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目的:探讨不同方法治疗新生儿泪囊炎的临床疗效。方法:选取重庆市巴南区第二人民医院眼科2015年2月至2016年2月收治的新生儿泪囊炎150例(166眼),结合新生儿月龄确定疗法,月龄<3个月应用滴眼液并按摩至3个月;月龄3~6个月内行泪道加压冲洗,但不可超过3次;月龄>6个月加压冲洗不通畅或>3个月加压冲洗3次均失败者行泪道探通留管术,比较不同疗法的临床效果。结果:加压按摩泪囊区治愈率为23.2%,泪道加压冲洗法为34.3%,均明显低于泪道探通留管术99.1%,差异具有统计学意义(P<0.05)。结论:对月龄<3岁患儿可行泪囊按摩保守治疗,按摩无效患儿可行泪道冲洗加压及泪道探通留管术治疗,加用典必殊眼膏临床疗效更优。
Objective: To investigate the clinical effects of different treatment of neonatal dacryocystitis. Methods: 150 cases (166 eyes) of neonatal dacryocystitis admitted from February 2015 to February 2016 in Department of Ophthalmology, Second People ’s Hospital of Banan District, Chongqing City were enrolled in this study. The age of the neonate was determined with 3 months Application of eye drops and massage to 3 months; month 3 to 6 months lacrimal duct pressure flushing, but not more than 3 times; months of age> 6 months of pressure flushing is not smooth or> 3 months of pressure flushing 3 times loser line lacrimal duct exploration, compare the clinical effect of different therapies. Results: The cure rate of massaged lacrimal sac area was 23.2%, lacrimal duct pressure was 34.3%, which was significantly lower than that of lacrimal duct exploration 99.1%, the difference was statistically significant (P <0.05). CONCLUSION: The conservative treatment of lacrimal sac massage in children younger than 3 months of age is feasible. Children with ineffective massage may be treated with lacrimal irrigation and lacrimal duct exploration. The clinical efficacy of Dianshushu eye ointment is better.