Observation and nursing analysis of the effect of meibomian gland massage in the treatment of meibomian gland functional dry eye syndrome
睑板腺按摩治疗睑板腺功能障碍性干眼症的效果观察及护理分析

摘要

目的 分析临床中对睑板腺功能障碍性干眼症患者使用睑板腺按摩治疗的效果及护理方法。方法 纳入我院2022年7月~2023年7月收治的睑板腺功能障碍性干眼症患者90例，采用随机数字表法分为对照组（常规护理干预）和观察组（加用睑板腺按摩治疗）各45例，对比两组治疗效果。结果 治疗干预前两组泪膜功能（泪膜破裂时间、泪液分泌量、角膜上皮荧光染色情况）均无统计学意义（P＞0.05）。治疗干预后，观察组泪膜破裂时间长于对照组，泪液分泌量高于对照组，角膜上皮荧光染色评分低于对照组。且观察组患者不良反应总发生率低于对照组，差异均有统计学意义（P＜0.05）。结论 对睑板腺功能障碍性干眼症患者临床护理时使用睑板腺按摩治疗干预能够优化泪膜功能，减少并发症。

Abstract

Objective To analyze the effectiveness and nursing methods of using meibomian gland massage therapy for patients with meibomian gland dysfunction and dry eye syndrome in clinical practice.
Methods A total of 90 patients with meibomian gland dysfunction and dry eye syndrome admitted to our hospital from July 2022 to July 2023 were included. They were randomly divided into a control group (conventional nursing intervention) and an observation group (combined with meibomian gland massage treatment), with 45 cases in each group. The treatment effects of the two groups were compared.
Results There was no statistically significant difference in tear film function (tear film fragmentation time, tear secretion, corneal epithelial fluorescence staining) between the two groups before treatment intervention (P>0.05). After treatment intervention, the observation group had longer tear film fragmentation time than the control group, higher tear secretion, and lower corneal epithelial fluorescence staining score. The total incidence of adverse reactions in the observation group was lower than that in the control group, and the differences were statistically significant (P<0.05).
Conclusion   The use of meibomian gland massage therapy in clinical nursing for patients with meibomian gland dysfunction and dry eye syndrome can optimize tear film function and reduce complications.