Effect of heated dry eye nebulization combined with meibomian gland massage nursing on patients with lipid deficient dry eye

DU Lizhuo; YAN Xin; ZHAO Qin

Abstract：Objective:To study the effect of heated dry eye atomization treatment combined with meibomian gland massage on the lipid layer thickness in patients with meibomian gland dysfunction.Methods:All 120 patients with lipid-deficient dry eye syndrome(caused by meibomian gland dysfunction),who were treated from January 2021 to January 2023 month,were randomly divided into control group(n=58)and observation group(n=62).The control group was treated with heated dry eye atomization,and the observation group was given meibomian gland massage nursing on the basis of the treatment in the control group.The improvement of disease,tear film stability,meibomian gland secretion function and quality of life were observed.Results:Before intervention,there was no statistically significant difference in the scores of the eye surface disease index(OSDI),membrane rupture time(BUT),schirmer I test(SIt),lacrimal river width,tear film lipid layer thickness,meibomian gland loss rate(MGP),meibomian gland opening number(MGYLS),meibomian gland secretion score(MGYSS),and quality of life brief table(QOL-BREF)between the two groups of pa-tients(P＞0.05).After intervention,the OSDI scores of the two groups of patients decreased compared to before interven-tion.And the observation group was lower than the control group,with a statistically significant difference(P＜0.05).After intervention,the BUT,Schirmer's test(SIT),tear stream width,tear film lipid layer thickness,MGP,MGYLS,MGYSS,and QOL-BREF scores of both groups of patients increased compared to before intervention,and the observa-tion group was higher than the control group(P＜0.05).Conclusion:Heating dry eye atomization treatment combined with meibomian gland massage care can effectively improve the clinical symptoms of patients with lipid deficiency,en-sure the stability of eye membrane,and improve the secretion function and quality of life.