国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
5期
859-862
,共4页
视频终端%视疲劳%七叶洋地黄双苷滴眼液%按摩%疗效%析因设计
視頻終耑%視疲勞%七葉洋地黃雙苷滴眼液%按摩%療效%析因設計
시빈종단%시피로%칠협양지황쌍감적안액%안마%료효%석인설계
video display terminal%asthenopia%Esculin and Digitalisglycosides eye drops%acupoint massage%efficacy%factorial design
目的：评价七叶洋地黄双苷滴眼液与眼局部穴位按摩单用及联用治疗视频终端( video display terminal, VDT)视疲劳的效果。<br> 方法：随机数字表法将224例VDT视疲劳患者分为滴眼液组、按摩组、合用组及对照组各56例,分别用七叶洋地黄双苷滴眼液治疗、眼局部穴位按摩治疗、七叶洋地黄双苷滴眼液与按摩联合治疗及常规用眼卫生指导,疗程4 wk。以症状疗效指数、泪膜破裂时间( BUT )、泪液分泌试验( SIt)和角膜荧光素染色积分作为评价指标。<br> 结果：(1)合用组症状疗效指数(78.96±5.29)%高于滴眼液组(69.55±6.23)%和按摩组(71.15±6.41)%,而滴眼液组和按摩组又高于对照组(33.01±4.26)%(P<0.01)；七叶洋地黄双苷滴眼液、按摩的主效应及二者的交互作用对疗效指数的影响均有统计学意义(P<0.01)。(2)滴眼液组、按摩组、合用组干预后的BUT值和SIt值较干预前提高( P<0.05)；干预后合用组BUT值大于滴眼液组、按摩组和对照组；对照 SIt 值低于滴眼液组、按摩组及合用组。<br> 结论：七叶洋地黄双苷滴眼液滴眼和眼局部穴位按摩均可显著改善VDT视疲劳患者的症状和眼生理状况,二者合用具有协同增效作用。
目的：評價七葉洋地黃雙苷滴眼液與眼跼部穴位按摩單用及聯用治療視頻終耑( video display terminal, VDT)視疲勞的效果。<br> 方法：隨機數字錶法將224例VDT視疲勞患者分為滴眼液組、按摩組、閤用組及對照組各56例,分彆用七葉洋地黃雙苷滴眼液治療、眼跼部穴位按摩治療、七葉洋地黃雙苷滴眼液與按摩聯閤治療及常規用眼衛生指導,療程4 wk。以癥狀療效指數、淚膜破裂時間( BUT )、淚液分泌試驗( SIt)和角膜熒光素染色積分作為評價指標。<br> 結果：(1)閤用組癥狀療效指數(78.96±5.29)%高于滴眼液組(69.55±6.23)%和按摩組(71.15±6.41)%,而滴眼液組和按摩組又高于對照組(33.01±4.26)%(P<0.01)；七葉洋地黃雙苷滴眼液、按摩的主效應及二者的交互作用對療效指數的影響均有統計學意義(P<0.01)。(2)滴眼液組、按摩組、閤用組榦預後的BUT值和SIt值較榦預前提高( P<0.05)；榦預後閤用組BUT值大于滴眼液組、按摩組和對照組；對照 SIt 值低于滴眼液組、按摩組及閤用組。<br> 結論：七葉洋地黃雙苷滴眼液滴眼和眼跼部穴位按摩均可顯著改善VDT視疲勞患者的癥狀和眼生理狀況,二者閤用具有協同增效作用。
목적：평개칠협양지황쌍감적안액여안국부혈위안마단용급련용치료시빈종단( video display terminal, VDT)시피로적효과。<br> 방법：수궤수자표법장224례VDT시피로환자분위적안액조、안마조、합용조급대조조각56례,분별용칠협양지황쌍감적안액치료、안국부혈위안마치료、칠협양지황쌍감적안액여안마연합치료급상규용안위생지도,료정4 wk。이증상료효지수、루막파렬시간( BUT )、루액분비시험( SIt)화각막형광소염색적분작위평개지표。<br> 결과：(1)합용조증상료효지수(78.96±5.29)%고우적안액조(69.55±6.23)%화안마조(71.15±6.41)%,이적안액조화안마조우고우대조조(33.01±4.26)%(P<0.01)；칠협양지황쌍감적안액、안마적주효응급이자적교호작용대료효지수적영향균유통계학의의(P<0.01)。(2)적안액조、안마조、합용조간예후적BUT치화SIt치교간예전제고( P<0.05)；간예후합용조BUT치대우적안액조、안마조화대조조；대조 SIt 치저우적안액조、안마조급합용조。<br> 결론：칠협양지황쌍감적안액적안화안국부혈위안마균가현저개선VDT시피로환자적증상화안생리상황,이자합용구유협동증효작용。
? AlM: To evaluate the efficacy of Esculin and Digitalisglycosides eye drops and acupoint massage alone or combination of both on video display terminal ( VDT ) asthenopia. <br> ?METHODS: Totally, 224 patients with VDT asthenopia were randomly divided into eye drops group ( n = 56 ) received the intervention by Esculin and Digitalisglycosides eye drops, acupoint massage group (n=56) received the intervention by acupoint massage around the eyes, and combination group ( n=56 ) received the intervention by combination of both and control group received the intervention by ocular hygiene instruction. The effect was evaluated after 4wk. The symptoms curative effect index, tear film break-up time ( BUT) , Schirmer l test ( Slt) and corneal fluorescein staining score were as the indexes of evaluation. <br> ? RESULTS: The symptoms curative effect index of combination group (78. 96±5. 29)% was higher than that of eye drops group (69. 55±6. 23)% and acupoint massage group (71. 15±6. 41)%, which of after both groups was higher than that of control group ( 33. 01±4. 26 )% ( P<0. 01). The main effects of Esculin and Digitalisglycosides eye drops and acupoint massage and its interations for the curative effect index were statistically significant ( P<0. 01). BUT and Slt of after intervention in eye drops group were significantly higher than that of before intervention, acupoint massage group and combination group (P<0. 05); After intervention, BUT of combination group was higher than that of eye drops group, acupoint massage group and control group; Slt of control group was lower than that of eye drops group, acupoint massage group and combination group. <br> ? CONCLUSlON: Esculin and Digitalisglycosides eye drops and acupoint massage could improve symptoms and ocular physiology in patient with VDT asthenopia, and the effects of the combinative use of both are synergistic.
