高频电泪道成形术后人工泪液大剂量点眼与泪囊按摩的疗效  

The effects of eye dropping with high-dose artificial tears and lacrimal sac massage after the high-frequency electrolacryocystoplasty

作　　者：胡文学[1] 胡维琨[2] 李玉平 

机构地区：[1]深圳市龙岗区人民医院眼科,广东深圳518172 [2]华中科技大学同济医学院附属同济医院眼科,湖北武汉430030 [3]湖北省黄冈市第一人民医院眼科,湖北黄冈438000

出　　处：《中国医药导报》2008年第34期5-7,共3页China Medical Herald

基　　金：深圳市龙岗区科技局科技计划项目(2006年第一批38号)。

摘　　要：目的:高频电泪道成形术后,通过人工泪液大剂量点眼及泪囊按摩等方法,造成对已成形鼻泪管高频率的持续冲洗,观察能否提高疗效。方法:门诊接受高频电泪道成形术治疗的单侧慢性泪囊炎患者114例,随机分成两组:对照组55例,术后采用常规泪道冲洗;实验组59例,除采用常规泪道冲洗外,给予人工泪液大剂量点眼及泪囊按摩,每天4次,持续4个月。观察两者的治愈率及依从性。结果:术后随访1年,实验组的治愈率为94.9%,对照组的治愈率为81.8%,两组间差异有显著性。实验组人工泪液大剂量点眼及泪囊按摩的依从性较好(点药率平均为80.0%)。结论:人工泪液大剂量点眼及泪囊按摩依从性较好,能提高高频电泪道成形术的治愈率。Objective： To evaluate the effects of eye dropping with high-dose artificial tears and lacrimal sac massage resulted in the high-frequency continuous washing to the formed nasolacrimal duct after the high-frequency electrolaeryoeystoplasty. Methods： 114 out-patients with unilateral chronic dacryoeystitis and were performed with high-frequency eleetrolacryoeystoplasty were randomly divided into two groups： the 55 patients in control group were treated with routine syphilis of lacrimal passages after operation, and on the basis of routine syphilis of lacrimal passages, the 59 patients in experimental group were also treated with eye dropping with high-dose artificial tears and lacarimal sac massage for 4 times per day and treated for 4 months. Then the cure rate and compliance in the two groups were observed. Results： After one year follow-up, the cure rate of experimental group and control group were 94.9% and 81.8% respectively, a significant was shown in cure rate between the two groups. The complieanee of experimental group involved with eye dropping with high-dose artificial tears and lacrimal sac massage was superior to that of control group （the average rate of eye drop in experimental group was 80.0%）. Conclusion： The eye droppping with high-dose artificial tears and lacrimal sac massage has a good compliance and can improve the cure rate of high-frequency electrolacryocystoplasty.

关 键 词：高频电泪道成形术 泪囊炎 治疗 泪囊按摩 

分 类 号：R777.23[医药卫生—眼科]