改良睑板腺按摩治疗睑板腺功能异常及健康教育和护理  

Modified Meibomian Gland Massage and Nursing Care in Treatment of Meibomian Gland Dysfunction

作　　者：王婷[1] 高莹莹[1] 倪清凤 董雪青[1] 赵华轩[1] 

机构地区：[1]福建医科大学附属二院眼科,福建省泉州市362000

出　　处：《中国全科医学》2013年第2期213-215,共3页Chinese General Practice

基　　金：福建省卫生厅青年科研课题基金资助项目(20020111)

摘　　要：目的探讨改良睑板腺按摩用于睑板腺功能异常患者的效果及健康教育和护理方法。方法对就诊于我科门诊的睑板腺功能异常伴眼表面不适的108例患者按患者意愿分为两组,其中68例患者行改良睑板腺按摩(改良组),40例患者给予传统睑板腺按摩(传统组),所有患者进行相关健康教育及指导,对按摩时间、过程和结果进行比较。结果传统的睑板腺按摩时间为(15.0±3.5)min,改良睑板腺按摩时间缩短为(2.2±2.5)min,差异有统计学意义(P<0.01)。两组患者按摩时出现眼部不适的情况比较,差异无统计学意义(P>0.05)。两组按摩时出现的眼部不适感均在按摩结束后5 min内消失。两组患者中58例按摩后即感觉眼皮沉重感减轻。经过治疗,所有患者眼红、异物感、畏光等眼部不适症状明显缓解。传统组2例按摩后出现球结膜下出血,1例次日出现急性结膜炎。结论改良睑板腺按摩方法治疗睑板腺功能异常能极大地缩短治疗时间、明显降低患者不适感,且简单易学、效果好,是值得推广和应用的方法。Objective To evaluate the outcome of modified meibomian gland massage combined with health education and nursing care in treatment of meibomian gland dysfunction （MGD）. Methods One hundred and eight MGD patients with ocular surface discomfort were divided, by patients＇ whishes, into groups modified （n = 68, given modified meibomian gland massage）, traditional （ n = 40, given traditional meibomian gland massage）. Patients were given related health education and guidance. Massage length of time, process and results were compared between 2 groups. Results The length of time of meibomian gland massage of traditional group was （15.0 ±3.5） min, that of modified was （2. 2 ±2. 5） rain, the difference was significant （ P 〈 0. 01 ）. Ocular discomfort symptom between the two groups, the difference was not significant （ P 〉 0. 05 ）. The ocular discomfort symptom disappeared within 5 rain after massage. The eyelid heaviness feeling alleviated in 58 patients. Eye redness, foreign body sensation, photophobia and other ocular discomfort symptoms relieved obviously in 2 groups. In traditional group 2 patients had subconjunctival hemorrhage, 1 had acute conjunctivitis on the next day. Conclusion Modified meibomian gland massage in MGD treatment, easy to learn with good effect and shortening greatly treatment time, reducing discomfort feeling, is worth generalizing.

关 键 词：睑板腺功能异常 睑板腺按摩 健康教育 护理 

分 类 号：R777.12[医药卫生—眼科]