中药熏蒸与刮痧联合西药治疗肝肾阴虚型2 型糖尿病干眼症临床研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R587.1;R777.34

基金项目:


Clinical Study on Chinese Herbal Fumigation and Scraping Combined with Western Medicine for Type 2 Diabetes of Liver- Kidney Yin Deficiency Type Complicated with Xerophthalmia
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察中药熏蒸与刮痧联合西药治疗肝肾阴虚型2 型糖尿病干眼症的临床疗效。方法:将110 例患者随机分为对照组和观察组各55 例。2 组均采用胰岛素或口服降糖药物控制血糖,以玻璃酸钠滴眼液治疗,连续治疗4 周。观察组加予中药熏蒸联合刮痧疗法进行治疗,总疗程为4 周。治疗前后评定症状评分、角膜荧光素染色(FL) 评分、泪膜破裂时间(BUT) 评分、泪液分泌试验(SIT) 评分、角膜知觉评分、眼表疾病指数(OSDI) 评分。比较2 组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2 组症状评分均较治疗前下降(P<0.01),观察组症状评分低于对照组(P<0.01)。2 组FL、BUT、SIT 及角膜知觉评分均较治疗前下降(P<0.01),观察组4 项评分均低于对照组(P<0.01)。2 组OSDI 眼部症状、视觉功能和环境触发因素3 项因子的评分及OSDI 总分均较治疗前下降(P<0.01),观察组3 项因子的评分及总分均低于对照组(P<0.01)。结论:在常规西药干预的基础上予中药熏蒸疗法联合刮痧治疗糖尿病干眼症,可有效改善患者的自觉症状和客观体征,减轻干眼程度。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Chinese herbal fumigation and scraping combined with western medicine for type 2 diabetes of liver- kidney yin deficiency type complicated with xerophthalmia. Methods: A total of 110 cases of patients were randomly divided into the control group and the observation group, 55 cases in each group. Both groups were given insulin or oral administration of hypoglycemic drugs to control blood glucose, and treated with Sodium Hyaluronate Eye Drops;the observation group was additionally treated with Chinese herbal fumigation and scraping therapy. Both groups were treated for four weeks. Before and after treatment,the scores of symptoms,corneal fluorescein staining (FL), tear break- up time(BUT), Schirmer I test(SIT), corneal sensitivity and Ocular Surface Disease Index(OSDI) were evaluated. The clinical effect in the two groups was compared. Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05). The symptom scores in the two groups were decreased when compared with those before treatment(P<0.01),and the score in the observation group was lower than that in the control group(P<0.01). The scores of FL,BUT,SIT and corneal sensitivity in the two groups were decreased when compared with those before treatment(P<0.01),and the scores in the observation group were all lower than those in the control group(P< 0.01). The scores of ocular symptoms,visual function and environmental triggers in OSDI,and the total scores of OSDI in the two groups were decreased when compared with those before treatment(P<0.01), and the above scores in the observation group were all lower than those in the control group(P<0.01). Conclusion:Based on the intervention of routine western medicine, Chinese herbal fumigation combined with scraping for diabetes complicated with xerophthalmia can effectively improve subjective symptoms and objective signs,and relieve dry eyes.

    参考文献
    相似文献
    引证文献
引用本文

陈咏敏,范惠霞,曹岐新,李敏.中药熏蒸与刮痧联合西药治疗肝肾阴虚型2 型糖尿病干眼症临床研究[J].新中医,2020,52(19):164-167

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-10-12
  • 出版日期: