首页|聚乙二醇滴眼液联合睑板腺按摩治疗白内障超声乳化术后睑板腺功能障碍型干眼症患者的临床效果观察

聚乙二醇滴眼液联合睑板腺按摩治疗白内障超声乳化术后睑板腺功能障碍型干眼症患者的临床效果观察

扫码查看
目的 探讨聚乙二醇滴眼液、睑板腺按摩联合治疗对白内障超声乳化术后睑板腺功能障碍型干眼症患者的效果.方法 选取 2022 年 5 月—2023年9 月就诊于我院的 80 例白内障超声乳化术后睑板腺功能障碍型干眼症患者为研究对象,采用随机数字表法将其分为对照组和观察组,各 40 例.对照组采用聚乙二醇滴眼液治疗,观察组使用聚乙二醇滴眼液的同时增加睑板腺按摩,持续治疗2 个月.对比两组临床疗效、泪液分泌长度及泪膜破裂时间、角膜荧光素染色评分及干眼严重程度.结果 观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗前,两组泪液分泌量、泪膜破裂时间、角膜荧光素染色评分及眼表疾病指数量表(OSDI)评分比较,组间差异无统计学意义(P>0.05).治疗后,观察组每 5 min泪液分泌长度(15.27±3.05)mm、泪膜破裂时间(13.23±2.27)s均长于对照组,角膜荧光素染色评分(1.91±0.17)分、OSDI评分(26.71±5.53)分均低于对照组,组间差异有统计学意义(P<0.05).结论 白内障超声乳化术后睑板腺功能障碍型干眼症患者采用聚乙二醇滴眼液联合睑板腺按摩治疗,可增加泪液分泌量,延长泪膜破裂时间,增加角膜健康度,进而有效降低干眼严重程度.
Clinical Effect of Polyethylene Glycol Eye Drops Combined with Meibomian Gland Massage in Patients with Dry Eye with Eyelid Gland Dysfunction after Phacoemulsification
Objective To explore the effect of polyethylene glycol eye drops and meibomian gland massage in patients with dry eye after phacoemulsification.Methods 80 patients with meibomian gland dysfunction type dry eye syndrome after cataract phacoemulsification who visited our hospital from May 2022 to September 2023 were selected as the study objects and divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group used polyethylene glycol eyes drops alone,and the observation group was treated with continuous treatment for 2 months.The clinical efficacy,length of tear secretion and time of tear film rupture,corneal fluorescein staining score and dry eye severity were compared between the control group and the observation group.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference between the two groups in terms of tear secretion,tear film rupture time,corneal fluorescence staining score,and Ocular Surface Disease Index(OSDI)score(P>0.05).After treatment,the tear secretion length(15.27±3.05)mm every 5 minutes and tear film rupture time(13.23±2.27)s in the observation group were longer than those in the control group,the corneal fluorescence staining score(1.91±0.17)points and OSDI score(26.71±5.53)points were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Dry eye treatment after cataract phacoemulsification combined with eyelid gland massage can increase the amount of tear secretion,prolong the rupture time of tear film,increase the corneal health,and then effectively reduce the severity of dry eyes.

Meibomian gland dysfunctionDry eyePhacoemulsification after cataractMeibomian gland massagePolyethylene glycol eye dropsClinical efficacy

刘文、曹静文、王雪

展开 >

聊城市人民医院眼科,山东聊城 252000

山东第一医科大学眼科,山东济南 250000

睑板腺功能障碍 干眼症 白内障超声乳化术后 睑板腺按摩 聚乙二醇滴眼液 临床疗效

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(5)
  • 10