Effect observation of TCM fumigation combined with meibomian gland massage for treating in middle and elderly patients with meibomian gland dysfunction dry eye syndrome
10.3969/j.issn.1671-8348.2024.21.014
- VernacularTitle:中药熏蒸联合睑板腺按摩治疗中老年睑板腺功能障碍性干眼症的疗效观察
- Author:
Liangliang SHI
1
;
Ying JIN
;
Tingyuan LAI
Author Information
1. 浙江中医药大学附属第二医院眼科,杭州 310005
- Keywords:
traditional Chinese medicine fumigation;
meibomian gland massage;
meibomian gland dys-function;
dry eye syndrome;
efficacy
- From:
Chongqing Medicine
2024;53(21):3274-3278
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the curative effect of traditional Chinese medicine fumigation com-bined with meibomain gland massage in the middle-aged and elderly patients with meibomain gland dysfunc-tion(MGD)dry eye syndrome.Methods Ninety patients with MGD visiting in the ophthalmology depart-ment of this hospital from November 1,2021 to October 31,2023 were selected as the study subjects and di-vided into the routine group,control group and observation group according to the random number table meth-od,30 cases in each group.The routine group used 0.3％Sodium Hyaluronate Eye Drops and simple mei-bomain gland massage.The control group was given the simple vapor fumigation combined with meibomain gland massage on the basis of the routine group.The observation group was given the Chinese medicine fumi-gation and washing combined with meibomain gland massage on the basis of the control group.The changes of OSDI score,tear secretion test(SIt),breakup time of tear film(BUT)and fluorescein eye surface staining be-fore treatment and in 1,4 weeks after treatment were compared among the three groups.Results The OSDI score,eyelid margin morphology score and scores of SIt,BUT and FL had the interaction in different groups and treatment time(P＜0.01),moreover the main effect was remarkable.Compared with before treatment,the OSDI score,eyelid margin morphology score and FL score in 1,4 weeks after treatment in the three groups were decreased,moreover the observation group was the lowest,while the SIt level and BUT were increased,moreover the observation group was the highest,and the differences were statistically significant(P＜0.05).Compared with the routine group,the effective rate in the control group and observation group was higher(83.33％vs.96.67％vs.76.67％),moreover the observation group was higher than the control group,and the differences were statistically significant(P＜0.05).Conclusion The traditional Chinese medicine fumiga-tion combined with meibomian gland massage could significantly improve the ocular symptoms and improve-ment of tear secretion level in the patients with MGD dry eye.
