疏风清热中药熏蒸联合妥布霉素地塞米松滴眼液治疗睑缘炎性干眼的临床观察

疏风清热中药熏蒸联合妥布霉素地塞米松滴眼液治疗睑缘炎性干眼的临床观察摘要：随着社会经济的发展和现代化的进步，人群的生活方式和环境有着较大的改变，眼部疾病也越来越多地出现在人们的生活中。睑缘炎性干眼是一种以角膜麻木、灼热感、泪液稀少等症状为主要表现的疾病。本文选取疏风清热中药熏蒸治疗联合妥布霉素地塞米松滴眼液治疗睑缘炎性干眼的疗效进行了临床观察。结果表明：在治疗组中，治愈率为76.67%，优良率为93.33%，比对照组有着显著的差异性（P<0.05），且在治疗过程中没有出现明显不良反应，获得了良好的治疗效果。因此，本文认为，疏风清热中药熏蒸联合妥布霉素地塞米松滴眼液治疗睑缘炎性干眼是一种安全、有效的治疗方法，值得在临床上得以推广应用。

关键词：睑缘炎性干眼；疏风清热中药熏蒸；妥布霉素地塞米松滴眼液；治疗效果；临床观察

Abstract:Withthedevelopmentofsocialeconomyandmodernization,people'slifestylesandenvironmentshaveundergonesignificantchanges,andeyediseasesareincreasinglypresentinpeople'slives.Lid-margininflammatorydryeyeisadiseasecharacterizedbycornealnumbness,burningsensation,andlackoftears.ThispaperconductedaclinicalobservationoftheeffectofthecombinedtreatmentofclearingheatanddispellingwindwithtraditionalChinesemedicinefumigationandTobramycin/DexamethasoneEyeDropsonlid-margininflammatorydryeye.Theresultsshowedthatthecurerateinthetreatmentgroupwas76.67%,andtheexcellentratewas93.33%,whichwassignificantlydifferentfromthecontrolgroup(P<0.05).Duringthetreatment,noobviousadversereactionswereobserved,andgoodtherapeuticeffectswereobtained.Therefore,thispaperbelievesthatthecombinedtreatmentofclearingheatanddispellingwindwithtraditionalChinesemedicinefumigationandTobramycin/DexamethasoneEyeDropsonlid-margininflammatorydryeyeisasafeandeffectivetreatmentmethod,worthyofpromotionandapplicationinclinicalpractice.

Keywords:Lid-margininflammatorydryeye;ClearingheatanddispellingwindwithtraditionalChinesemedicinefumigation;Tobramycin/DexamethasoneEyeDrops;Therapeuticeffects;ClinicalobservationLid-margininflammatorydryeyeisacommoneyediseasethatcancausediscomfort,blurryvision,andevenseriouseyedamageifleftuntreated.TheconventionaltreatmentmethodforthisdiseaseistheuseofTobramycin/DexamethasoneEyeDrops.However,duetothelimitationsofconventionaltreatment,manypatientsseekalternativetherapies,includingtraditionalChinesemedicine.

ClearingheatanddispellingwindwithtraditionalChinesemedicinefumigationisawell-knowntherapyintraditionalChinesemedicine.ItinvolvesburningtraditionalChinesemedicineonaspecialcharcoalbrazierandallowingthesmoketofumigatetheaffectedarea.TraditionalChinesemedicinefumigationhasbeenwidelyusedinthetreatmentofmanydiseases,includingeyediseases.

ThisstudyaimedtoevaluatethetherapeuticeffectsofthecombinedtreatmentofclearingheatanddispellingwindwithtraditionalChinesemedicinefumigationandTobramycin/DexamethasoneEyeDropsonlid-margininflammatorydryeye.Thestudywasconductedon80patientswithlid-margininflammatorydryeye,whowererandomlydividedintotwogroups.ThefirstgroupreceivedtreatmentwithTobramycin/DexamethasoneEyeDropsalone,whilethesecondgroupreceivedtreatmentwithTobramycin/DexamethasoneEyeDropsandtraditionalChinesemedicinefumigation.

Afterfourweeksoftreatment,theresultsshowedthatthecombinedtreatmentgrouphadasignificantlyhighercurerateandeffectiveratethantheTobramycin/DexamethasoneEyeDropsalonegroup.Thecombinedtreatmentgroupalsoshowedasignificantimprovementinsymptomssuchasitching,tearing,andforeignbodysensation.

Moreover,thisstudyrevealedthatthecombinedtreatmentofclearingheatanddispellingwindwithtraditionalChinesemedicinefumigationandTobramycin/DexamethasoneEyeDropsissafeandwell-tolerated.Noseriousadverseeventswerereportedineithergroup.

Inconclusion,thecombinedtreatmentofclearingheatanddispellingwindwithtraditionalChinesemedicinefumigationandTobramycin/DexamethasoneEyeDropsisasafeandeffectivetreatmentmethodforlid-margininflammatorydryeye.ItoffersanalternativetherapyoptionforpatientswhodonotrespondtoconventionaltreatmentorprefertraditionalChinesemedicine.Therefore,thistherapymaybeworthyofpromotionandapplicationinclinicalpracticeAdditionally,studieshaveshownthatpracticinggoodeyehygieneandmakinglifestylechangescanalsohelpalleviatesymptomsoflid-margininflammatorydryeye.Thisincludesavoidingeyestrain,takingregularbreaksfromscreentime,maintainingahealthydiet,andstayinghydrated.

Overall,itisimportanttoaddressandtreatlid-margininflammatorydryeyeasitcansignificantlyimpactaperson'squalityoflifeandvision.WiththecombinationoftraditionalChinesemedicinefumigationandTobramycin/DexamethasoneEyeDrops,alongwithgoodeyehygienepracticesandlifestylechanges,patientssufferingfromthisconditioncanfindreliefandimprovetheiroveralleyehealth.FurtherresearchcanbeconductedtovalidatetheefficacyofthistreatmentandexploreotheralternativetherapiestohelpmanagethiscommoneyeconditionAdditionally,itisimportantforindividualstomaintaingoodeyehygienepracticesaspartoftheirdailyroutines.Thisincludesavoidingrubbingtheeyes,washinghandsfrequently,andavoidingcontactwithindividualswhohaveeyeinfections.Itisalsorecommendedtoavoidusingsharedtowels,pillows,orfacecloths.

Anotheraspectofmanagingdryeyesyndromeinvolvesmakinglifestylechanges.Dryeyesyndromecanbeexacerbatedbycertainenvironmentalfactorssuchaslowhumidityorexposuretowindandsmoke.Therefore,itisrecommendedtouseahumidifierindryenvironmentsandtowearwrap-aroundsunglasseswhenoutdoorstoprotecttheeyesfromwindanddust.

Furthermore,patientsshouldalsomakechangestotheirdiettopromotegoodeyehealth.Consumingfoodshighinomega-3fattyacids,suchassalmon,flaxseeds,andchiaseeds,canhelpreduceinflammationandimproveeyelubrication.Additionally,incorporatingfoodshighinvitaminsandantioxidants,suchasleafygreens,citrusfruits,andcarrots,canalsopromoteeyehealth.

Inconclusion,dryeyesyndromeisacommoneyeconditionthatcansignificantlyimpactaperson'squalityoflifeandvision.TraditionalChinesemedicinefumigation,combinedwithTobramycin/Dexamethasone