目的：探究物理疗法治疗蒸发过强型干眼的临床疗效。

方法：选取2018-10/ 2019-04期间在甘肃中医药大学附属医院眼科门诊诊断为蒸发过强型干眼患者70例140眼。将患者随机分为对照组35例70眼给予玻璃酸钠滴眼液治疗，治疗组35例70眼在对照组基础上进行针刺联合中药电离子导入治疗，1次/d，治疗3wk(治疗6d休息1d)。观察治疗前后泪河高度(TMH)、泪膜破裂时间(BUT)、Schirmer I试验(SⅠt)、角膜荧光素染色(FL)。

结果：治疗组和对照组治疗前TMH为0.21(0.15，0.27)、0.21(0.15，0.28)mm，治疗后为0.24(0.21，0.29)、0.23(0.19，0.29)mm。治疗组和对照组治疗前SⅠt为5.00(3.00，7.00)、6.00(4.00，7.00)mm/5min，治疗后为10.00(8.00，12.00)、7.00(6.00，8.00)mm/5min。治疗组和对照组治疗前BUT为2.75(1.38，6.15)、3.25(1.38，5.03)s，治疗后为8.90(6.90，12.85)、 7.15(5.40，9.53)s。治疗组和对照组治疗前FL为4.50(3.00，6.00)、5.00(3.00，6.00)分，治疗后为1.00(0.75，2.00)、3.00(2.00，4.00)分。治疗前治疗组和对照组各指标均无差异(P>0.05)，治疗后两组间各指标比较差异具有统计学意义(P<0.05)。治疗组、对照组治疗前后比较差异具有统计学意义(P<0.05)。

结论：物理疗法在治疗蒸发过强型干眼中具有显著的临床疗效。

METHODS: From October 2018 to April 2019, 70 patients(140 eyes)with evaporative dry eye were diagnosed in the ophthalmology clinic of the Affiliated Hospital of Gansu University of Traditional Chinese Medicine. Randomly divide the patients into 35 cases(70 eyes)in the control group for basic treatment(sodium hyaluronate eye drops), and 35 cases(70 eyes)in the treatment group underwent acupuncture combined with traditional Chinese medicine iontophoresis treatment based on the control group. 1 time/d, treatment 3wk(treatment 6d, rest 1d). Before and after treatment, the tear height(TMH), tear film rupture time(BUT), Schirmer Ⅰ test(SⅠt), and corneal fluorescein staining(FL)were observed.

RESULTS: The pre-treatment data of the TMH treatment group and the control group were 0.21(0.15, 0.27)and 0.21(0.15, 0.28)mm respectively; the postoperative data of the treatment group and the control group were 0.24(0.21, 0.29), 0.23(0.19, 0.29)mm. The comparison between groups was P<0.05. The preoperative data of the SⅠt treatment group and the control group were 5.00(3.00, 7.00)and 6.00(4.00, 7.00)mm/5min respectively; the postoperative data of the treatment group and the control group were 10.00(8.00, 12.00), 7.00(6.00, 8.00)mm/5min. The preoperative data of the BUT treatment group and the control group were 2.75(1.38, 6.15)and 3.25(1.38, 5.03)s respectively; the postoperative data of the treatment group and the control group were 8.90(6.90, 12.85), 7.15(5.40, 9.53)s. The preoperative data of the SⅠt treatment group and the control group were 4.50(3.00, 6.00)and 5.00(3.00, 6.00)min respectively; the postoperative data of the treatment group and the control group were 1.00(0.75, 2.00), 3.00(2.00, 4.00)min, the comparison between groups was P>0.05. Comparison of the data difference between the treatment group and the control group before and after showed that the treatment group had a more significant effect than the control group(P<0.05).

CONCLUSION: Physical therapy has a significant clinical effect in treating dry eyes with excessive evaporation, and it is worthy of clinical recommendation.