目的：探究杞菊地黄汤联合玻璃酸钠滴眼液治疗白内障术后干眼疗效。

方法：选择我院2018-01/2020-01收治的120例白内障术后干眼患者，随机分组为对照组和观察组各60例，对照组单纯应用玻璃酸钠滴眼液治疗，观察组应用杞菊地黄汤联合玻璃酸钠滴眼液治疗，均治疗1mo，比较两组患者临床疗效、中医证候积分、泪膜破裂时间(BUT)、泪液分泌试验(SⅠt)、角膜荧光素染色(FL)及生活质量\〖美国国家眼科研究所视觉相关生存质量量表(NEI-VFQ-25)\〗差异。

结果：经治疗，观察组和对照组患者治疗总有效率为93%、75%(P<0.05)； 治疗1mo后，两组患者中医证候积分(眼干涩、异物感、畏光、视物不清)、BUT、SⅠt、FL水平较治疗前均改善，且观察组治疗后的各项中医证候积分低于对照组，BUT时间长于对照组， SⅠt水平高于对照组，FL评分低于对照组(均P<0.05)； 随访3mo，两组患者NEI-VFQ-25(一般健康状况、活动障碍、视力障碍)评分较治疗前均升高，且观察组随访3mo的NEI-VFQ-25各部分评分高于对照组(P<0.05)。

结论：杞菊地黄汤联合玻璃酸钠滴眼液治疗白内障术后干眼疗效确切，能够有效缓解患者眼部不适症状，改善泪膜功能，提高患者生活质量。

METHODS: A total of 120 patients with xerophthalmia after cataract surgery admitted to our hospital were selected between January 2018 and January 2020, and randomly divided into control group and observation group, with 60 cases in each group. The control group was treated with sodium hyaluronate eye drops alone, and the observation group was given Qiju Dihuang decoction combined with sodium hyaluronate eye drops, and they were treated for 1mo. The clinical efficacy, Traditional Chinese Medicine(TCM)syndromes scores, tear film break-up time(BUT), Schirmer Ⅰ test(SⅠt), corneal fluorescein staining(FL)and quality of life \〖25-item National Eye Institute Visual Function Questionnaire(NEI-VFQ-25)\〗were compared between the two groups.

RESULTS:After treatment, the total effective rate of treatment was 93% in observation group and was 75% in control group(P<0.05). After 1mo of treatment, the scores of TCM syndromes(dry eyes, foreign body sensation, photophobia, blurred vision), BUT, SⅠt and FL in the two groups were improved compared with those before treatment, and the TCM syndromes scores after treatment in observation group were lower than those in control group, the BUT time was longer than that in control group, the SⅠt level was higher than that in control group while the FL score was lower than that in control group(all P<0.05). During 3mo of follow-up, the NEI-VFQ-25 scores(general health status, mobility impairment, visual impairment)in the two groups were increased compared with those before treatment, and the scores of dimensions of NEI-VFQ-25 during 3mo of follow-up in observation group were higher than those in control group(P<0.05).

CONCLUSION: Qiju Dihuang decoction combined with sodium hyaluronate eye drops has exact efficacy in treating xerophthalmia after cataract surgery, and it can effectively alleviate the symptoms of ocular discomfort, improve tear film function, and promote the quality of life of patients.