睑板腺功能障碍的中西医物理治疗

Physical Therapy Modalities of Western Medicine and Traditional Chinese Medicine for Meibomian Gland Dysfunction

  • 摘要: 睑板腺是一种位于眼睑内的特殊皮脂腺,其主要功能是分泌脂质,构成泪液的脂质层,以延缓水性泪液蒸发,并能增加泪膜的表面张力,润滑眼睑及眼球的接触面。各种原因引起的睑板腺分泌和/或分泌物的异常,即是睑板腺功能障碍(MGD),同时,MGD是引起蒸发过强型干眼的主要原因。由于长期使用激素治疗和非甾体抗炎治疗MGD的副作用和局限性,目前,睑板腺的物理治疗被眼表专家组推荐为最有效和安全的治疗方法之一。因此,本文总结了中医和西医对MGD的物理治疗方法,以期通过对这些治疗方法的系统分析,为临床治疗MGD提供参考,并为该类疾病的病理生理机制和治疗研究奠定基础。

     

    Abstract: The meibomian gland is a unique sebaceous gland located in the eyelid. Its main function is to secrete lipids and form the lipid layer of the tear film to delay the evaporation of waterborne tears, increase the surface tension of the tear film, and to lubricate the contact area of the eyelid and eyeball. Abnormal secretion of the meibomian gland is known as meibomian gland dysfunction (MGD), which has become the most important cause of evaporative dry eye disease (DED). The clinical pathophysio-logical process and underlying molecular mechanisms of MGD are not clear. As serious side effects may occur with the long-term use of hormonotherapy and non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of MGD, meibomian gland physiotherapy is considered the most effective and safest therapy for MGD. This review summarizes the physical therapy modalities of western medicine (WM) and traditiond Chinese medicine (TCM) for the treatment of MGD to provide optimal treatments for these patients and to further lay a foundation for mechanistic studies of MGD.

     

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