皮汤加减熏蒸联合西药治疗急性结膜炎痊愈后干眼的临床疗效。方法将急性结膜炎痊愈后出现干眼的患者62例(124只眼)随机分为对照组和治疗组,每组31例(62只眼),对照组给予双眼滴用聚乙烯醇滴眼液,治疗组在双眼滴用聚乙烯醇的基础上采用桑白皮汤加减熏蒸治疗。观察两组治疗前及连续治疗10 d后的泪膜破裂时间(break-up time,BUT)、基础泪液分泌试验(SchirmerⅠtest,SIT)、角膜荧光素染色(Fluorescein staining,FL)的变化情况。结果治疗后,治疗组总有效率为90.03%,明显高于对照组的70.97%(P<0.05)。两组治疗后BUT、SIT、FL评分较治疗前均有所改善(P<0.05),且治疗组改善优于对照组(P<0.05)。结论桑白皮汤加减熏蒸联合西药能有效治疗急性结膜炎痊愈后干眼。Objective To observe the clinical effects of fumigation of modified Sangbaipi Decoction combined with western medicine in the treatment of dry eye after the cure of acute conjunctivitis.Methods A total of 62 patients(124 eyes)with dry eye after the cure of acute conjunctivitis diagnosed in our hospital were randomly divided into a control group and a treatment group,with 31 patients in each group(62 eyes).The control group was given eye drops of polyvinyl alcohol,and the treatment group was given modified Sangbaipi Decoction fumigation on the basis of eye drops of polyvinyl alcohol.The changes of tear break-up time(BUT),SchirmerⅠtest(SIT)and corneal fluorescein staining(FL)were observed before treatment and after 10 days of continuous treatment.Results After 10 days of treatment,the total effective rate of the treatment group was 90.03%,which was observably higher than the control group(70.97%)(P<0.05).The BUT,SIT and FL score of the 2 groups were improved after treatment(P<0.05),and the improvement of the treatment group was better than that in the control group (P<0.05). Conclusion The fumigation of modified Sangbaipi Decoction combined with western medicine can effectively treat dry eye after the cure of acute conjunctivitis.

关 键 词：干眼 急性结膜炎 桑白皮汤加减 中药熏蒸 临床观察 

分 类 号：R276.7[医药卫生—中医五官科学]