临床医药实践
臨床醫藥實踐
림상의약실천
PROCEEDING OF CLINICAL MEDICINE
2015年
4期
243-245
,共3页
干眼%睑板腺功能异常%改良睑板腺疏通
榦眼%瞼闆腺功能異常%改良瞼闆腺疏通
간안%검판선공능이상%개량검판선소통
dry eye%meibomian gland dysfunction%modified meibomian gland dredge
目的：了解聚乙二醇滴眼液联合改良睑板腺疏通治疗青年睑板腺功能异常患者干眼的疗效。方法：选取青年睑板腺功能异常伴干眼患者46例92眼，随机分为两组，其中治疗组23例给予聚乙二醇滴眼液联合改良睑板腺疏通治疗，进行改良睑板腺疏通方法的指导，回家自行睑板腺疏通，每天3次。对照组23例单纯给予聚乙二醇滴眼液。两组聚乙二醇滴眼液均每天4次，连续治疗4周后复查。记录两组治疗前、后schirmerⅠ试验（ sⅠt）、泪膜破裂时间（BUT）、角膜荧光素染色（CFL）情况。结果：两组治疗前后BUT、CFL差异均有统计学意义（P<0.05）。两组治疗前后sⅠt稍有改善，但差异无统计学意义（P>0.05）。治疗后两组BUT，CFL比较，差异有统计学意义（P<0.05）。结论：聚乙二醇滴眼液联合改良睑板腺疏通对青年睑板腺功能异常患者干眼具有明显疗效，且改良睑板腺疏通操作简便，掌握方法后可以自行疏通。
目的：瞭解聚乙二醇滴眼液聯閤改良瞼闆腺疏通治療青年瞼闆腺功能異常患者榦眼的療效。方法：選取青年瞼闆腺功能異常伴榦眼患者46例92眼，隨機分為兩組，其中治療組23例給予聚乙二醇滴眼液聯閤改良瞼闆腺疏通治療，進行改良瞼闆腺疏通方法的指導，迴傢自行瞼闆腺疏通，每天3次。對照組23例單純給予聚乙二醇滴眼液。兩組聚乙二醇滴眼液均每天4次，連續治療4週後複查。記錄兩組治療前、後schirmerⅠ試驗（ sⅠt）、淚膜破裂時間（BUT）、角膜熒光素染色（CFL）情況。結果：兩組治療前後BUT、CFL差異均有統計學意義（P<0.05）。兩組治療前後sⅠt稍有改善，但差異無統計學意義（P>0.05）。治療後兩組BUT，CFL比較，差異有統計學意義（P<0.05）。結論：聚乙二醇滴眼液聯閤改良瞼闆腺疏通對青年瞼闆腺功能異常患者榦眼具有明顯療效，且改良瞼闆腺疏通操作簡便，掌握方法後可以自行疏通。
목적：료해취을이순적안액연합개량검판선소통치료청년검판선공능이상환자간안적료효。방법：선취청년검판선공능이상반간안환자46례92안，수궤분위량조，기중치료조23례급여취을이순적안액연합개량검판선소통치료，진행개량검판선소통방법적지도，회가자행검판선소통，매천3차。대조조23례단순급여취을이순적안액。량조취을이순적안액균매천4차，련속치료4주후복사。기록량조치료전、후schirmerⅠ시험（ sⅠt）、루막파렬시간（BUT）、각막형광소염색（CFL）정황。결과：량조치료전후BUT、CFL차이균유통계학의의（P<0.05）。량조치료전후sⅠt초유개선，단차이무통계학의의（P>0.05）。치료후량조BUT，CFL비교，차이유통계학의의（P<0.05）。결론：취을이순적안액연합개량검판선소통대청년검판선공능이상환자간안구유명현료효，차개량검판선소통조작간편，장악방법후가이자행소통。
Objective:To understand the efficacy of polyethylene glycol drops combined with modified meibomian gland dredge in treatment youth meibomian gland dysfunction with dry eye. Methods:select 92 eyes,from 46 young patients with dry eye associated with meibomian gland dysfunction,were randomly divided into experiment group and control group. 23 patients in experiment group were given polyethylene glycol drops combined with modified meibomian gland dredge,meibomian gland dredging methods were improved guidance,and meibomian gland compression themselves at home,three times a day,four weeks after the referral. Another 23 cases in control group were only given polyethylene glycol drops. Two polyethylene glycol drops were four times a day. The treatment is keep four weeks and review. Record schirmerⅠ test( sⅠt),tear film breakup time( BUT),corneal fluorescein staining( CFL)in the two groups before/after treatment. Results:Before and after treatment, our data showed that there are significant differences in BUT and CFL(P<0. 05). s Ⅰ t was slightly improved after treat-ment,but no significant difference(P>0. 05). There are significant difference in BUT and CFL in the two groups after treat-ment(P<0. 05). Conclusion:Polyethylene glycol drops combined with modified meibomian gland dredge in treatment youth meibomian gland dysfunction with dry eye have significant effects. Morever,modified meibomian gland dredge operation is sim-ple. The patients can dredge by themselves after the master method.
