《睑板腺按摩操作流程》团体标准解读  

Interpretation of the group standard for operation procedure of meibomian gland massage

作　　者：田碧珊[1] 李姝萍 傅绮 邓宇晴[1] 肖冰 袁进[1] TIAN Bishan;LI Shuping;FU Qi;DENG Yuqing;XIAO Bing;YUAN Jin(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology Visual Science,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州510060

出　　处：《眼科学报》2025年第3期236-240,共5页Eye Science

摘　　要：睑板腺功能障碍可导致眼表微环境失衡,眼部不适及视功能障碍,深刻影响着患者的视觉生活质量。睑板腺按摩作为一种通过机械挤压睑板腺疏通睑板腺开口,排出异常睑酯的治疗手段,目前已被广泛应用于临床干眼患者,成为睑板腺功能障碍最常见的物理治疗方法。但由于睑板腺按摩的操作手法多样,不同医疗机构所积累的操作经验也不尽相同,导致在治疗过程中存在较多潜在风险,若操作不当,可造成眼部感染、眼睑红肿、结膜水肿出血,甚至角膜损伤。因此,制定标准化的操作流程,规范睑板腺按摩治疗非常重要。然而,目前尚缺乏全面、系统化且规范化的睑板腺按摩操作的临床实践指导。鉴于此,中山大学中山眼科中心联合全国19所医疗机构进行反复修订,于2023年12月17日在全国团体标准信息平台发布《睑板腺按摩操作流程》的团体标准。文章对该团体标准进行深度解读,以更好指导临床工作。Meibomian gland dysfunction(MGD)can lead to an imbalance in the ocular surface microenvironment,eye discomfortable,and visual impairment,thereby profoundly affecting the visual quality of life of patients.Meibomian gland massage is now widely used in clinical patients,serving as the most prevalent physical therapy for MGD.The mechanism of meibomian gland massage is to open the meibomian gland opening by squeezing the meibomian gland and expel abnormal eyelid esters.However,due to the diverse techniques used in meibomian gland massage and the varying levels of operational experience accumulated by different medical institutions,there are many potential risks in treatment process.If medical staff operate improperly,it can cause eye infections,eyelid redness and swelling,conjunctival edema and bleeding,and even corneal damage.Therefore,it is crucial to establish the standardized procedure of meibomian gland massage therapy.Yet,there is currently lack of comprehensive,systematic,and standardized clinical practice guidance.Thus,the Zhongshan Ophthalmic Center,Sun Yat-sen University,in collaboration with 19 medical institutions across the country,has released the group standard for Operation Procedure of Meibomian Gland Massage on the National Group Standard Information Platform on December 17,2023.This article aims to provide an in-depth interpretation of the group standard to guide clinical work better.

关 键 词：睑板腺功能障碍 睑板腺按摩 团体标准 标准解读 

分 类 号：R777.13[医药卫生—眼科] R244.1[医药卫生—临床医学]