中药熏眼联合睑板腺按摩治疗睑板腺功能障碍性干眼疗效观察

Herbar fumigation combined with meibomian gland mossage for dye eye with meibomian disfunction

目的探讨中药熏眼联合睑板腺按摩治疗睑板腺功能障碍性干眼疗效观察。方法观察60例（120眼）睑板腺功能障碍性干眼患者，随机分为两组，对照组采用人工泪液点眼，实验组采用中药熏眼联合睑板腺按摩，评价治疗后一月睑板腺阻塞改善情况、泪液分泌试验、泪膜破裂时间及角膜荧光染色改善情况。结果实验组脸板腺阻塞改善情况、泪液分泌试验、泪膜破裂时间及角膜荧光染色改善情况均明显优于对照组，两组结果有统计学差异。结论使用中药熏眼联合睑板腺按摩可以充分扩张睑板腺开口，同时促进睑板腺脂质分泌和排出，从而达到改善泪膜脂质层缺乏状况，减轻和改善干眼症状。

Objective To observe the effection study of traditional Chinese medicine fumigation combined with meibomian gland massage treatment of meibomian gland dysfunction dry eye. Methods Observation of 60 cases（120 eyes）of meibomian gland dysfunction dry eye patients, Randomly divided into two groups, The control group used artificial tears, experimental group were treated with traditional Chinese medicine fumigation combined with eye meibomian gland massage. Results After treatment of meibomian gland obstruction, Schirmer test, tear break-up time and corneal fluorescein staining were improved. Conclusion The meibomian gland massage with herbal can fully dilated meibomian gland orifices, and promote the secretion and discharge of meibomian gland lipid,so as to improve the situation of lack of tear lipid layer,alleviate and improve the symptoms of dry eye.