改良睑板腺针刺疏通法治疗早期急性睑板腺炎的效果观察

Efficacy of modified meibomian gland acupuncture dredging method for early acute meibomian gland inflammation

目的观察改良睑板腺管针刺疏通法治疗早期急性睑板腺炎的效果。设计前瞻性比较性病例系列。研究对象2015年3月至2017年8月福建医科大学附属第二医院105例早期急性睑板腺炎患者。方法按就诊单双日随机分为针刺组(56例)和对照组(49例)。每组根据症状轻重和有无扩散分为重组和轻组。针刺组中重组31例、轻组25例;对照组中重组28例、轻组21例。针刺组采用改良睑板腺管针刺疏通法治疗,即梅花针从化脓的睑板腺(通常1~3个)腺管开口垂直缓慢刺入3~4 mm排脓。轻组配合改良睑板腺压榨法挤压,重组只轻轻按摩挤压,疏通开放睑板腺开口。对照组采用常规的保守治疗。平均随访时间(6.50±3.84)天。主要指标治愈率。结果针刺组总治愈率(92.86%)明显高于对照组(67.35%)(P=0.000)。轻组治愈率针刺组(96.00%)高于对照组(80.95%)(P=0.04);重组治愈率针刺组(90.32%)高于对照组(57.14%)(P=0.000)。针刺组病程(5.0±2.98)天,优于对照组的(8.4±3.86)天。针刺组的手术率(轻组4.00%、重组9.68%)均低于对照组(轻组23.81%、重组42.86%)(P均<0.05)。结论采用改良睑板腺管针刺疏通法对早期急性化脓性睑腺炎能有效地对睑板腺腺管进行疏通排脓,缩短病程,减少手术切开率。

Objective To observe the efficacy of modified meibomian gland tube acupuncture dredging method for early acute meibomian adenoiditis.Design Prospective comparative case series.Participants 105 patients with early acute syringopsitis in Second Hospital affiliated to Fujian Medical University from March 2015 to August 2017.Methods Patients were randomly divided into treatment group(56 cases)and control group(49 cases).Patients were also divided into severe and mild subgroup according to the severity of symptoms and degree of diffusion.There were 31 severe cases and 25 mild cases in treatment group,and 28 severe cases and 21 mild cases in control group.The treatment group was treated with modified meibomian gland tube acupuncture dredging method.The control group was treated with conventional conservative method.The mean follow-up time was(6.50±3.84)days.Main Outcome Measures Cure rate.Results The total cure rate in treatment group was 92.86%,significantly higher than that of control group(67.35%)(P=0.000).In mild patients,the cure rate of treatment group(96.00%)was higher than that of control group(80.95%)(P=0.04).In severe patients,the cure rate of treatment group(90.32%)was higher than that of control group(57.14%)(P=0.000).The duration of disease in treatment group was(5.0±2.98)days and(8.4±3.86)days in control group.The surgical rates(4.00%,9.68%of mild and severe patients)in treatment group were lower than those of the control group(23.81%,42.86%of mild and severe patients)(all P<0.05).Conclusions The modified meibomian gland tube acupuncture dredging method can effectively dredge meibomian gland tube in early acute meibomian adenoiditis,and shorten the course of disease,decrease the surgical rate.