CAJ | 학술논문

目的：观察针刺蝶腭神经节治疗干眼症的临床疗效。方法将148例干眼症患者随机分为治疗组72例和对照组76例。治疗组采用针刺蝶腭神经节配合睛明、四白、太阳穴治疗，对照组采用人工泪液滴眼治疗。观察两组治疗前后干眼症症状评分及VAS评分，并比较两组临床疗效。结果治疗组总有效率为90.3%，对照组为68.4%，两组比较差异具有统计学意义(P＜0.01)。两组治疗后干眼症症状评分及VAS评分与同组治疗前比较，差异均具有统计学意义(P＜0.01)。治疗组治疗前后干眼症症状评分及VAS评分差值与对照组比较，差异均具有统计学意义(P＜0.05)。结论针刺蝶额神经节是一种治疗干眼症的有效方法。
목적：관찰침자접악신경절치료간안증적림상료효。방법장148례간안증환자수궤분위치료조72례화대조조76례。치료조채용침자접악신경절배합정명、사백、태양혈치료，대조조채용인공루액적안치료。관찰량조치료전후간안증증상평분급VAS평분，병비교량조림상료효。결과치료조총유효솔위90.3%，대조조위68.4%，량조비교차이구유통계학의의(P＜0.01)。량조치료후간안증증상평분급VAS평분여동조치료전비교，차이균구유통계학의의(P＜0.01)。치료조치료전후간안증증상평분급VAS평분차치여대조조비교，차이균구유통계학의의(P＜0.05)。결론침자접액신경절시일충치료간안증적유효방법。
Objective To observe the clinical efficacy of acupuncture at phenomaxillary ganglia in treating dry eye syndrome (DES). Methods Totally 148 DES patients were randomized into a treatment group of 72 cases and a control group of 76 cases. The treatment group was intervened by acupuncture at phenomaxillary ganglia plus Jingming (BL 1), Sibai (ST 2), and Taiyang (EX-HN 5), while the control group was by using eye drops of artificial tears. The DES symptoms score and Visual Analogue Scale (VAS) were observed before and after intervention, and the clinical efficacies were compared. Results The total effective rate was 90.3%in the treatment group versus 68.4%in the control group, and the difference was statistically significant (P<0.01). The DES and VAS scores were significantly changed after intervention in both groups (P<0.01). The changes of DES and VAS scores in the treatment group after intervention were significantly different from those in the control group (P<0.05). Conclusions Acupuncture at phenomaxillary ganglia can go deep and directly reach the affected area, and thus is an effective method in treating DES.