[精品]滋阴明目汤治疗干眼症的临床观察.doc

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1、滋阴明目汤治疗干眼症的临床观察滋阴明目汤治疗干眼症的临床观察［摘耍］0的观察滋阴明目汤治疗干眼症的疗效。方法将干眼症患者92例（184只眼）随机分为两组。两组均用泪然滴眼液点眼，观察组同时口服滋阴明目汤。观察用药前及用药后1个月患者主观症状积分、泪液分泌试验、泪膜破裂时间、角膜荧光素染色等检查。结果观察组治疗前后比较，患者主观症状、泪液分泌、泪膜破裂时间、角膜荧光素染色等积分均明显下降，差异有统计学意义（P<0.01）o对照组主观症状积分和角膜荧光素染色积分减少（P〈0・05）,其他指标差异无统

2、计学意义（P>0.05）o治疗后，观察组与对照组各项指标比较差异有统计学意义（P〈0.05）o结论中药联合人工泪液治疗干眼症的疗效优于单纯人工泪液治疗，且更能发挥标本同治的作用。［关键词］滋阴明目汤；干眼症［中图分类号1R777.2：文献标识码M［文章编号］1005-0515（2010）-8-036-01Clinicalstudyofziyinmingmu（滋阴明目）decoctiontotreatdryeyesyndromeLIUWei-yang（Departmentofophthalmolo

3、gy,ThePeople'sHospitalofXinningCounty.Xinning422700,China）［Abstract］0bjectiveToobservetheeffectofzinyinmingmu（滋阴明目）decoctionondryeyesyndrome・MethodsThisisarandomizedretrospectivecomparativecasestudy.Divided184eyesfrom92consecutivepatientsdiagnosedwit

4、hdryeyesyndromeintocontrolgroupandobservedgroupatrandom.ThecontrolgrouparetreatedwithTearsNaturaleeyedrops,whiletheobservedgrouparetreatedwithcombinationtreatmentofTearsNaturaleeyedropsandZiyinmingmudecoction.Assessmentofsubjectivesymptom,SchirmerIte

5、st(Sit),cornealfluorescenceintegral(FI),andBreakuptimeofthetearfilm(BUT),wereperformedatpre-administrationand1monthpost-administration.ResultsAtotalof184eyesof92patientswhocompletedthe1monthfollow-upwereincludedforanalysis.Theobservedgroupsignificant

6、lyimprovedinsubjectivesymptom,SitandFI,aswe11asprolongationinmeanBUTaftercombinationtreatment・Theseimprovementswhichcomparedwiththatpre-administrationareevident(P<0.01).AftertreatmentwithNaturaleeyedropsthecontrolgrouponlyimprovedsignificantlyinsubje

7、ctivesymptomandFI(P<0.05),whilethediscrepanciesofotherindexes(SItandBUT)hadnostatisticalsignificance(P>0.05).Aftertreatment,thereweresignificantdifferencesintheimprovementsofalltheindexesbetweentheobservedgroupandthecontrolgroup(卩〈0.05).ConclusionsTh

8、ecombinationtreatmentofTearsNaturaleeyedropsandZiyinmingmudecoctionhasabettertherapeuticeffectthanthesingletreatmentofTearsNaturaleeyedropsondryeyesyndrome・[Keywords]Ziyinmingmu(滋阴明目)decoction;Dryeyesyndrome干眼症是以泪液分泌不足或蒸发过强、泪膜稳定性降低,进而导致眼表损害，出现眼部不适的一组