中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
6期
653-654
,共2页
睑板腺%开口阻塞%睑板腺压榨%眼睑
瞼闆腺%開口阻塞%瞼闆腺壓榨%眼瞼
검판선%개구조새%검판선압자%안검
Meibomian glands%Orifice occlusion%Meibomian gland compression%Eyelids
目的 观察睑板腺压榨治疗睑板腺开口阻塞伴眼表面不适的疗效和睑板腺分泌物的细胞组成.方法 选择2006年1-8月就诊于我科门诊的28例睑板腺开口阻塞伴眼表面不适患者(睑板腺积分均≥3分),对所有患者行睑板腺压榨治疗,以国际眼表面疾病指数(OSDI)积分法等评价其疗效.结果 治疗后大部分患者睑板腺开口变为通畅,眼部不适明显缓解;睑板腺积分治疗前为(3.9±1.0)分,治疗后为(1.2±0.8)分,差异有统计学意义(P＜0.05);OSDI积分治疗前为(47.9±12.9)分,治疗后为(12.1±4.1)分,差异有统计学意义(P＜0.05);治疗后2例于次日出现结膜下出血,8例出现眼分泌物增多;26例睑板腺分泌物涂片见少量上皮细胞,2例涂片见多量中性粒细胞和少量上皮细胞.结论 睑板腺开口阻塞是引起眼表面不适的重要原因之一,睑板腺压榨是有效的治疗措施,这种治疗措施对于缓解症状、提高睑板腺分泌作用明显;小部分睑板腺开口阻塞可能与感染和炎症有关.
目的 觀察瞼闆腺壓榨治療瞼闆腺開口阻塞伴眼錶麵不適的療效和瞼闆腺分泌物的細胞組成.方法 選擇2006年1-8月就診于我科門診的28例瞼闆腺開口阻塞伴眼錶麵不適患者(瞼闆腺積分均≥3分),對所有患者行瞼闆腺壓榨治療,以國際眼錶麵疾病指數(OSDI)積分法等評價其療效.結果 治療後大部分患者瞼闆腺開口變為通暢,眼部不適明顯緩解;瞼闆腺積分治療前為(3.9±1.0)分,治療後為(1.2±0.8)分,差異有統計學意義(P＜0.05);OSDI積分治療前為(47.9±12.9)分,治療後為(12.1±4.1)分,差異有統計學意義(P＜0.05);治療後2例于次日齣現結膜下齣血,8例齣現眼分泌物增多;26例瞼闆腺分泌物塗片見少量上皮細胞,2例塗片見多量中性粒細胞和少量上皮細胞.結論 瞼闆腺開口阻塞是引起眼錶麵不適的重要原因之一,瞼闆腺壓榨是有效的治療措施,這種治療措施對于緩解癥狀、提高瞼闆腺分泌作用明顯;小部分瞼闆腺開口阻塞可能與感染和炎癥有關.
목적 관찰검판선압자치료검판선개구조새반안표면불괄적료효화검판선분비물적세포조성.방법 선택2006년1-8월취진우아과문진적28례검판선개구조새반안표면불괄환자(검판선적분균≥3분),대소유환자행검판선압자치료,이국제안표면질병지수(OSDI)적분법등평개기료효.결과 치료후대부분환자검판선개구변위통창,안부불괄명현완해;검판선적분치료전위(3.9±1.0)분,치료후위(1.2±0.8)분,차이유통계학의의(P＜0.05);OSDI적분치료전위(47.9±12.9)분,치료후위(12.1±4.1)분,차이유통계학의의(P＜0.05);치료후2례우차일출현결막하출혈,8례출현안분비물증다;26례검판선분비물도편견소량상피세포,2례도편견다량중성립세포화소량상피세포.결론 검판선개구조새시인기안표면불괄적중요원인지일,검판선압자시유효적치료조시,저충치료조시대우완해증상、제고검판선분비작용명현;소부분검판선개구조새가능여감염화염증유관.
Objective To observe the therapeutic effect of meibomian gland compression in treatment of meibomian gland orifice occlusion complicated by ocular surface discomfort and the cell composition of meibomian gland secretions.Methods Twenty eight outpatients with meibomian gland orifice occlusion complicated by ocular discomfort (meibomian score≥3) were treated with Meibomian gland compression,and Ocular Surface Disease Index (OSDI) was used to evaluate its therapeutic effect.Results Meibomian gland openings became unobstructed and discomfort was improved obviously.Meibomian gland score was 3.9±1.0 before treatment and 1.2±0.8 after,the difference was significant (P＜0.05).OSDI score was 47.9±12.9 before treatment and 12.1±4.1 after,the difference was significant (P＜0.05).After treatment,subconjunctival hemorrhage occurred in 2 patients and eye discharge increased in 8 on the next day.A small number of epithelial cells were seen in 26 patients and a large number of neutrophils and a small number of epithelial cells in 2 on meibomian gland secretion smears.Conclusion Meibomina gland orifice occlusion is a major cause for ocular discomfort.Meibomian gland compression,having obvious effect in alleviating the symptoms and improving secretion of meibomian gland,is an effective treatment.Infection and inflammation may be involved in some meibomian gland orifice obstructions.
