中药热奄包联合耳穴埋豆治疗阴虚湿热型干眼的疗效评估  

Evaluation of the Efficacy of Traditional Chinese Medicine Hot Compress Combined with Auricular Point Pressing Beans in the Treatment of Dry Eye of Yin Deficiency and Damp-heat Type

作　　者：彭学英 黄东昭 吴丽君 庄婉玉 柯荣源 PENG Xueying;HUANG Dongzhao;WU Lijun;ZHUANG Wanyu;KE Rongyuan(Jinjiang Hospital of Traditional Chinese Medicine,Quanzhou,Fujian,362200,China)

机构地区：[1]晋江市中医院,福建泉州362200

出　　处：《中外医疗》2025年第6期144-148,共5页China & Foreign Medical Treatment

基　　金：泉州市科技计划项目(2021N003S)。

摘　　要：目的分析中药热奄包联合耳穴埋豆治疗阴虚湿热型干眼的疗效。方法方便选取2021年7月—2024年7月晋江市中医院收治的257例阴虚湿热型干眼症患者为研究对象,根据治疗方法分为研究组(129例)和对照组(128例),两组患者均进行常规治疗,对照组患者使用中药热奄包进行外治,研究组患者在对照组基础上给予耳穴埋豆治疗。对比两组患者的泪膜破裂时间、泪液分泌试验、角膜荧光素染色评分、干眼症严重程度评分和不良反应。结果治疗前,两组患者的泪膜破裂时间、泪液分泌试验、角膜荧光素染色评分比较,差异均无统计学意义(P均>0.05)。治疗后,两组患者泪膜破裂时间、泪液分泌试验、角膜荧光素染色评分均较治疗前改善,且研究组患者泪膜破裂时间为(9.22±1.71)s、泪液分泌试验为(8.77±1.59)mm,均高于对照组的(8.01±1.64)s、(7.34±1.16)mm,且研究组患者角膜荧光素染色评分为(1.17±0.37)分,低于对照组的(1.88±0.24)分,差异均有统计学意义(t=5.789,8.231,18.235;P均<0.05)。治疗前,两组患者的眼表疾病指数(Ocu⁃lar Surface Disease Index,OSDI)评分比较,差异无统计学意义(P>0.05)。治疗后,两组患者的OSDI评分均较治疗前降低,且研究组患者OSDI评分低于对照组,差异均有统计学意义(P均<0.05)。研究组瘙痒、红肿、皮疹、水疱的不良反应总发生率和对照组对比,差异无统计学意义(P>0.05)。结论中药热奄包联合耳穴埋豆治疗阴虚湿热型干眼,可以有效改善患者的干眼症状、增加泪液分泌,提高泪膜稳定性,且安全性较高。Objective To analyze the efficacy of traditional Chinese medicine hot compress combined with auricular point pressing beans in the treatment of dry eye of yin deficiency and damp-heat type.Methods A total of 257 patients with dry eye of yin deficiency and damp-heat type admitted to Jinjiang Hospital of Traditional Chinese Medicine from July 2021 to July 2024 were conveniently selected as the research objects.According to the treatment methods,they were divided into the study group(129 cases)and the control group(128 cases).Both groups of patients received conventional treatment.The patients in the control group were treated with traditional Chinese medicine hot compress for external treatment,while the patients in the study group were given auricular point pressing beans treatment on the basis of the control group.The tear film break-up time,Schirmer I test,corneal fluorescent staining score,dry eye severity score and adverse reactions were compared between the two groups.Results Before treatment,there was no statistically significant difference in the tear film break-up time,Schirmer I test and corneal fluorescent staining score between the two groups(all P>0.05).After treatment,the tear film break-up time,Schirmer I test and corneal fluorescent staining score of the two groups were all improved compared with those before treatment.Moreover,the tear film break-up time of the patients in the study group was(9.22±1.71)s,and the tear secretion test was(8.77±1.59)mm,both higher than those of the control group[(8.01±1.64)s,(7.34±1.16)mm],and the corneal fluorescent staining score of the patients in the study group was(1.17±0.37)points,lower than that of the control group(1.88±0.24)points,and the differences were statistically significant(t=5.789,8.231,18.235;all P<0.05).Before treatment,there was no statistically significant difference in the Ocular Surface Disease Index(OSDI)score between the two groups(P>0.05).After treatment,the OSDI scores of the two groups were all lower than those before treatment,and the

关 键 词：中药热奄包 耳穴埋豆 阴虚湿热 干眼症 

分 类 号：R276.7[医药卫生—中医五官科学]