摘要目的:探讨不同睑板腺按摩方案在儿童霰粒肿术后的应用效果。方法:采用便利抽样法，选取2020年1—9月在北京儿童医院眼科门诊就诊的280例霰粒肿患儿为研究对象，按照随机数字表法将患者随机分为A、B、C、D 4组，其中A组70例，每2周进行1次按摩；B组70例，每4周进行1次按摩；C组70例，每2周进行1次按摩，并在按摩前予以热敷护理；D组70例，每4周进行1次按摩，并在按摩前予以热敷护理。分别于干预3、6个月时，比较4组患儿术后霰粒肿的复发率及睑板腺功能情况。结果:A、B、C、D组完成研究的患儿例数分别为65、67、66、67例。A、B、C、D组患儿在干预3个月时的术后霰粒肿复发率分别为10.77%（7/65）、19.40%（13/67）、1.52%（1/66）、1.49%（1/67），差异有统计学意义（ P<0.05）；进一步两两比较，C组患儿复发率低于A组、B组，D组患儿复发率低于A组、B组，差异均有统计学意义（ P<0.05）；其余各组间比较，差异均无统计学意义（ P>0.05）。干预6个月时A、B、C、D 4组患儿术后霰粒肿的复发率分别为9.23%（6/65）、16.42%（11/67）、1.52%（1/66）、1.49%（1/67），差异有统计学意义（ P<0.05）；进一步两两比较，C组患儿复发率低于A组、B组，D组患儿复发率为低于A组、B组，差异均有统计学意义（ P<0.05）；A、B组比较，差异无统计学意义（ P>0.05）。干预3个月和6个月时4组患儿睑脂排出难易程度评分比较，差异有统计学意义（ P<0.05）；进一步两两比较，C组患儿睑脂排出难易程度评分低于A组、B组患儿，D组患儿睑脂排出难易程度评分低于A组、B组患儿，差异均有统计学意义（ P<0.05）；其余各组间比较，差异均无统计学意义（ P>0.05）。干预3个月和6个月时4组患儿睑脂性状评分比较，差异有统计学意义（ P<0.05）；进一步两两比较，C组患儿睑脂性状评分低于A组、B组患儿，D组患儿睑脂性状评分低于A组、B组患儿，差异均有统计学意义（ P<0.05）；其余各组间比较，差异均无统计学意义（ P>0.05）。 结论:热敷护理能够增强睑板腺按摩效果，提高睑板腺功能，利于睑板腺分泌物的排出，能够有效降低患儿术后霰粒肿的复发率，值得临床推广。

abstractsObjective: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.