Clinical Observation Of Shallow-needle Combined With Latanoprost In The Treatment Of Primary Open-angle Glaucoma Due To Qi Stagnation And Fire Syndrome

Objectives:Through clinical observation,compare the clinical efficacy of shallow needle combined with latanoprost eye drops and pure latanoprost eye drops in the treatment of primary open-angle glaucoma due to qi-stagnation and fire syndrome.To explore the superiority of the above two methods and provide new ideas for the clinic.Methods:From January to December 2019,I chose to Treatment the ophthalmology clinic or acupuncture clinic of the Second People's Hospital of Fujian University of Traditional Chinese Medicine.A total of 42 patients(80 eyes)(4 patients with monocular disease and 38 patients with binocular disease).The patients were randomly divided into two groups: the experimental group(shallow needle+latanoprost eye drops)and the control group(latanoprost eye drops),21 patients in each group(40 eyes).Both groups were used regularly Latanoprost eye drops,1 drop every night before bed(about 0.1ml)of eyes,two weeks as a course of treatment,were treated in three cycles;the test group was treated with shallow needle on the basis of the control group.Main acupuncture: jingming,qiuhou,taiyang,chengqi(If the disease occurs in one eye,take the affected side,and if the disease occurs in both eyes,take both sides),Match point: Taichong(both sides),xingjian(both sides),once a day,2 weeks as a course of treatment,for a total of 3 sessions.The intraocular pressure,the best corrected visual acuity,the average visual field defect,and the TCM syndrome scores of the two groups of subjects were measured and recorded before and after the third course of treatment,and the efficacy was evaluated after all the courses of treatment were completed.All data statistical analysis was processed by SPSS20.0 software.Results:1.There was no statistically significant difference in IOP,BCVA,MD and TCM syndrome scores between the two groups before treatment(P>0.05)2.IOP: After treatment,the intraocular pressure in the experimental group and the control group decreased compared with that before treatment,the difference was statistically significant(P<0.05);and after treatment,the intraocular pressure in the experimental group was better than that in the control group,the difference was statistically significant(P<0.05).3.MD: After treatment,0n improving MD in the experimental group and the control group compared with that before treatment,the difference was no statistically significant(P>0.05);and after treatment,there was no significant difference in MD between the experimental group and the control group(P>0.05).4.BCVA: After treatment,0n improving BCVA in the experimental group and the control group compared with that before treatment,the difference was no statistically significant(P>0.05);and after treatment,there was no significant difference in BCVA between the experimental group and the control group(P> 0.05).5.TCM Syndrome Score Scale: After treatment,the scores of TCM syndromes in the experimental group and the control group decreased compared with that before treatment,with statistical significance(P<0.05);and after treatment,the scores of TCM syndromes in the experimental group were better than those in the control group,with statistical significance(P<0.05)6.Comparison of clinical efficacy evaluation of traditional Chinese medicine:The clinical efficiency of the experimental group was 84.21% and that of the control group was70.00%.The difference between the two groups was statistically significant(P<0.05).Conclusions:1.The two treatment methods in the experimental group and the control group are effective in reducing intraocular pressure,and the test group is more effective;in improving BCVA and MD of patients with primary open-angle glaucoma due to qi depression and fire syndrome.No obvious effect on the above.2.The experimental group and the control group have both effects in improving the scores of the TCM syndrome score of patients with primary open-angle glaucoma due to qi stagnation and fire syndrome,and theexperimental group is better than the control group.3.Shallow acupuncture combined with latanoprost eye drops improved the effectiveness of clinical treatment of traditional Chinese medicine in patients with primary open-angle glaucoma due to qi stagnation and fire syndrome.