안구건조증환자 11례의 한 ․양방 병용치료에 대한 임상보고
Eastern and Western Combined Medical Treatments on 11 Patients with Dry Eye Syndrome
2
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Objective : The endpoint of this trial is to verify therapeutical availability of conventional western eyedrops combined with acupuncture treatment by means of BUT(tear film break-up time), Schirmer's test, which have been considered to be typical methods for diagnosing dry eye syndrome. Methods : The subjects of this trial included the outpatients who had been diagnosed with dry eye syndrome in Pusan national university hospital and underwent acupuncture treatment from March 2011 to April 2011. They received acupuncture treatment once a week, three times while constantly using Restasis or artificial tears. We collated and analyzed the outcome data of Schirmer's test and BUT conducted at the beginning of this trial and three times more after each acupuncture treatments. Acupoints, such as, Chanjuk(BL2), Eoryo,Sajukgong(TE23), Taeyang, Sabaek(ST2), limited around both eyes were selected based on their clinical effects referring to medical books. Results : 1. From BUT test results, Restasis and acupuncture combined group showed statistically significant difference, however, artificial tears and acupuncture combined group showed difference only between before and after the treatment, which is not statistically significant. 2. From Schirmer's test results, Restasis and acupuncture combined group showed statistically significant difference, however, artificial tears and acupuncture combined group showed difference only between before and after the treatment, which is not statistically significant. 3. The average duration of treatment was statistically 16.3 days for Restasis and acupuncture combined group. Conclusions : Combination of acupuncture and Restasis for dry eye syndrome can shorten the duration of treatment. Therefore, clinical benefit is expected to be worth.
Abstract
Objective : The endpoint of this trial is to verify therapeutical availability of conventional western eyedrops combined with acupuncture treatment by means of BUT(tear film break-up time), Schirmer's test, which have been considered to be typical methods for diagnosing dry eye syndrome. Methods : The subjects of this trial included the outpatients who had been diagnosed with dry eye syndrome in Pusan national university hospital and underwent acupuncture treatment from March 2011 to April 2011. They received acupuncture treatment once a week, three times while constantly using Restasis or artificial tears. We collated and analyzed the outcome data of Schirmer's test and BUT conducted at the beginning of this trial and three times more after each acupuncture treatments. Acupoints, such as, Chanjuk(BL2), Eoryo,Sajukgong(TE23), Taeyang, Sabaek(ST2), limited around both eyes were selected based on their clinical effects referring to medical books. Results : 1. From BUT test results, Restasis and acupuncture combined group showed statistically significant difference, however, artificial tears and acupuncture combined group showed difference only between before and after the treatment, which is not statistically significant. 2. From Schirmer's test results, Restasis and acupuncture combined group showed statistically significant difference, however, artificial tears and acupuncture combined group showed difference only between before and after the treatment, which is not statistically significant. 3. The average duration of treatment was statistically 16.3 days for Restasis and acupuncture combined group. Conclusions : Combination of acupuncture and Restasis for dry eye syndrome can shorten the duration of treatment. Therefore, clinical benefit is expected to be worth.
참고문헌 (17)
- Lemp MA, "Report of the National Eye Institute", Industry workshop on Clinical Trials in Dry Eyes, 1995, pp.21(4), 221~32
- Perry HD, "Dry eye diagnosis and management in 2004", Curr Opin Ophthalmology, 15, pp.299~304 (2004)
- Smith RE, "The tear film complex pathogenesis and emerging therapies for dry eyes", Cornea, 24, pp.1~7 (2005)
- Balaram M, "Efficacy and tolerability outcome after punctual occlusion with silicone plug in dry eye syndrome", Am J Ophthalmol, 131, pp.31~36 (2001)
- Behrens A, "Dysfunctional tear syndrome: a Delphi approach to treatment recommendations", Cornea, 25, pp.900~907 (2006)
- Law SK, "Acupuncture for glaucoma", Cochrance Database Syst Rev, pp.6030~ (2007)
- Lee MS, "Acupuncture for treating dry eye : a systematic review" (2010), Acta Ophthalmol
- Liu Y, "Observation on therapeutic effect of acupuncture for treatment of optic atrophy", Zhongguo Zhen Jiu, 29, pp.714~716 (2009)
- 이승덕, "Acupuncture for treating dry eye: a randomized placebo-controlled trial", ACTA OPHTHALMOLOGICA, 88(8), pp.328~333, WILEY-BLACKWELL PUBLISHING
- Tseng KL, "A clinical study of acupuncture and Silver spike point electro-therapy for dry eye syndrome", The american Journal of Chinese Medicine, 34, pp.197~206 (2006)
- Uchino M, "Prevalence of dry eye disease among Japanese visual display terminal users", Ophthalmology, 115(11), pp.1982~1988 (2008)
- Definition and Classification Subcommittee of the International Dry Eye Workshop, "Ocul Surf", The definition and Classification Subcommittee of the International Dry Eye Workshop, 5, pp.75~92 (2007), Ocul Surf
- Stern ME, "Mircheff AK, Pflugfelder SC, The pathology of dry eye: the interaction between the ocular surface and lacrimal gland", Cornea, 17, pp.584~589 (1998)
- 이종수, "경도의 안구 건조증에서 레스타시스®의 임상 효과", 대한안과학회지, 50(10), pp.1489~1494 (2009), 대한안과학회
- 허준, "건성안 환자에서 다양한 항염증 치료에 따른 임상효과", 대한안과학회지, 47(12), pp.1901~1910 (2006), 대한안과학회
- 김종인, "편측안면경련 환자에서 미세혈관 감압수술 후 발생한 구안와사 환자 3례", 대한침구의학회지, 23(6), pp.229~238 (2006), 대한침구의학회
- 이창우, "안구건조증 환자 43례의 침치료 효과에 대한 임상적 연구", 대한침구의학회지, 27(6), pp.85~94 (2010), 대한침구의학회