Qiao Hong-Wei, Gao Chen-Ming, Liu Zeng-Ye, Huang Shan, Ma Cheng, Liu Na-Wen
Department of TCM, First Central Hospital of Tianjin, Tianjin 300192, China.
Department of Ophthalmology, First Central Hospital of Tianjin, Tianjin 300192, China.
Zhongguo Zhen Jiu. 2020 Aug 12;40(8):845-8. doi: 10.13703/j.0255-2930.20191011-k0007.
To compare the curative effect between bloodletting at tip of ear with different amounts combined with western medication and western medication alone for early-stage stye.
A total of 108 patients with early-stage stye were randomly divided into a 50 μL group (36 cases, 4 cases dropped off), a 100 μL group (36 cases, 2 cases dropped off) and a western medication group (36 cases, 5 cases dropped off). The patients in the western medication group were treated with levofloxacin eye drops and levofloxacin hydrochloride eye gel. Based on the treatment of the western medication group, the patients in the 50 μL group were treated with 50 μL bloodletting (about 3 drops) at tip of ear while the patients in the 100 μL group were treated with 100 μL bloodletting (about 6 drops) at tip of ear; the bloodletting was given once a day for 3 days. After treatment, the changes of visual analogue scale (VAS) and clinical effect were observed, and the patients were followed up by telephone on the 8th day.
After treatment, the VAS score in each group was reduced (<0.01), and the score in the 50 μL group and 100 μL group was lower than that in the western medication group (<0.05, <0.01), and the score in the 100 μL group was lower than that in the 50 μL group (<0.05). After treatment, the cured rate was 76.5% (26/34) in the 100 μL group, 71.9% (23/32) in the 50 μL group and 51.6% (16/31) in the western medication group, and there were no significant differences among three groups (>0.05). One week after the onset of the disease, all the patients in the 50 μL group and 100 μL group were cured, and one patient in the western medication group was not cured, and treated with routine surgery.
Based on the conventional western medication treatment, bloodletting at tip of ear can significantly reduce the pain of stye, and the effect of 100 μL bleeding is better than 50 μL.
比较不同出血量耳尖放血联合西药与单纯西药治疗早期麦粒肿的疗效。
将108例早期麦粒肿患者随机分为50μL组（36例，脱落4例）、100μL组（36例，脱落2例）和西药组（36例，脱落5例）。西药组患者用左氧氟沙星滴眼液和盐酸左氧氟沙星眼用凝胶治疗。在西药组治疗的基础上，50μL组患者于耳尖放血50μL（约3滴），100μL组患者于耳尖放血100μL（约6滴）；每天放血1次，共3天。治疗后，观察视觉模拟评分（VAS）变化及临床疗效，并于第8天进行电话随访。
治疗后，各组VAS评分均降低（<0.01），50μL组和100μL组评分低于西药组（<0.05，<0.01），100μL组评分低于50μL组（<0.05）。治疗后，100μL组治愈率为76.5%（26/34），50μL组为71.9%（23/32），西药组为51.6%（16/31），三组间差异无统计学意义（>0.05）。发病1周后，50μL组和100μL组所有患者均治愈，西药组1例患者未治愈，行常规手术治疗。
在常规西药治疗基础上，耳尖放血可显著减轻麦粒肿疼痛，100μL放血效果优于50μL。
