屈光矫正者生活质量量表在评价准分子激光术后近视患者生活质量中的应用  

Application of life quality scale of refractive correction in estimating life quality for myopic people after refractive surgery

作　　者：陈曦[1,2] 郭海科[3,4,5] 杨路 余腾 蒋红燕 

机构地区：[1]南方医科大学,广东省广州市510515 [2]宁波光明眼病医院,浙江省宁波市315020 [3]广东省人民医院眼科 [4]广东省眼病防治研究所 [5]广东省医学科学院,广东省广州市510080

出　　处：《眼科新进展》2013年第3期259-262,共4页Recent Advances in Ophthalmology

摘　　要：目的用屈光矫正者生活质量量表(quality of life impact of refractive correction,QIRC)评价近视患者接受准分子激光手术后的生活质量,并比较术后其在不同性别、年龄、屈光度、手术方式组间的差异。方法纳入自愿来我中心接受准分子激光近视手术的患者72例,其中男34例、女38例;年龄18～40(24.67±5.19)岁;等效屈光度范围-2～-9(-5.27±1.77)D;矫正方式为配戴框架眼镜或角膜接触镜。术前应用2007年中文版QIRC进行问卷调查。手术方式为LASIK53例及准分子激光屈光性角膜切削术(photorefractive keratectomy,PRK)19例。术后3个月再次应用同样的QIRC进行问卷调查。结果准分子激光术后患者的生活质量(术后42.30±5.20,术前39.90±5.22)和满意度评分(术后86.70±9.55,术前72.25±15.99)均高于术前,差异均有统计学意义(均为P<0.05)。准分子激光术后患者的生活质量和满意度评分在不同性别、年龄、屈光度组间差异均无统计学意义(均为P>0.05)。女性患者术后眼疲劳感明显轻于男性,且术后自我感觉方面的提升比男性明显。年轻人较年纪稍大的患者术后在运动的方便性和自我感觉方面的提升更明显。高度数组患者术后自我感觉的增加明显优于中度数组,低度数组晨起视物明显优于高度数组。LASIK组术后生活质量(41.98±5.03)分较术前(39.29±5.25)分明显提高,差异有显著统计学意义(P<0.01),PRK组术后生活质量(43.20±5.69)分与术前(41.62±4.84)分比较,差异无统计学意义(P>0.05)。两组术后生活质量无明显差异。在满意度方面,两组均比术前矫正方式的满意度高,两组间差异无统计学意义(P>0.05)。结论准分子激光近视术后患者的生活质量和满意度高于术前,不同术式术后生活质量的提高程度有所不同。Objective To estimate the quality of life （QOL） for myopia people after refractive surgery by the quality of life impact of refractive correction （ QIRC ） in- strument, and compare the QOL of different groups （different gender, age, diopter and surgical type） after refractive surgery. Methods Seventy-two cases were enrolled in the investigation with 34 male cases and 38 female cases. The age was from 18 years to 40 years （ 24.57 ±5. 19 ） years. The equivalent refraction was from - 2 D to - 9 D （ - 5.27 ± 1.77） D. They were spectacles wears or contact lens wears. A total of 53 ca- ses accepted LASIK and 19 cases accepted PRK. The QOL of them were surveyed by Chinese QIRC before surgery and 3 months after surgery. Resultu The QOL score （42.30 ± 5.20 in pre-operation vs 39.90 ± 5.22 in post-operation） and satisfaction score （86.70 ±9.55 in pre-operation vs 72.25 ± 15.99 in post-operation） were higher after surgery than before, and the difference was statistically significant（P 〈 0.05 ）. There was no significant difference among different age, gender or diopter （ all P 〉 0.05 ）. But fe- male patients had less tired or strained feeling on eyes than male patients, and female patients felt better on themselves after surgery. Young patients felt more convenience on activity and felt better on themselves than older patients after surgery. The high myopia patients felt best on themselves and the low myopia patients scored highest seeing on walking. LASIK group had significantly higher QOL score after surgery （41.98 ± 5.03 ） than before （39.29±5.25 ,P 〈0.01 ） ,but PRK group had no significant difference before and after surgery （43.20± 5.59 vs 41.52 ± 4.84,P 〉 0.05 ）. The QOL scores and satisfac- tion scores after surgery of two groups had no significant difference, but two groups both had significant higher satisfaction scores after surgery than before. Conelus｜on The patients had higher QOL and satisfaction after surgery than before. LASIK and PRK both im

关 键 词：生活质量 近视 准分子激光术 

分 类 号：R276.722.1[医药卫生—中医五官科学]