眼外伤术后二期人工晶状体植入术前后患者生存质量变化  

The change on quality of life of preoperative and postoperative patients with secondary implantation of intraocular lens in aphakic eye after ocular trauma surgeries

作　　者：李柏军[1] 秦波[1] 刘身文[1] 

机构地区：[1]暨南大学附属深圳眼科医院深圳市眼科医院,518040

出　　处：《中华眼外伤职业眼病杂志》2011年第10期727-729,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：广东省深圳市科技计划项目（200802118）

摘　　要：目的探讨眼外伤术后无晶状体眼二期人工晶状体植入术前后生存质量的变化及其影响因素。方法采用于强等开发的视功能损害眼病患者生活质量量表（AQOL—DVl）对眼外伤术后无晶状体眼98例行二期人工晶状体植入手术。对术前2d、术后3个月的生存质量进行比较，以配对t检验，并采用多元逐步回归分析方法筛选影响生存质量的因素。结果植入术后3个月量表得分明显高于术前2d者，差异具有统计学意义。影响手术后得分改变的首要独立因素是患眼视力的变化。多元回归分析筛选出5个主要影响因子：术后3个月视力（Bs=0．408）、用眼时间（Bs=-0．172）、社会保障（Bs=0．324）、晶状体位置（Bs=-0．216）、术后眩光（Bs=-0．143）。结论二期人工晶状体植人术后眼外伤患者的生存质量得到明显提高。根据术后生存质量的影响因子，不仅要重视患者的单纯的视力提高，同时还要了解患者的职业、经济状况及术后舒适度等。Objective To assess the quality of life （QOL） and influencing factors of preoperative and postoperative patients with secondary implantation of intraocular lens in aphakic eye after ocular trauma surgeries. Methods A scale of life quality for patients with visual impairment was administered to 98 patients before and 3 months following secondary implantation of intraocular lens in aphakic eye after ocular trauma surgeries. T test was used to compare the changes of the QOL of different times before and after the surgery. Multiple stepwise regression was used to screen the influencing factors. Results The scores of QOL of 3 months after surgery were higher than that of 2-day before the surgery. The analysis of multiple stepwise regression indicated five influencing factors which are visual acuity （Bs = 0.408 ） , attention time （Bs = - 0.172 ）, medical insurance （ Bs = 0. 324 ）, position of intraoeular lens （ Bs = - 0.216 ） and dazzling time （ Bs = - 0. 143 ）. Conclusion The scores of the QOL were rasied after surgery. We should pay attention to the physical treatment and the psychological treatment of the patients.

关 键 词：眼外伤 晶状体 人工 二期植入 二期 生存质量 

分 类 号：R779.6[医药卫生—眼科]