CAJ | 학술논문

目的了解自行睑板腺按摩与门诊行睑板腺疏通治疗伴睑板腺功能异常的青年干眼患者的疗效.方法选取伴睑板腺功能异常的青年干眼患者48例,按患者意愿分为两组,其中28例给予自行睑板腺按摩的方法指导(自行按摩组),每次10 min,每天3次,4周后复诊.20例于眼科门诊由医生表面麻醉下行睑板腺疏通(疏通组),2,4周后复诊时再疏通,共3次.所有患者均进行相关的健康教育,所有患者于治疗前及治疗4周后行Schirmer Ⅰ试验(SⅠt),泪膜破裂时间(BUT),角膜荧光素染色(CFL)检查,并进行比较.结果两组治疗前BUT、SⅠt、CFL比较差异均无统计学意义(P＞0.05),两组治疗4周后就诊时均诉眼部症状得到了明显改善,两组治疗前和治疗4周后BUT、CFL比较差异有统计学意义(P＜0.05).但两组治疗4周后SⅠt、BUT、CFL比较差异无统计学意义(P＞0.05).结论伴睑板腺功能异常的青年干眼患者如能正确地自行睑板腺按摩亦可达到有效缓解干眼及改善眼部不适症状的目的.
목적 료해자행검판선안마여문진행검판선소통치료반검판선공능이상적청년간안환자적료효.방법 선취반검판선공능이상적청년간안환자48례,안환자의원분위량조,기중28례급여자행검판선안마적방법지도(자행안마조),매차10 min,매천3차,4주후복진.20례우안과문진유의생표면마취하행검판선소통(소통조),2,4주후복진시재소통,공3차.소유환자균진행상관적건강교육,소유환자우치료전급치료4주후행Schirmer Ⅰ시험(SⅠt),루막파렬시간(BUT),각막형광소염색(CFL)검사,병진행비교.결과 량조치료전BUT、SⅠt、CFL비교차이균무통계학의의(P＞0.05),량조치료4주후취진시균소안부증상득도료명현개선,량조치료전화치료4주후BUT、CFL비교차이유통계학의의(P＜0.05).단량조치료4주후SⅠt、BUT、CFL비교차이무통계학의의(P＞0.05).결론 반검판선공능이상적청년간안환자여능정학지자행검판선안마역가체도유효완해간안급개선안부불괄증상적목적.
Objective To understand the efficacy of meibomian gland compression by themselves and outpatient meibomian gland dredge treatment with dry eye young patients of meibomian gland dysfunction.Methods Selected 48 young patients with dry eye of meibomian gland dysfunction,patients were divided into two groups according to the wishes,28 patients were given method guidance of meibomian gland compression by themselves (compression group),every 10 minutes,three times a day,4 weeks after the referral.Other 20 cases meibomian gland dredge by a doctor at the eye clinic performed under anesthesia (dredge group),2 weeks,4 weeks after the referral and then dredge,3 times.All patients were given to health education,all patients before treatment and after treatment for 4 weeks underwent Schirmer Ⅰ test (S Ⅰ t),tear film breakup time (BUT),corneal fluorescein staining (CFL) examination and compared.Results The level of BUT,S Ⅰ t,CFL before treatment in two groups had no significant difference (P ＞ 0.05).After treatment for 4 weeks,eye symptom had improved in two groups.The level of BUT,CFL before and after treatment for 4 weeks in two groups had significant difference (P ＜ 0.05).But the level of S Ⅰ t,BUT,CFL after treatment for 4 weeks between two groups had no significant difference (P ＞ 0.05).Conclusion Dry eye young patients of meibomian gland dysfunction if they can correctly perform meibomian gland compression by themselves can also be reached effectively alleviate dry eye and ocular discomfort symptom improvement purposes.