睑板腺按摩联合中药雾化熏眼对脂质型干眼症患者的影响

Effect of meibomian gland massage combined with Chinese herbal atomization fumigation on patients with lipid dry eye disease

目的探讨睑板腺按摩联合中药雾化熏眼对脂质型干眼症患者的影响效果。方法选取2016年4月~2017年4月在该院就诊的干眼症患者240例,随机分为对照组和观察组,每组120例。对照组采用人工泪液药物和病因对症治疗,观察组在此基础上给予睑板腺按摩联合中药雾化熏眼。两组患者实验开始和治疗结束后3个月进行泪膜破裂时间测定(BUT)、基础泪液分泌实验(SIT)和角膜荧光染色(FL)、睑板腺及其分泌物等指标检查并进行比较。结果行睑板腺按摩联合中药雾化熏眼的观察组较对照组在BUT、SIT、FL、睑板腺形态及其分泌物等改善方面效果更显著,差异均有统计学意义(均P<0.05)。结论睑板腺按摩结合中药雾化熏眼对脂质型干眼症患者具有显著作用。

Objective To investigate the effect of meibomian gland massage combined with Chinese herbal atomization fumigation on patients with lipid dry eye disease. Methods A total of 240 cases of xerophthalmia patients admitted to this hospital from April 2016 to April 2017 were selected and randomly divided into control group and observation group, with each group containing 120 cases.The control group was treated with artificial tear drugs and etiology, and the observation group was given meibomian gland massage combined with traditional Chinese medicine atomization fumigation.Tear film rupture time (BUT), basic tear secretion test (SIT), fluorescence staining of cornea (FL), meibomain gland and secretion were examined and compared in the two groups 3 months after the beginning of the experiment and the end of treatment. Results Compared with the control group, the effect of meibomian gland massage combined with traditional Chinese medicine atomized fumigation was more significant in BUT、SIT and FL, meibomian gland morphology and secretion improvement, and the differences were statistically significant(P<0.05). Conclusions Meibomian gland massage combined with traditional Chinese medicine atomization fumigation has significant effect on patients with lipid dry eye disease.