| Dry eye is also called keratoconjunctivitis sicca, refers to drop the tear film stability any causes the quality and quantity of tear dynamics of abnormal or abnormal, and accompanied by eye discomfort (such as eye dryness, foreign body sensation, asthenopia, photophobia jealous etc.), ocular surface diseases lead to ocular tissue lesions characterized by. According to Liu Zuguo’s view according to the etiological classification can be divided into five types, the fluid deficiency is one of the five types of dry eye. Because the modern people’s way of life and the living environment changes, work pressure increases, the rising incidence of dry eye, and a trend of younger. At present western medicine for the treatment of dry eye are tear substitute drugs and promote lacrimal secretion and other drugs, and tear substitute drugs (such as artificial tears) limited efficacy, and some components in the medicine will have a negative stimulus of new ocular surface; promote lacrimal secretion drugs in recent years, and the use of topical antibiotics or immunosuppressive drugs will produce many side effects. Any permanent or temporary closure of lacrimal duct system, methods of treatment and autologous submandibular gland transplantation operation after all the trauma. Therefore, seeking a relatively safe and effective method is the direction of our efforts of clinicians and researchers, and treatment of Chinese medicine for dry eye has great advantages, especially acupuncture therapy not only without the side effects of drugs, but also take into account the local and overall conditioning, reach the effect of tackling the problem, is a safe and effective methods of treatment.Objective:To observe the clinical curative effect of acupuncture combined with thunder fire moxibustion treatment fluid deficiency of dry eye syndrome.Methods:a randomized controlled clinical trial, patients from the Department of Ophthalmology of Beijing Tongren Hospital, Capital Medical University outpatient,72cases (144eyes) diagnosed with watery fluid deficiency of dry eye patients were randomly divided into two groups:the treatment group of36cases (72eyes),36cases in the control group (72eyes). Inclusion criteria: in accordance with the fluid deficiency diagnosis of dry eye syndrome standards; at the age of1870years old; without the use of other medications or had stopped taking the medicine for more than2weeks; willing to accept and can adhere to treatment, and related inspection on the end of the treatment, signed the informed consent. Exclusion criteria:combined with other conjunctiva, cornea and iris lesions; conjunctival scarring, lacrimal gland ostial atresia, accessory lacrimal gland atrophy; pregnant or lactating women; half a year after operation in the Department of Ophthalmology; suspected drug abuse history; for local or systemic disease caused by dry eye syndrome, drying syndrome, severe eye burn, ocular chemical burn; people with serious cardiovascular and cerebrovascular diseases and liver and kidney function damage. Treatment methods:the treatment group (36cases,72eyes), the acupuncture and moxibustion ocular fumigation treatment, the main points are:selection of bilateral eye out, save bamboo, sun, Sibai, Baihui, fengchi. Needle:the Chinese medicine card disposable sterile acupuncture needles, specifications for the0.25×25mm and0.30×40mm; thunder fire Moxibustion:Chongqing Zhao’s thunder fire moxibustion of traditional Chinese Medicine Research Institute Lei eye formula fire moxibustion treatment selection,3times a week,12times for one course, two courses of treatment, a total of8weeks; the control group (36cases,72eyes), using artificial tears eye drops in treatment,4times a day, for8weeks. Two groups were observed before and after treatment in the tear secretion, tear break-up time, corneal fluorescein staining, ocular symptom score (eye dryness, foreign body sensation, asthenopia,) changes, differences between the treatment group and the control group in tear secretion, tear break-up time, corneal fluorescein staining, eye symptoms integral.Results:after treatment, the total effective rate was77.8%, total effective rate of the control group is55.6%, compared the effect of two groups, the difference was statistically significant (P<0.05). The treatment group and the control group before and after treatment, in the Schirmer test, tear break-up time, corneal fluorescein staining, ocular symptoms are different, the differences were statistically significant (P<0.01). The treatment group compared with the control group, in addition to have foreign body sensation and a very significant difference (P<0.01).Conclusion:acupuncture combined with thunder fire moxibustion in the treatment of watery fluid tear deficiency has better clinical curative effect, curative effect is obviously superior to the artificial tears therapy, but this method is safe and reliable, easy to be accepted by the patients. |
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