Study On The Application Effect Of Traditional Chinese Medicine Hot Package Combined With Umbilical Moxibustion In Patients With Dry Eye Of Lung Yin Deficiency Type

Objective:Based on the basic theory of traditional Chinese medicine and the operation of traditional Chinese medicine nursing technology,this study used traditional Chinese medicine hot pack combined with umbilical moxibustion therapy to carry out traditional Chinese medicine nursing intervention for patients with dry eye syndrome of lung yin deficiency.To observe and explore the specific application effect of traditional Chinese medicine hot pack hot compress,umbilical moxibustion therapy,traditional Chinese medicine hot pack combined with umbilical moxibustion therapy,and to provide a strong reference basis and data support for the formulation and innovation of clinical nursing measures.Methods:1.From October 2021 to December 2022,patients with dry eye who were treated in the ophthalmology department of a top three hospital in Guangxi were selected as the research objects.According to the inclusion and exclusion criteria,99 patients with dry eye of lung yin deficiency type were selected and divided into A,B and C according to the random number table method.2.Three groups of patients were given routine ophthalmic treatment and nursing:1Artificial tear drops:sodium hyaluronate eye drops,2drops/time,4times/d;2Health education and safety education were conducted on the first day of treatment.On the basis of routine treatment and nursing,group A was treated with traditional Chinese medicine hot compress,group B was treated with umbilical moxibustion,and group C was treated with traditional Chinese medicine hot compress combined with umbilical moxibustion.Chinese medicine hot pack is mainly hot compress around the eyes,once a day,30 minutes each time,6 days for a course of treatment,a total of four courses;the umbilical moxibustion therapy takes Shenque point as the main point,once every three days,60 minutes each time,6days as a course of treatment,a total of four courses.3.Before and after 4 courses of intervention,the tear secretion test(SIT),tear film rupture time(BUT),corneal fluorescein staining(FL),ocular surface disease index(OSDI)and TCM syndrome scores of the three groups were observed and recorded,and the efficacy of the three groups after 4 courses of intervention was evaluated.4.SPSS26.0 statistical software was used for double entry data and statistical analysis.The measurement data conforming to normal distribution were expressed as(x ±s).One-way analysis of variance was used for comparison between groups,and paired sample t test was used before and after intervention in the group.For the measurement data that do not meet the normal distribution,the median(25th,75th)is used,and the nonparametric test is used.The count data were expressed by frequency or composition ratio,and the X~2 test was used.The rank data were tested by nonparametric rank sum test.The test level α=0.05,when P<0.05,the difference was statistically significant.Results:1.Finally,each group was included in this study:33 cases in group A,32 cases in group B,32 cases in group C,a total of 97 cases,194 eyes.There was no significant difference in gender,age,course of disease,education level,number of combined diseases,monthly income,payment method of medical expenses,place of residence and other general data among the three groups(P>0.05),so there was comparability among the three groups.2.There was no significant difference in BUT,SIT,FL,OSDI and TCM syndromes among the three groups before intervention(P>0.05).After intervention,the BUT,SIT,FL,OSDI and TCM syndromes of the three groups were better than before,and the difference was statistically significant(P<0.05).3.After four courses of treatment,the three groups of patients were compared in pairs.There was no significant difference in BUT,SIT,FL and TCM syndromes between group A and group B(P>0.05),and the difference in OSDI was statistically significant(P<0.05).There were significant differences in BUT,SIT,FL,OSDI and TCM syndromes between group C and group A(P<0.05).There were significant differences in BUT,SIT,FL,OSDI and TCM syndromes between group C and group B(P<0.05).4.After four courses of intervention,the overall intervention efficiency of the three groups was statistically significant(P>0.05).The difference between group C and group A was statistically significant(P<0.05).The difference between group C and group B was statistically significant(P<0.05).Conclusions:1.Traditional Chinese medicine hot package,umbilical moxibustion therapy,traditional Chinese medicine hot package combined with umbilical moxibustion therapy have certain curative effect in the treatment of dry eye syndrome of lung yin deficiency type.2.Traditional Chinese medicine hot pack combined with umbilical moxibustion therapy can inhibit ocular surface inflammation,promote tear secretion,prolong tear film rupture time,relieve patients ’ symptoms such as dryness,photophobia,distending pain,foreign body sensation and blurred vision,and reduce the trouble caused by dry eye syndrome.3.The traditional Chinese medicine hot package combined with umbilical moxibustion therapy belongs to the traditional Chinese medicine nursing technology.It is a non-invasive operation,safe,effective,simple,and has high patient cooperation.It has good clinical application value.