耳尖放血治疗孕妇及哺乳期妇女早期麦粒肿的疗效观察  

Observation on the effect of eartip bloodletting in the treatment of early hordeolum in pregnant and lactating women

作　　者：秦熙 朱苾丹 王跃旗 QIN Xi;ZHU Bidan;WANG Yueqi(Tongzhou Maternal&Child Health Hospital of Beijing,Beijing 101101,China)

机构地区：[1]北京市通州区妇幼保健院,北京101101

出　　处：《中国中医眼科杂志》2022年第4期289-292,共4页China Journal of Chinese Ophthalmology

基　　金：北京市通州区科技计划项目(KJ2020CX015)。

摘　　要：目的观察耳尖放血治疗孕妇及哺乳期妇女早期麦粒肿的临床疗效。方法选取2020年5月—2021年5月北京市通州区妇幼保健院诊治的孕期及哺乳期早期麦粒肿患者104例(104只眼)。随机分为试验组和对照组,对照组予红霉素眼膏涂抹结膜囊内病灶处,治疗5 d;试验组在对照组的基础上联合耳尖放血治疗,每日1次,连续3 d。分别于治疗前、治疗后3 d和治疗后5 d测量2组的肿块大小,评估2组的疼痛程度,并记录2组的治愈例数。结果(1)肿块大小:与治疗前比较,试验组治疗后3 d和5 d均较治疗前缩小,差异均有统计学意义(t_(3d)=22.299,t_(5d)=29.400,均P=0.000);对照组治疗后3 d和5 d均较治疗前缩小,差异均有统计学意义(t_(3d)=22.565,t_(5d)=22.954,均P=0.000)。2组治疗后3 d比较,差异无统计学意义(P>0.05);治疗后5 d比较,试验组小于对照组,差异有统计学意义(t=3.556,P=0.001)。(2)疼痛程度:试验组治疗后3 d和5 d均较治疗前减轻,差异均有统计学意义(t_(3d)=27.934,t_(5d)=27.000,均P=0.000);对照组治疗后3 d和5 d均较治疗前减轻,差异均有统计学意义(t_(3d)=17.108,t_(5d)=24.288,均P=0.000)。2组治疗后3 d和5 d比较,试验组均轻于对照组,差异均有统计学意义(t_(3d)=3.721,t_(5d)=4.501,均P=0.000)。(3)临床疗效:试验组治愈44例,治愈率为84.62%,对照组治愈27例,治愈率为51.92%,2组比较,差异有统计学意义(χ^(2)=12.828,P=0.000)。结论耳尖放血能够更快地缓解孕妇及哺乳期妇女早期麦粒肿的临床症状,缩短病程,治愈率高。OBJECTIVE To observe the effect of ear tip bloodletting in the treatment of early hordeolum in pregnant and lactating women.METHODS A total of 104 female patients(104 eyes)with early hordeolum during pregnancy or lactation treated in Tongzhou Maternal&Child Health Hospital of Beijing from May 2020 to May 2021 were selected.The patients were randomly devided into the experimental group and the control group.The control group was treated with erythromycin eye ointment on the lesions for five days,while the experimental group was treated with additional eartip bloodletting,once a day for three days.The size of the tumor was measured,the degree of pain was evaluated,and the number of cured cases in both groups was recorded before treatment,three days after treatment and five days after treatment,respectively.RESULTS(1)Tumor size:Compared with that before treatment,the tumor size of the experimental group reduced at three and five days after treatment,and the difference was statistically significant(t_(3d)=22.299,t_(5d)=29.400,all P=0.000).Compared with that before treatment,the tumor size of the control group was reduced at three and five days after treatment,and the difference was statistically significant(t_(3d)=22.565,t_(5d)=22.954,all P=0.000).There was no significant difference between the two groups three days after treatment(P>0.05).However,five days after treatment,the tumor size in the experimental group was smaller than that in the control group,and the difference was statistically significant(t=3.556,P=0.001).(2)Pain degree:The pain degree at three and five days after treatment was alleviated in the experimental group when compared with that before treatment,and the difference was statistically significant(t_(3d)=27.934,t_(5d)=27.000,all P=0.000).In the control group,the pain degree at three and five days after treatment was alleviated when compared with that before treatment,and the difference was statistically significant(t_(3d)=17.108,t_(5d)=24.288,all P=0.000).The pain degree in the experimental group

关 键 词：麦粒肿 耳尖放血 抗生素 孕妇 哺乳期妇女 

分 类 号：R777.1[医药卫生—眼科]