摘要
目的:研究综合疗法对新生儿泪囊炎的临床效果。方法:回顾性分析2000-07/2005-07门诊就诊的178例203眼新生儿泪囊炎患儿,采用泪囊区挤压按摩,泪道加压冲洗,鼻泪管探通等方法综合治疗。临床资料应用SPSS软件分析系统进行统计学分析。结果:203眼,泪囊区挤压按摩治愈58眼,治愈率28.6%;泪道加压冲洗145眼治愈43眼,治愈率为29.6%;102眼行鼻泪管探通术,治愈94眼,治愈率92.2%。其中,年龄在3mo以内的患儿泪囊区挤压按摩治愈率显著高于3mo以上的患儿(χ2=10.566,P=0.001);年龄在6mo以内的患儿泪道加压冲洗或鼻泪管探通成功率亦显著高于6mo以上患儿(χ2=6.457,P=0.011)。结论:泪囊区挤压按摩法治疗新生儿泪囊炎操作简单、易行,对泪道无损伤是彻底治疗新生儿泪囊炎安全有效的方法,早期正确按摩治疗效果明显;对挤压按摩无效的新生儿泪囊炎及时行泪道加压冲洗以及鼻泪管探通是治疗新生儿泪囊炎有效的途径。
AIM： To study the clinical effect of combined modality therapy on neonatal dacryocystitis
METHODS： In a retrospective study, 203 eyes of 178 consecutive patients with neonatal dacryocystitis underwent combined modality therapy with massotherapy, pressure irrigation and probing of lacrimal passage.
RESULTS： Massotherapy was effective in 58 eyes （28.6%）,pressure irrigation was effective in 43 eyes （29.6%）.Probing of lacrimal passage achieved successful results in 94 eyes （92.2%）.The cure rate of massotherapy for patients under 3mo was significantly higher than that for patients over 3mo （X ^2=10.566,P=0.001 ）; pressure irrigation and probing of lacrimal passage for patients under 6mo was more effective than that for patients over 6mo.（X^2=6.457, P=-0.011 ）.
CONCLUSION： Massotherapy is a easy, safe and effective method for neonatal dacryocystitis, especially for patients under 3mo. Pressure irrigation and probing of lacrimal passage are essential and available if massotherapy failed.
出处
《国际眼科杂志》
CAS
2006年第1期214-216,共3页
International Eye Science
关键词
婴儿
新生儿
泪囊炎
综合疗法
infant
newborn
dacryocystitis
combined modality therapy
