中药联合人工泪液治疗白内障术后干眼的临床观察*
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作者:
作者单位:

1.浙江中医药大学第一临床医学院,浙江 杭州 310006;
2.浙江省新华医院眼科,浙江 杭州 310005

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R276.7

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*基金项目:浙江省中医药科技计划项目(2014ZB046)
收稿日期:2015-07-03
作者简介:陈黛茜(1988-),女,浙江温州人,在读硕士研究生,研究方向:小儿屈光不正、斜弱视、眼底病的中西医结合治疗。
△通信作者:陈国孝,E-mail:cgxzd003@163.com


The Clinical Observation of Traditional Chinese Medicine Combined with Artificial Aears for the Treatment of Xerophthalmia after Cataract Surgery
Author:
Affiliation:

1.The First Clinical College of Zhejiang TCM University, Hangzhou 310006, China;
2.The Ophthalmology of Zhejiang Xinhua Hospital, Hangzhou 310005, China

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    摘要:

    目的〓探讨中药联合人工泪液治疗白内障术后干眼的临床疗效。方法〓选取白内障术后干眼患者76例(76眼),随机分为治疗组和对照组各38例(38眼)。治疗组采用杞菊地黄汤化裁联合人工泪液治疗,对照组采用人工泪液治疗,均以7d为1个疗程,连续治疗4个疗程,比较2组临床疗效和治疗后眼表症状、泪膜破裂时间(BUT)、基础泪液分泌试验I(Schirmer I test)的变化。结果〓治疗组总有效率为86.84%,对照组为65.79%,治疗组疗效优于对照组(P<0.05);2组治疗后组间眼表症状的变化与治疗前比较,除眼部烧灼感外,其余差异均有统计学意义(P<0.05);2组治疗后BUT和Schirmer I test均存在统计学差异(P<0.05)。结论〓杞菊地黄汤联合人工泪液对于改善白内障术后的干眼有较好的临床疗效,是一种治病求本的方法。

    Abstract:

    Objective To explore the clinical effect of Chinese herb combined with artificial tears in treatment of xerophthalmia after cataract surgery. Methods Select 76 cases of dry eye patients those were diagnosed after cataract surgery and randomly divided them into control group(38 eyes) and treatment group(38 eyes). The control group was given artificial tears, while on the basis of artificial tears, the treatment group was given Chinese herb(Qijudihuangtang). 7d is a course of treatment and continuous 4 courses. Then compares the clinical efficacy, the change of ocular surface symptoms, BUT, Shirmer I test of the twe groups after treatment. Results The total efficiency in the treatment group was 86. 84%, obviously higher than in the control group(P<0.05);The change of ocular surface symptoms(except for the burning sensation in the eyes), BUT and Schirmer I test all have statistical significance afte treatment(P<0.05). Conclusion Traditional Chinese medicine combined with artificial tears has a good effect to improve the symptoms of xerophthalmia after cataract surgery.

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