疏肝调神针法治疗泪液分泌不足型干眼之肝经郁热证的临床观察  

Clinical observation on Shugan Tiaoshen Acupuncture treatment of insufficient tear secretion type dry eye with the syndrome of stagnation heat of liver meridian

作　　者：蔡丹丹 孙河[2] CAI Dandan;SUN He(Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]黑龙江中医药大学附属第一医院,哈尔滨150040

出　　处：《中国中医眼科杂志》2023年第4期322-326,共5页China Journal of Chinese Ophthalmology

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目(2021-270)。

摘　　要：目的观察疏肝调神针法治疗泪液分泌不足型干眼之肝经郁热证患者的临床疗效。方法纳入2020年9月—2021年9月于黑龙江中医药大学附属第一医院就诊的泪液分泌不足型干眼患者60例(120只眼),证属肝经郁热证,随机分为对照组和治疗组,各30例(60只眼)。对照组予人工泪液点眼治疗,治疗组在对照组的基础上联合疏肝调神针法治疗。分别于治疗前、后检测患者的干眼症状评分、泪膜破裂时间(BUT)、泪液分泌试验(SⅠT)、抑郁自评量表(SDS)和焦虑自评量表(SAS)的数据。结果(1)症状评分:治疗后治疗组和对照组评分均较治疗前降低,差异均有统计学意义(t_(治疗组)=4.841,t对照组=4.279,均P=0.000)。治疗后2组比较,治疗组低于对照组,差异有统计学意义(t=2.633,P=0.010)。(2)BUT:治疗后治疗组和对照组时间均较治疗前延长,差异均有统计学意义(t_(治疗组)=5.010,P=0.000;t对照组=3.578,均P=0.001)。治疗后2组比较,治疗组长于对照组,差异有统计学意义(t=3.422,P=0.001)。(3)SⅠT:治疗后治疗组较治疗前长度增加,差异有统计学意义(t=2.576,P=0.011)。对照组较治疗前无明显变化,差异无统计学意义(P>0.05)。治疗后2组比较,治疗组长于对照组,差异有统计学意义(t=2.654,P=0.009)。(4)SAS:治疗后治疗组较治疗前评分降低,差异有统计学意义(t=4.336,P=0.000)。对照组较治疗前无明显变化,差异无统计学意义(P>0.05)。治疗后2组比较,治疗组评分低于对照组,差异有统计学意义(t=4.757,P=0.000)。(5)SDS:治疗后治疗组较治疗前评分降低,差异有统计学意义(t=9.358,P=0.000)。对照组较治疗前无明显变化,差异无统计学意义(P>0.05)。治疗后2组比较,治疗组评分低于对照组,差异有统计学意义(t=12.160,P=0.000)。结论疏肝调神针法联合人工泪液较单纯使用人工泪液能更有效地改善肝经郁热型干眼局部不适症状,还能改善患者的焦虑抑郁情绪。OBJECTIVE To observe the clinical effect of Shugan Tiaoshen Acupuncture treatment of insufficient tear secretion type dry eye with the syndrome of stagnation heat of liver meridian.METHODS A total of 60 patients(120 eyes)with insufficient tear secretion were included in the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from September 2020 to September 2021,whose syndrome types all belong to the stagnation heat of liver meridian.They were randomly divided into the control group and the treatment group,with 30 cases(60 eyes)in each group.The patients of the control group were treated with artificial tear eye drops,while those of the treatment group were treated with the combination of Shugan Tiaoshen Acupuncture on the basis of the control group.Dry eye symptom scores,tear film breaking-up time(BUT),SchirmerⅠtest(SⅠT),selfrating anxiety scale(SAS)and self-rating depression scale(SDS)were measured before and after the treatment.RESULTS(1)Dry eye symptom scores:After the treatment,dry eye symptom scores of both groups were lower than those before the treatment,and the differences were statistically significant(t_(tre)=4.841,t_(con)=4.279,both P=0.000).After the treatment,dry eye symptom scores of the treatment group were lower than those of the control group,and the difference was statistically significant(t=2.633,P=0.010).(2)BUT:After the treatment,the BUTs of both groups were longer than those before the treatment,and the differences were statistically significant(t_(tre)=5.010,P=0.000,t_(con)=3.578,P=0.001).After the treatment,the BUT of the treatment group was longer than that of the control group,and the difference was statistically significant(t=3.422,P=0.001).(3)SⅠT:Ater treatment,the SⅠT in the treatment group was longer than that before the treatment,and the difference was statistically significant(t=2.576,P=0.011).However,there was no significant change in the control group compared with that before the treatment(P>0.05).After the treatment,the SⅠT of the tre

关 键 词：针刺 干眼 抑郁 焦虑 

分 类 号：R246.82[医药卫生—针灸推拿学]