Comparison of application effects of different meibomian gland massage schemes in postoperative treatment of children with chalazion
10.3760/cma.j.cn115682-20210618-02672
- VernacularTitle:不同睑板腺按摩方案在儿童霰粒肿术后的应用效果比较
- Author:
Xiaojie QUAN
1
;
Wei SHI
;
Yanan WANG
;
Shuang YU
;
Fei GAO
;
Yanli WU
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院眼科 100045
- Keywords:
Chalazion;
Massage;
Hot compress;
Recurrence rate;
Meibomian gland function
- From:
Chinese Journal of Modern Nursing
2021;27(34):4727-4730
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore application effects of different meibomian gland massage schemes in postoperative treatment of children with chalazion.Methods:Using the convenient sampling method, a total of 280 children with postoperative chalazion who were treated in Ophthalmology Clinic of Beijing Children's Hospital from January to September 2020 were selected as the research objects. According to the random number table method, the patients were randomly divided into groups A, B, C and D. Group A 70 cases received massage once every 2 weeks. Group B 70 cases received massage once every 4 weeks. Group C 70 cases received massage once every 2 weeks and hot compress nursing before massage. Group D 70 cases received massage once every 4 weeks and hot compress nursing before massage. At 3 and 6 months of intervention, the recurrence rate of postoperative chalazion and meibomian gland function of children in the 4 groups were compared.Results:There were 65, 67, 66, 67 children completed the research in A, B, C and D group. The recurrence rates of postoperative chalazion in groups A, B, C, and D were respectively 10.77% (7/65) ,19.40% (13/67) ,1.52% (1/66) and 1.49% (1/67) after the intervention for 3 months, and the differences were statistically significant ( P<0.05). Further pairwise comparison showed that the recurrence rate in group C was lower than that in group A and B, and that in group D was lower than that in group A and B, and the differences were statistically significant ( P< 0.05). There were no statistically significant differences among the other groups ( P>0.05). After 6 months of intervention, the recurrence rates of postoperative chalazion in groups A, B, C, and D were respectively 9.23% (6/65) ,16.42% (11/67) ,1.52% (1/66) and 1.49% (1/67), and the differences were statistically significant ( P<0.05). Further pairwise comparison showed that the recurrence rate of group C was lower than that of group A and B, and that of group D was lower than that of group A and B, and the differences were statistically significant ( P<0.05). There was no significant difference between group A and B ( P>0.05). There were statistically significant differences in scores of the difficulty of meibum discharge of children in the 4 groups after 3 and 6 months of intervention ( P<0.05). Further pairwise comparisons showed that the score of difficulty of meibum discharge in group C was lower than that in group A and B, and that in group D was lower than that in group A and B, and the differences were statistically significant ( P< 0.05). There were no statistically significant differences among other groups ( P>0.05). After 3 and 6 months of intervention, there were statistically significant differences in the score of eyelid fat traits among the 4 groups ( P<0.05). Further pairwise comparison showed that the score of eyelid fat trait in group C was lower than that in group A and B, and that in group D was lower than that in group A and B, and the differences were statistically significant ( P<0.05). There were no statistically significant differences among other groups ( P>0.05) . Conclusions:Hot compress nursing can enhance the massage effect of the meibomian glands, improve function of the meibomian glands and facilitate the discharge of meibomian gland secretions, which can effectively reduce the recurrence rate of postoperative chalazion in children and is worthy of clinical promotion.
