加味沙参麦冬汤联合中药熏蒸治疗干眼症的效果  

Effect of modified Shashen Maidong Decoction combined with traditional Chinese medicine fumigation in the treatment of dry eye syndrome

作　　者：范艳华 陈向东 刘志敏 蔡玲 胡卓瑜 胡齐 FAN Yanhua;CHEN Xiangdong;LIU Zhimin;CAI Ling;HU Zhuoyu;HU Qi(Department of Ophthalmology,Changsha Xingsha Hospital,Hunan Province,Changsha 400100,China;Department of Ophthalmology,the First Clinical College of Traditional Chinese Medicine,Hunan University of Chinese Medicine,Hunan Province,Changsha 410007,China;Graduate School,Hunan University of Chinese Medicine,Hunan Province,Changsha 410208,China)

机构地区：[1]长沙市星沙医院眼科,湖南长沙400100 [2]湖南中医药大学第一中医临床学院眼科,湖南长沙410007 [3]湖南中医药大学研究生院,湖南长沙410208

出　　处：《中国当代医药》2025年第8期67-71,共5页China Modern Medicine

基　　金：湖南省眼科疾病(中医)临床医学研究中心项目(2023SK4038);湖南省教育厅科学研究重点项目(22A0250);湖南省中医药管理局中医药科研计划项目(B2024048);湖南中医药大学研究生创新课题(2023CX10)。

摘　　要：目的研究加味沙参麦冬汤联合中药熏蒸治疗干眼症的效果。方法选取2022年1月至2023年12月长沙市星沙医院收治的112例干眼症患者为研究对象,按照奇偶法分为观察组与对照组,每组各56例。对照组采用中药熏蒸治疗,观察组在此基础上采用加味沙参麦冬汤治疗。比较两组患者的视力水平、中医证候积分及临床指标。结果①治疗前,两组患者的左右眼近视力与远视力比较,差异无统计学意义(P>0.05);治疗后,两组患者的左右眼近视力与远视力水平均高于本组治疗前,且观察组的左右眼近视力与远视力水平均高于对照组,差异有统计学意义(P<0.05)。②治疗前,两组患者的中医证候积分比较,差异无统计学意义(P>0.05);治疗后,两组患者的各项中医证候积分均低于本组治疗前,且观察组的各项中医证候积分均低于对照组,差异有统计学意义(P<0.05)。③治疗前,两组患者的SⅠt及荧光素染色评分比较,差异无统计学意义(P>0.05);治疗后,两组患者的SⅠt均高于本组治疗前,荧光素染色评分均低于治疗前,且观察组的SⅠt高于对照组,荧光素染色评分低于对照组,差异有统计学意义(P<0.05)。④治疗前,两组患者的泪河高度与泪膜破裂时间比较,差异无统计学意义(P>0.05);治疗后,两组患者的泪河高度与泪膜破裂时间均长于本组治疗前,且观察组的泪河高度与泪膜破裂时间均长于对照组,差异有统计学意义(P<0.05)。结论对干眼症患者采用加味沙参麦冬汤联合中药熏蒸治疗能够有效提升视力水平,改善不适症状,提高泪液分泌功能,增强眼表润滑性和稳定性,减轻干眼症状。Objective To study the effect of modified Shashen Maidong Decoction combined with traditional Chinese medicine fumigation in the treatment of dry eye syndrome.Methods A total of 112 patients with dry eye syndrome admitted to Changsha Xingsha Hospital from January 2022 to December 2023 were selected as the research objects.According to the parity method,they were divided into the observation group and the control group,with 56 cases in each group.The control group was treated with traditional Chinese medicine fumigation,and the observation group was treated with modified Shashen Maidong Decoction on the basis of this treatment.The visual acuity,traditional Chinese medicine syndrome scores and clinical indicators were compared between the two groups.Results①Before treatment,there were no significant differences in near vision and distance vision between the two groups(P>0.05).After treatment,the near vision and distance vision of the left and right eyes of the two groups were higher than those before treatment,and the near vision and distance vision of the left and right eyes of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).②Before treatment,there were no statistically significant differences in traditional Chinese medicine syndrome scores between the two groups(P>0.05).After treatment,the traditional Chinese medicine syndrome scores of the two groups were lower than those before treatment,and the traditional Chinese medicine syndrome scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).③Before treatment,there were no statistically significant differences in the SⅠt and fluorescein staining scores between the two groups(P>0.05).After treatment,the SⅠt of the two groups were higher than those before treatment,and the fluorescein staining scores were lower than those before treatment,and the SⅠt of the observation group was higher than that of the

关 键 词：加味沙参麦冬汤 中药熏蒸 干眼症 视力水平 

分 类 号：R276.7[医药卫生—中医五官科学]