Objective:To compare the clinical effect of traditional Chinese medicine fumigation and meibomian gland mas-sage in the treatment of MGD dry eye.Methods:120patients with MGD dry eye treated in our hospital from January 2023to June 2023were randomly divided into four ABCD groups according to the ratio of 1:1:1:1by random number table.Group A was treated with hot compress followed by meibomian gland massage,group B was treated with meibomian gland massage followed by hot compress,group C was treated with traditional Chinese medicine fumigation followed by meibomian gland massage,and group D was treated with traditional Chinese medicine fumigation followed by meibomian gland massage.All the four groups were treated with hot compress or traditional Chinese medicine fumigation once every other day,and meibomian gland massage once a week,four weeks as a course of intervention,a total of one intervention course.Dry eye related evaluation indexes,meibomian gland function related evaluation indexes,OSDI score and pain score of patients in four groups were observed and compared.Results:The dry eye related evaluation indexes(BUT,Schirmer I),meibomian gland function related evaluation indexes and OSDI scores in group A were better than those in group B(P<0.05),and the pain scores were lower than those in group B(P<0.05).Dry eye related evaluation indexes(BUT,Schirmer I),meibomian gland function related evaluation indexes and OSDI score in group C were better than those in group D(P<0.05),pain score was lower than that in group D(P<0.05).Compared with group C,the dry eye related evaluation indexes(BUT,Schirmer I)and OSDI scores in group C were better than those in group A(P<0.05),while the meibomian gland function related evaluation indexes and pain scores had no difference(P>0.05).Conclusion:Traditional Chinese medicine fumigation followed by meibomian gland massage in the treatment of MGD dry eye is beneficial to improve the symptoms of patients,reduce the pain of patients and improve the therapeutic effect.
关键词
MGD(睑板腺功能障碍)/干眼/中药熏蒸/睑板腺按摩/中医护理技术
Key words
MGD(meibomian gland dysfunction)/xerophthalmia/traditional Chinese medicine fumigation/meibomian gland massage/traditional Chinese medicine nursing techniques