摘要
目的分析白内障术后干眼患者治疗中眼睑板按摩及雾化熏蒸对患者术后泪膜破裂时间(BUT)、眼表疾病指数(OSDI)的影响。方法收集2017年10月—2019年10月收治的86例白内障术后干眼患者,根据随机数字表法将其分为2组,对照组43例予以眼睑板按摩联合人工泪液治疗,观察组43例予以眼睑板按摩联合中药雾化熏蒸治疗,4周后对比分析2组疗效、BUT、OSDI及主观症状评分。结果观察组治疗后的总有效率为95.35%比对照组的79.07%高(P<0.05);观察组治疗后的BUT比对照组长,而OSDI评分则比对照组更低(P<0.05);观察组治疗后主观症状评分为(4.53±1.37)分比对照组的(7.69±2.04)分低(P<0.05)。结论白内障术后干眼患者治疗中眼睑板按摩及雾化熏蒸联合治疗的效果显著,有助于提升疗效,并且进一步改善患者术后BUT、OSDI及主观症状。
Objective To analyze the effects of eyelid massage and atomization fumigation on BUT and OSDI in patients with dry eye after cataract surgery.Methods 86 cases of dry eye after cataract surgery patients who were admitted to our hospital from October 2017 to October 2019 were selected,and were randomly divided into two groups according to the random number table method.43 cases in the control group were treated with eyelid plate massage combined with artificial tears,and 43 cases in the observation group were treated with eyelid massage combined with Chinese medicine atomization fumigation.The efficacy,BUT,OSDI and subjective symptom scores were compared and analyzed between the two groups after 4 weeks.Results In the observation group,the total effective rate after treatment was95.35%,which was higher than 79.07%of the control group(P<0.05).In the observation group,the BUT after treatment was longer than the control group,while the OSDI was lower than the control group(P<0.05).In the observation group,the subjective symptom score after treatment was(4.53±1.37)points,which was lower than the(7.69±2.04)points of the control group(P<0.05).Conclusion In the treatment of dry eye patients after cataract surgery,the combined treatment of eyelid plate massage and atomization fumigation has a significant effect,which can help to improve the curative effect,as well as further improves the postoperative BUT,OSDI and subjective symptoms of the patient.
作者
杨莲
YANG Lian(Ophthalmology Department,Gucheng People's Hospital,Hubei Province,Xiangyang 441700,China)
出处
《光明中医》
2021年第17期2921-2924,共4页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
白内障
术后
干眼
眼睑板按摩
雾化熏蒸
泪膜破裂时间
眼表疾病指数
cataract
post operation
dry eye
eyelid massage
atomized fumigation
time to tear film rupture
ocular surface disease index
