方法：回顾性分析128例148眼新生儿泪囊炎患儿的临床资料，根据患儿年龄分为3组，第一组为不满3月龄患儿36眼，第二组为满3～6月龄患儿67眼，第三组为满6～12月龄患儿45眼。第一组采用泪囊按摩+抗生素，第二组和第三组循序采用泪囊按摩+抗生素，泪道加压冲洗，泪道探通等方法。

结果：泪囊按摩+抗生素在第一组与第二组的患儿中，差异具有显著统计学意义(χ²=26.65，P<0.05)。加压冲洗法在第二组与第三组的患儿中，差异具有统计学意义(χ²=5.23，P<0.05)。一次泪道探通法在第二组与第三组的患儿中差异具有统计学意义(χ²=3.90，P<0.05)。

结论：根据患儿的年龄循序选择泪囊区按摩后联合抗生素眼液治疗，泪道加压冲洗，泪道探通的综合治疗。3mo内选择泪囊区按摩后联合抗生素眼液治疗； 泪道加压冲洗或泪道探通在3～6mo进行为宜。

METHODS: The clinical data of 148 eyes of 128 cases with neonatal dacryocystitis were divided into three groups: group 1(<3 months), group 2(aged from 3 months to 6 months), group 3(aged from 6 months to 12 months). Group 1 underwent lacrimal sac massage. Group 2 and group 3 step by step underwent lacrimal sac massage or lacrimal duct pressure flush or probing of lacrimal.

RESULTS: The cure rate of lacrimal sac massage for group 1 was significantly higher than that for group 2(χ²=26.65,P<0.05); Pressure irrigation for group 2 was more effective than that for group 3(χ²=5.23,P<0.05); Probing of lacrimal passage for group 2 was more effective than that for group 3(χ²=3.90,P<0.05).

CONCLUSION: We should choose lacrimal sac massage step by step according to the patient's age, perform lacrimal duct pressure flush, lacrimal duct probing through combined treatment. Lacrimal sac massage seems to be the first treatment for neonatal dacryocystitis patients aged under 3 months. Lacrimal duct pressure flush or probing of lacrimal passage is an effective treatment for neonatal dacryocystitis and the best time for lacrimal duct pressure flush or probing of the lacrimal passage is 3-6 months after birth.