徒手睑板腺按摩在睑板腺功能障碍型(MGD)干眼治疗中的应用

The Application of Manual Tarsal Gland Massage in the Treatment of Meibomian Gland Dysfunction (MGD)

摘要: 目的：比较徒手与传统睑板腺按摩治疗睑板腺功能障碍型(MGD)干眼在操作时间、对睑结膜损害及疗效等方面的差别。方法：选取2016年3月~2016年12月在眼科就诊的MGD型干眼患者进行研究，80例160眼被随机分为研究组和对照组各40例80眼，观察比较两组治疗时间、对睑结膜损害的差别，及治疗前和治疗2月后患者干眼症状、眼表综合分析(德国OCULUS Keratograph)、国际眼表疾病指数(OSDI)各项检查报告评分。结果：治疗前、后两组症状及眼表综合分析报告比较均无统计学差异(P > 0.05)；而按摩时间研究组较对照组明显缩短，差异有统计学意义(P < 0.05)；研究组按摩后睑结膜上皮细胞损伤程度明显小于对照组，差异有统计学意义(P < 0.01)。结论：研究组徒手按摩和对照组传统按摩睑板腺均能有效缓解MGD引起的眼部干眼症状和体征，徒手按摩时间短、操作更简便、对结膜上皮损伤程度轻微，利于在临床推广应用。

Abstract: Objective: Comparing with his bare hands and traditional meibomian gland massage treatment of meibomian gland dysfunction (MDGS) type dry eye in the operating time, and the difference of cura-tive effect of palpebral conjunctiva injury. Methods: Selection in March 2016 to December 2016 the MDGS ophthalmic patients with dry eye, 80 cases with 160 eyes were randomly divided into re-search group and control group, 40 cases with 80 eyes for each group, observing the treatment time of two groups, the difference of palpebral conjunctiva injury, and before and after 2 months treat-ment in patients with dry eye symptoms, ocular surface comprehensive analysis (Germany OCULUS Keratograph), the international index of ocular surface disease (OSDI) of each inspection report. Results: Ocular surface treatment before and after two groups of symptoms and comprehensive analysis comparison had no statistical difference (P > 0.05); Massage time was significantly reduced in study group, and the difference was statistically significant (P < 0.05); After a massage on palpe-bral conjunctiva, epithelial cell injury was significantly less than control group; the difference was statistically significant (P < 0.01). Conclusions: The study group and the control group of traditional hand massage massage meibomian gland can effectively alleviate MGD caused by ocular symptoms and signs of dry eye; hand massage time is short; the operation is more simple and the extent of conjunctival epithelial injury is minor; it’s suitable to be popularized in the clinical application.