新生儿泪囊炎的治疗时机与方法

The therapy opportunity and method of dacryocystitis neonatorum

目的探讨新生儿泪囊炎的最佳治疗时机和方法。方法回顾性分析2005年6月～2009年5月在新郑市辛店镇中心卫生院眼科门诊就诊的94例105眼新生儿泪囊炎患儿,其中男56例62眼(59.05%),女38例43眼(40.95%),年龄1～14个月,平均(4.25±1.03)个月。治疗方法包括抗生素眼液点眼、按摩泪囊区、冲洗泪道及探通冲洗泪道。结果药物治疗1周及泪道冲洗1次无效后,年龄大于1个月,经患儿家属知情同意,给予泪道探通术。经泪道探通治疗后,新生儿泪囊炎治愈率为93.33%。小于6个月的患儿治疗效果较大于6个月的患儿要好,差异有统计学意义。结论新生儿泪囊炎一旦发现,短期保守治疗无效即可行泪道探通治疗,泪道探通术是治疗新生儿泪囊炎安全有效的方法。

Objective To discuss the dacryocystitis neonatorum＇s best therapy opportunity and the method. Methods Retrospective analysis： 94 dacryocystitis neonatorom babies, 105 eyes in all, 56 males, 62 eyes （ 59.05 % ）, 38 females 43 eyes （40.95%） ,age 1 - 14 months,average （4.25 ＋ 1.03 ） months of the total,durlng June 2005 to May 2009 in Xinzheng Xindian town health center ophthalmology department outpatient service. The therapy device include the utilization of antibiotic eye drops, the massage of lacrimal sac area, the irrigation of lacrimal passage and the probing of lacrimal passage. Results If it is ineffective after drug treatment or the irrigation of lacrimal passage, we can confer the probing of lacrimal passage among the babies who aged older than one month. Through the probing of lacrimal passage, the cure rate achieves 93.33%. The therapeutic effect who younger than six months is better than who older than six months, they had significant difference . Conclusion Oneethe daeryoeystitis neonatorum was discovered,the probing of lacrimal passage is the safe and valid mode.