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目的:观察中西医结合治疗干眼症的临床疗效。方法:153例干眼症患者辨证分为肺阴不足型、脾虚肝郁型、脾肾阳虚型及肝肾阴虚型。分别在局部用药基础上用养阴清燥汤、归脾汤加减、四君子汤加减及杞菊地黄汤加减治疗。结果:显效87例,有效48例,无效18例,总有效率88.24%。治疗前后泪膜破裂时间(BUT)、Schirmerl测定变化及角膜荧光染色比较,差异有显著性意义(P<0.05)。结论:中西医结合治疗泪液缺乏型干眼症疗效显著。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of dry eye syndrome. Methods: 153 cases of patients with dry eye syndrome differentiation into lung-yin-deficiency type, spleen and liver depression type, spleen and kidney yin deficiency and liver-kidney type. Respectively on the basis of local drug use Yin Yin Qingzao Decoction, Guipi Decoction, Sijunzi Decoction and Qi Ju Di Huang Decoction treatment. Results: 87 cases were markedly effective, 48 cases were effective and 18 cases were ineffective. The total effective rate was 88.24%. Before and after treatment of tear film rupture time (BUT), Schirmerl determination of changes and corneal fluorescence staining, the difference was significant (P <0.05). Conclusion: The combination of traditional Chinese and western medicine treatment of lacrimal fluid deficiency type of dry eye effect is significant.