[1]刘雅玲 唐勇华.中西医外治法治疗干眼的研究进展[J].大众科技,2020,22(09):95-98.
　Research Progress of Treating Dry Eye Disease with External Therapy of Traditional Chinese and Western Medicine[J].Popular Science & Technology,2020,22(09):95-98.
点击复制

中西医外治法治疗干眼的研究进展()
分享到：

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
22
期数:
2020年09
页码:
95-98
栏目:
医药与卫生
出版日期:
2020-09-20

文章信息/Info

Title:
Research Progress of Treating Dry Eye Disease with External Therapy of Traditional Chinese and Western Medicine
作者:
刘雅玲 1 唐勇华 1; 2
（1.广西中医药大学研究生院，广西 南宁 530001； 2.广西中医药大学附属瑞康医院，广西 南宁 530011）
关键词:
干眼; 中医外治法; 西医外治法
Keywords:
dry eye disease external treatment of TCM external treatment of western medicine
文献标志码:
A
摘要:
干眼是一种常见的眼科疾病，随着电子科技的发展，干眼患者不断增加，且成低龄化发展趋势。人工泪液，消 炎滴眼液，局部或口服抗生素等治疗只能在短期内得到缓解，因此干眼的治疗还必须注重外治。文章从针灸、睑板腺按摩、中 药熏蒸、中药离子导入、中药雾化疗法和灸法等治疗干眼的传统治法，以及强脉冲光系统、热脉动治疗、泪点栓塞术、巩膜接 触镜和湿房镜等西医外治法进行综合阐述，以期为临床治疗提供参考。
Abstract:
Dry eye disease is a common ophthalmic disease. With the development of electronic technology, the number of dry eye patients is increasing, and it has become a trend of younger development. Artificial tears, anti-inflammatory eye drops, local or oral antibiotics can only be relieved in a short period of time, so the treatment of dry eye must also pay attention to external treatment. In this paper, the traditional treatment of dry eye, such as acupuncture, meibomian gland massage, traditional Chinese medicine fumigation, traditional Chinese medicine iontophoresis, traditional Chinese medicine atomization therapy and moxibustion, as well as western medicine external treatment methods, such as intense pulsed light system, heat pulse therapy, lacrimal point embolization, scleral contact lens and wet chamber lens, are comprehensively described in order to provide reference for clinical treatment.

参考文献/References:

[1] Al-Saedi Z, Zimmerman, A, Bachu R. D, et al. Dry eye disease: present challenges in the management and future trends[J]. Current Pharmaceutical Design, 2016, 22(28): 4470-4490. [2] 傅彦江，黄欣. 中医对干眼症的认识[J]. 中医杂志，2011， 52(22): 1978-1979. [3] 石常宏，余金明，王继伟，等. 中国眼科门诊干眼的流 行病学调查[J]. 中国初级卫生保健，2014，28(7): 119-122. [4] 陈星如，高卫萍. 针刺对东莨菪碱诱导的兔干眼模型的 作用及机制探讨[J]. 中国中医眼科杂志，2016，26(5): 281-284. [5] Kim T H, Kang J W, Kim K H,et al. Acupuncture for the treatment of dry eye: a multicenter randomised controlled trial with active comparison intervention (artificial teardrops)[J]. PloS One, 2012, 7(5) e36638. [6] Liu Q, Liu J, Ren C, et al. Proteomic analysis of tears following acupuncture treatment for menopausal dry eye disease by two-dimensional nano-liquid chromatography coupled with tandem mass spectrometry[J]. International Journal of Nanomedicine, 2017, 12:1663-1671. [7] 朱丹，高岑，仲远明. 针刺治疗干眼症临床疗效观察[J]. 中国针灸，2019(8): 837-840. [8] Shin M S, Kim J I, Lee M S, et al. Acupuncture for treating dry eye: a randomized placebo-controlled trial[J]. Acta Ophthalmologica, 2010, 88(8): e328-e333. [9] Chhadva P, Goldhard R, Galor A. Meibomian gland disease: the role of gland dysfunction in dry eye disease[J]. Ophthalmology, 2017, 124(11S): S20, S6. [10] Wang D H, Liu X Q, Hao X J, et al. Effect of the meibomian gland squeezer for treatment of meibomian gland dysfunction[J]. Cornea, 2018, 37: 1270-1278. [11] 谢瑞玲，刘敏，王伟. 睑板腺按摩联合药物治疗睑板腺功 能障碍型干眼的临床疗效观察[J]. 安徽医药，2020， 24(2): 360-362. [12] 卫晓. 改良型睑板腺按摩在治疗睑板腺功能障碍型干眼 症中的效果观察[J]. 基层医学论坛. 2016， 20(20): 2853-2854. [13] 于晓甜，周晓舟，曾继红，等. 睑板腺压榨法治疗睑板 腺功能障碍的疗效分析[J]. 中国医学前沿杂志(电子版)， 2019(10): 166-169. [14] 陆继娣，沈鹰. 熏蒸疗法的历史沿革[J]. 中医杂志，2006， 47(7): 556-557. [15] 明静，周剑，刘昕妍. 中药熏蒸治疗白内障手术相关性 干眼的临床研究[J]. 中国中医眼科杂志，2017，27(6): 360-363. [16] 陈艳艳，黄冲，冯运红，等. 中药“四黄清灵液”熏蒸 联合人工泪液治疗干眼症的临床疗效[J]. 国际眼科杂 志，2018(4): 762-764. [17] 刘小虎，邹浩东，李娟，等. 中药熏蒸联合泪道栓子对 重度干眼患者视觉相关生存质量的影响[J]. 中国中医眼 科杂志，2019，29(3): 202-205. [18] 郑玉红，赵国敏. 不同中药熏蒸疗法干预蒸发过强型干 眼的临床研究[J]. 北京中医药，2019(5): 484-487. [19] Filipovic N, Saveljic I, Rac V, et al. Computational and experimental model of transdermal iontophorethic drug delivery system[J]. International Journal of Pharmaceutics, 2017, 533(2): 383-388. [20] 曾志成，彭俊，姚小磊，等. 中药密蒙花离子导入对干 眼患者泪液白细胞介素 6、细胞间黏附分子 1 表达的影 响[J]. 中医杂志，2019，60(3): 219-223. [21] 曹水清，颉瑞萍，高英，等. 杞菊地黄丸联合直流电离 子导入香丹注射液治疗围绝经期干眼的临床观察[J]. 中 国中西医结合杂志，2019(10): 1181-1184. [22] 童毅，李晴，杨光. 滋阴润目方雾化治疗干眼症临床观 察[J]. 山西中医，2017，33(33): 45-46. [23] 周蓓，李玉兰，曾玉莲，等. 银耳雾化液眼超声雾化治 疗干眼症临床观察[J]. 新中医，2016，48(5): 195-197. [24] 宋立，张南，矫红，等. 雷火灸治疗干眼症的临床观察[J]. 中华中医药杂志，2007, 22(10): 726-729. [25] 陈陆泉. 雷火灸治疗泪液缺乏性干眼症疗效观察[J]. 中 国针灸，2008，28(8): 585-588. [26] 吕婵，黎琴，黄明丽，等. 中药热敷联合雷火灸治疗干 眼症疗效观察[J]. 广西中医药大学学报，2019，22(2): 31-33. [27] 张馨，李钰珍，陈旭虹. 雷火灸治疗蒸发过强型干眼患 者 25 例观察[J]. 浙江中医杂志，2019，54(2): 135-136. [28] 秦小永，侯全云，曹亚永，等. 隔核桃壳灸配合针刺治 疗干眼症 30 例[J]. 中国针灸，2016，36(10): 1088. [29] 付伟伟，张国亮，刘志顺，等. 核桃壳眼镜灸改善干眼症 状随机对照试验[J]. 中国针灸，2018，38(11): 1177- 1182. [30] Rong B, Tang Y, Liu R, et al. Long-term effects of intense pulsed light combined with neibomian gland expression in the treatment of meibomian gland dysfunction[J]. Photomedicine and Laser Surgery, 2018, 36(10): 562-567. [31] Craig J P, Chen Y H, Turnbull P R K. Prospective trial of intense pulsed light for the treatment of meibomian gland dysfunction[J]. Investigative ophthalmology & visual science, 2015, 56(3): 1965-1970. [32] Rong B, Tang Y, Tu P, et al. Intense pulsed light applied directly on eyelids combined with meibomian gland expression to treat meibomian gland dysfunction[J]. Photomedicine and Laser Surgery, 201, 36(6): 326-332. [33] Vigo L, Giannaccar, G, Sebastiani S, et al. Intense pulsed light for the treatment of dry rye owing to meibomian gland dysfunction[J]. Journal of Visualized Experiments, 2019. [34] Lane S S, DuBiner H B, Epstein R J, et al. A new system, the LipiFlow, for the treatment of meibomian gland dysfunction[J]. Cornea. 2012, 31(4): 396-404. [35] Godin M R, Stinnett S S, Gupta P K. Outcomes of thermal pulsation treatment for dry eye syndrome in patients with Sjogren disease[J]. Cornea. 2018, 37(9): 1155-1158. [36] Schallhorn C S, Schallhorn J M, Hannan S, et al. Effectiveness of an eyelid thermal pulsation procedure to teat recalcitrant dry eye symptoms after Laser vision correction[J]. Journal of Refractive Surgery, 2017, 33(1): 30-36. [37] Zhao Y, Veerappan A, ,Yeo S, et al. Clinical trial of thermal pulsation (LipiFlow) in meibomian dland dysfunction with preteatment meibography[J]. Eye and Contact Lens, 2016, 42: 339, 46. [38] Ervin A M, Wojciechowski R, Schein O. Punctal occlusion for dry eye syndrome[J]. The Cochrane database of systematic reviews, 2010(9): CD006775. [39] Marcet M M, Shtein R M, Bradley E A,et al. Safety and efficacy of lacrimal drainage system plugs for dry eye syndrome: a report by the American Academy of Ophthalmology[J]. Ophthalmology, 2015, 122(8):1681- 1687. [40] Tong L, Beuerman R, Simonyi S, et al. Effects of punctal occlusion on clinical signs and symptoms and on tear cytokine levels in patients with dry eye[J]. The Ocular Surface, 2016, 14(2): 233-241. [41] Brissette A R, Mednick Z D, Schweitzer K D, et al. Punctal plug retention rates for the treatment of moderate to severe dry eye: a randomized, double-masked, controlled clinical trial[J]. American Journal of Ophthalmology, 2015, 160(2): 238-242. [42] Bavinger J C, DeLoss K, Mian S I. Scleral lens use in dry eye syndrome[J]. Current Opinion in Ophthalmology, 2015, 26(4): 319-324. [43] Alipour F, Kheirkhah A, Behrouz M J. Use of mini scleral contact lenses in moderate to severe dry eye[J]. Contact Lens and Anterior Eye, 2012, 35(6): 272-276. [44] Ye P, Sun A, Weissman B A. Role of mini-scleral gas-permeable lenses in the treatment of corneal disorders[J]. Eye and Contact Lens, 2007, 33(2): 111-113. [45] La Porta Weber S, de Souza R B, Gomes, J A P, et al. The use of the esclera scleral contact lens in the treatment of moderate to severe dry eye disease[J]. American Journal of Ophthalmology, 2016, 163:167-173. [46] McCulley J. P, Aronowicz J D, Uchiyama E, et al. Correlations in a change in aqueous tear evaporation with a change in relative humidity and the impact[J]. American Journal of Ophthalmology, 2006 141(4): 758-760. [47] Korb D R, Greiner J V, Glonek T, et al, Effect of periocular humidity on the tear film lipid layer[J]. Cornea, 199615(2): 129-134. [48] 沈光林，马晓萍. 湿房镜对蒸发过强型干眼患者泪膜稳 定性的影响[J]. 中国实用眼科杂志，2015，33(10): 1127- 1131.

相似文献/References:

[1]刘 聪,张 力.中医外治法治疗烧伤的优势与展望[J].大众科技,2019,21(09):72.
　Advantages and Prospect of External Treatment for Burns in TraditionalChinese Medicine[J].Popular Science & Technology,2019,21(09):72.
[2]杨 欢,张 力.中医外治法治疗寻常疣的研究进展[J].大众科技,2020,22(04):82.
　Research Progress of Traditional Chinese Medicine External Treatments forCommon Wart[J].Popular Science & Technology,2020,22(09):82.
[3]杨梦霞 张 力 罗 丹.中医外治下肢丹毒的研究进展[J].大众科技,2020,22(09):99.
　Research Progress on External Treatment of Traditional Chinese Medicine of Erysipelas of Lower Limbs[J].Popular Science & Technology,2020,22(09):99.
[4]杨祎佳 范郁山.中医外治法治疗痛风的研究进展[J].大众科技,2021,23(11):114.
　Research Progress of External Treatment of Traditional Chinese Medicine for Gout[J].Popular Science & Technology,2021,23(09):114.
[5]陈嘉怡　邵昱玮.中医外治法在阿片类药物所致便秘防治中的运用[J].大众科技,2021,23(11):128.
　Application of External Treatment of Traditional Chinese Medicine in the Prevention and Treatment of Opioid-Induced Constipation[J].Popular Science & Technology,2021,23(09):128.
[6]刘　广　丰　哲　赖礼沐　冯轩朗　袁　宁.中西医外治疗法治疗股骨头坏死的研究进展[J].大众科技,2022,24(05):119.
　Research Progress of External Treatment of Traditional Chinese and Western Medicine in the Treatment of Osteonecrosis of the Femoral Head[J].Popular Science & Technology,2022,24(09):119.

备注/Memo

备注/Memo:
【收稿日期】2020-07-09 【作者简介】刘雅玲（1994－），女，湖南株洲人，广西中医药大学研究生院在读硕士研究生，研究方向为中西结合治 疗眼底病的研究。 【通信作者】唐勇华（1972－），男，广西中医药大学附属瑞康医院主任医师，从事中西医结合治疗眼底病的研究。
更新日期/Last Update: 2020-11-18