黄斑孔患者手术后生活质量变化  

Quality of life after macular hole surgery

作　　者：廖宇洁[1] 陈茜和[1] 许速[1] 

机构地区：[1]复旦大学附属上海市第五人民医院眼科,上海200240

出　　处：《眼外伤职业眼病杂志》2007年第3期206-209,共4页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的评价黄斑孔手术对患者生活质量的影响。方法黄斑孔患者25例(25眼)行常规玻璃体切除术并注入C3F8。手术前和手术后5月完成中文版低视力者生活质量量表。结果1次手术黄斑孔解剖闭合率为84.00%(21/25)。手术眼视力及双眼并用视力在手术前和手术后5月差异无统计学意义(分别是P=0.206,P=0.283)。远视力、移动和光感以及读和精细工作2个指标和生活质量总分在手术前后差异有统计学意义(分别为P=0.043,P=0.034,P=0.035)。结论黄斑孔手术能改善患者的生活质量。生活质量量表的应用结合传统的临床检查能较全面地反映手术干预后患者健康状况的变化。Objective To explore the effect of macular hole surgery on patients＇ quality of life. Methods The study included twenty-five eyes of 25 patients with macular holes. All the patients underwent pars plana vitrectomy （PPV）. Chinese-version low vision quality-of-life questionnaire （CLVQOL） was administered before and 5 months after macular hole surgery. Results The macular hole was anatomically closed in twenty-one eyes （ 84.00% ） after the initial surgery. No significant differences were found in the postoperative visual acuity and binocular visual （P = 0. 206, 0. 283, respectively）. The CLVQOL composite score as well as scale scores associated with distance vision, mobility and lighting, reading and fine work were significantly improved （ P = 0. 035, 0. 043,0. 034,respectively）. Conclusions In this study, macular hole surgery appears to have a beneficial effect on patients＇ quality of life. The use of CLVQOL in conjunction with detailed clinical examination provides a more comprehensive overview of individuals＇ daily well-being after surgical intervention.

关 键 词：生活质量 问卷 黄斑孔 

分 类 号：R779.6[医药卫生—眼科]