目的：对新生儿进行早期预防性按摩泪囊，以预防及减少新生儿泪囊炎发生。

方法：收集4 048例新生儿(顺产2 650例5 300眼，剖宫产1 398例2 796眼)。对2 131例(顺产1 396例2 792眼，剖宫产735例1 470眼)进行预防性按摩泪囊，未按摩1 917例(顺产1 254例2 508眼，剖宫产663例1 326眼)作为对照组。在观察周期内判断是否发生泪囊炎。

结果：预防性按摩泪囊后，有104例(顺产68例75眼，剖宫产36例47眼)发生新生儿泪囊炎，对照组发生泪囊炎140例(顺产49例57眼，剖宫产91例148眼)。新生儿泪囊炎发生率在预防性按摩组与对照组中比较，差异有统计学意义(χ ²=32.141，P<0.001)。

结论：预防性按摩泪囊可以预防及减少新生儿泪囊炎的发生。

METHODS: We collected 4 048 cases of neonatal, there were 2 650 cases of natural birth including 5 300 eyes and 1 398 cases of Cesarean section including 2 796 eyes. There were 2 131 cases with preventive massage on lacrimal sac including 1 396 cases in natural labor, 2 792 eyes, and 735 cases in cesarean delivery, 1 470 eyes. Then, we determined whether neonatal dacryocystitis occurrence in the observation period.

RESULTS: After preventive massage on lacrimal sac, there were 104 cases of neonatal dacryocystitis that included 68 cases of natural labor, 75 eyes and 36 cases of cesarean delivery, 47 eyes; 140 cases of neonatal dacryocystitis that included 49 cases of natural labor, 57 eyes and 91 cases of cesarean delivery, 148 eyes, in the neonatal without massage. In the comparison of preventive massage group with control group, there were significant differences of the incidence of neonatal dacryocystitis(χ ²=32.141, P<0.01).

CONCLUSION: The preventative massage on lacrimal sac significantly reduce the incidence of neonatal dacryocystitis.