角膜保护剂联合睑板腺按摩在白内障术后患者中的应用效果  

Effect of Corneal Protectants Combined with Meibomian Gland Massage in Patient after Cataract Surgery

作　　者：戴国林[1] 潘庆渊 梁小庆[1] DAI Guolin;PAN Qingyuan;LIANG Xiaoqing(Department of Ophthalmology,Wujin Hospital Affiliated to Jiangsu University/Wujin Clinical College of Xuzhou Medical University,Changzhou Jiangsu 213017)

机构地区：[1]江苏大学附属武进医院/徐州医科大学武进临床学院眼科,江苏常州213017

出　　处：《医学临床研究》2025年第2期272-274,共3页Journal of Clinical Research

摘　　要：【目的】探讨角膜保护剂联合睑板腺按摩在白内障术后患者中的应用效果。【方法】选取2021年1月至2022年4月在本院进行白内障超声乳化吸除术联合人工晶状体植入术治疗的108例患者,随机分为对照组和观察组,每组54例。对照组患者术前1周给予睑板腺按摩,观察组患者在对照组基础上联合角膜保护剂治疗。比较两组患者泪膜客观弥散指数(objective scatter index,OSI)、泪液分泌试验(schirmer test,SIt)、眼表体征与感觉性症状评分、睑板腺开口评分及泪河高度。【结果】治疗后,观察组OSI低于对照组,SIt长于对照组(P<0.05);治疗后,观察组感觉性症状评分、眼表体征评分低于对照组(P<0.05);治疗后,观察组睑板腺开口评分低于对照组,泪河高度高于对照组(P<0.05)。【结论】睑板腺按摩联合角膜保护剂应用于白内障手术治疗患者中,可有效改善患者OSI、SIt,降低干眼症的症状、体征评分。【Objective】To investigate the effect of corneal protectants combined with meibomian gland massage in patients after cataract surgery.【Methods】A total of 108 patients who underwent phacoemulsification combined with intraocular lens implantation in our hospital from January 2021 to April 2022 were selected and randomly divided into the control group and the observation group,with 54 cases in each group.The control group was given meibomian gland massage 1 week before surgery,while the observation group was combined with corneal protectants in addition to the way of the control group.objective scatter index(OSI),schirmer test(SIt),signs and symptoms score,meibomian gland opening score and lacrimal river height were compared between the two groups.【Results】After treatment,OSI in observation group was lower than that in the control group,while SIt was higher than control group(P<0.05).The scores of sensory symptoms and ocular surface signs in the observation group were lower than those in the control group(P<0.05).The meibomian gland opening score of the observation group was lower than that of the control group,while the lacrimal river height was higher than that of the control group(P<0.05).【Conclusion】Meibomian gland massage combined with corneal protectants can effectively improve OSI,SIt,and dry eye symptoms and signs in patients treated with cataract surgery.

关 键 词：白内障摘除术 睑板腺 治疗结果 

分 类 号：R779.66[医药卫生—眼科]