CAJ | 학술논문

目的：观察综合治疗睑板腺功能障碍性干眼的疗效。 　　方法：选择本院睑板腺功能障碍性干眼患者86例172眼,给予泪膜破裂时间测定、角膜染色及分级,以及通过红外线睑板腺分析仪、睑板腺挤压试验,分别观察睑板腺腺体缺失评分及睑板腺分泌物性状评分等方法明确诊断后,在不同阶段采取综合治疗后(综合治疗包括清洁、热敷、按摩联合妥布霉素地塞米松眼液、普拉洛芬滴眼液和聚乙二醇滴眼液等),对其治疗的有效性进行评定分析。 　　结果：对86例172眼患者经治疗3 wk时进行观察,其中46例92眼治愈,29例58眼有效,11例22眼无效,总有效率87.2%。治疗6 wk时观察,其中68例136眼治愈,13例26眼有效,5例10眼无效,总有效率94.2%,治疗过程中未出现眼部及全身不良反应。 　　结论：采取综合治疗睑板腺功能障碍性干眼,可有效缩短病程,快速解除睑板腺管阻塞,恢复睑板腺分泌功能及泪膜脂质层的稳定性,积极有效的减轻了患者干眼症状的不适感。
목적：관찰종합치료검판선공능장애성간안적료효。 　　방법：선택본원검판선공능장애성간안환자86례172안,급여루막파렬시간측정、각막염색급분급,이급통과홍외선검판선분석의、검판선제압시험,분별관찰검판선선체결실평분급검판선분비물성상평분등방법명학진단후,재불동계단채취종합치료후(종합치료포괄청길、열부、안마연합타포매소지새미송안액、보랍락분적안액화취을이순적안액등),대기치료적유효성진행평정분석。 　　결과：대86례172안환자경치료3 wk시진행관찰,기중46례92안치유,29례58안유효,11례22안무효,총유효솔87.2%。치료6 wk시관찰,기중68례136안치유,13례26안유효,5례10안무효,총유효솔94.2%,치료과정중미출현안부급전신불량반응。 　　결론：채취종합치료검판선공능장애성간안,가유효축단병정,쾌속해제검판선관조새,회복검판선분비공능급루막지질층적은정성,적겁유효적감경료환자간안증상적불괄감。
AlM: To demonstrate the effect of comprehensive treatments for meibomian gland dysfunctional dry eye. METHODS:Totally, 86 cases (172 eyes) in our hospital, who suffered from meibomian gland dysfunctional dry eye, were measured by BUT, CFS, the machine of infrared meibomian gland function and testing meibomian gland after extrusion. The scores of meibomian gland function missing and secretions were observed, which as a diagnosis, and assessed the effectiveness of treatment, after took comprehensive treatments in different stages ( comprehensive treatments including cleaning, hot covering, massaging, TobraDex, Pranoprofen and Lubricant, etc. ) . RESULTS:All patients were treated and observed for 3wk, in which 46 cases (92 eyes) of cured, 29 cases (58 eyes) effective, 11 cases (22 eyes) ineffective, the total effective rate was 87. 2%. After 6wk, 68 cases (136 eyes) of cured, 13 cases (26 eyes) effective, 5 cases (10 eyes) ineffective, the total effective rate was 94. 2%, not appeared adverse ocular and systemic reactions in the process of treatment. CONCLUSlON: Taken comprehensive treatments for meibomian gland dysfunctional dry eye could effectively shorten the course of the disease, quickly remove meibomian gland tube obstruction, restore the meibomian gland secretion and stable the lipid layer, and could reduce the discomfort of patients with dry eye positively and effectively.