摘要
目的:从多角度对比中药熏蒸和睑板腺按摩治疗MGD性干眼患者临床疗效观察。方法:选择2023年5月~2023年11月在我院就诊的120例MGD性干眼患者采用随机数字表将患者按照1∶1∶1∶1比例随机分为ABCD四个组。其中A组采用先热敷再进行睑板腺按摩,B组采用先睑板腺按摩再进行热敷,C组采取先中药熏蒸再进行睑板腺按摩,D组采取先睑板腺按摩再进行中药熏蒸。四组均进行热敷或中药熏蒸隔日一次,睑板腺按摩每周一次的干预,四周为1个疗程,共干预1个疗程。对四组患者从患者干眼相关评价指标、睑板腺功能相关评价指标、OSDI评分及患者疼痛评分进行观察比较。结果:A组的干眼相关评价指标(BUT、Schirmer I)、睑板腺功能相关评价指标、OSDI评分均优于B组(P<0.05),疼痛评分低于B组(P<0.05);C组的干眼相关评价指标(BUT、Schirmer I)、睑板腺功能相关评价指标、OSDI评分均优于D组(P<0.05),疼痛评分低于D组(P<0.05);A组与C组相比较,C组的干眼相关评价指标(BUT、Schirmer I)、OSDI评分均优于A组(P<0.05),睑板腺功能相关评价指标及疼痛评分无差异(P>0.05)。结论:先进行中药熏蒸再进行睑板腺按摩治疗MGD性干眼,有利于患者症状改善,减轻患者的疼痛,提高患者的治疗效果。
Objective:To compare the clinical effect of traditional Chinese medicine fumigation and meibomian gland massage 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.
作者
汪娟
黄慧
黄群
高娜
WANG JUAN;HUANG Hui;HUANG Qun(Department of Ophthalmology,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610072,China)
出处
《四川中医》
2024年第7期220-222,F0003,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省中医药管理局中医药科研专项资助(编号:2023MS428)
四川省干部保健科研课题(编号:川干研2023~501)。
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
MGD(meibomian gland dysfunction)
xerophthalmia
traditional Chinese medicine fumigation
meibomian gland massage
traditional Chinese medicine nursing techniques
