早中期白内障患者生存质量及视功能调查  

Investigation of life quality and visual function in early-middle stage of cataract

作　　者：赵辉[1] 陈穗桦[2] 

机构地区：[1]天长市人民医院眼科,安徽省天长市239300 [2]南京军区南京总医院眼科,江苏省南京市210002

出　　处：《眼科新进展》2014年第4期375-377,共3页Recent Advances in Ophthalmology

摘　　要：目的探讨生存质量问卷与视功能问卷在早中期白内障患者视功能检查中的应用。方法回顾性分析2010年7月至2012年6月在我院就诊的150例(150眼)早中期白内障患者的临床资料,分别采用生存质量问卷及视功能调查问卷调查患者生存质量及视功能,同时使用视功能测量仪在明亮状态下有眩光及无眩光两种条件下进行对比敏感度检查。结果视功能问卷分数95%分位数为75.2分,生存质量问卷分数95%分位数为92.1分。150例患者的生存质量问卷及视功能问卷分别与日常生活视力呈显著性相关,且均呈显著正相关(r=0.73、0.61,均为P<0.05)。150例患者中,实际考虑手术率为48.0%;按视功能问卷得分,问卷指征可手术率为68.3%,差异有统计学意义(χ2=17.125,P<0.05);按生存质量问卷得分,问卷指征可手术率为64.0%,差异有统计学意义(χ2=16.513,P<0.05)。无眩光对比敏感度为(1.56±0.18)dB,眩光对比敏感度为(1.23±0.62)dB,差异有统计学意义(P<0.05)。结论生存质量问卷、视功能问卷调查与视力检查相结合,可更全面、合理地评价早中期白内障患者的视功能损害状况。Objeetlve To explore the application of life quality questionnaire and visual function questionnaire in visual function examination of early-middle stage of cat- aract. Methods Clinical data of 150 patients 150 eyes with early-middle stage of cata- ract in our hospital from July 2010 to February 2013 were retrospectively analyzed, and the life quality and visual flmction were investigated by life quality questionnaire and visual function questionnaire, and the contrast sensitivity with or without glare were ex- amined under photopic condition by visual function examiner. Results The 95% quantile of visual function questionnaire scores and life quality questionnaire scores were ？5.2 points and 92. 1 points, respectively. The visual function questionnaire scores and life quality questionnaire scores were positive correlated with the daily living vision （r =0.73, 0.61, all P〈0.05）. In the 150 patients, 48.0% patients had the prac- tical considerations of surgery, according to the visual function questionnaire, 68.3% patients could consider to do surgery, there was statistical difference （χ2 = 17. 125, P 〈 0.05 ） ; According to life quality questionnaire, 64.0% patients could consider to do sur- gery, there was statistical difference （χ2 = 16. 513, P 〈 0.05 ）. The contrast sensitivity without glare was （ 1.56±0.18）dB, and the contrast sensitivity with glare was （ 1.23 ± 0.62） dB, there was statistical difference （P 〈 0.05 ）. Conclusion The life qualityquestionnaire and visual function questionnaire combined with visual acuity examination can evaluate the visual function damage in patients with early-middle stage of cataract more reasonably and completely.

关 键 词：早中期白内障 生存质量问卷 视功能问卷 对比敏感度 

分 类 号：R770.42[医药卫生—眼科]