广东省斗门县白内障手术的生存质量评价  

Quality of life assessment of cataract surgery in elderly population of Doumen County, Guangzhou Province

作　　者：何明光[1] 许京京[1] 吴开力[1] 李绍珍[1] 

机构地区：[1]中山大学中山眼科中心,广州510060

出　　处：《中华眼科杂志》2002年第10期594-597,共4页Chinese Journal of Ophthalmology

基　　金：世界卫生组织;国际狮子会;美国国家眼科研究所基金资助项目 (N0 1 EY 2 10 3 ) ;中山大学科研基金资助项目(A0 92 0 0 10 81)

摘　　要：目的　评价广东省斗门县年龄≥ 5 0岁人群中白内障术后患者的主观视功能 (visualfunction ,VF)和生存质量 (qualityoflife ,QOL)。方法　整群抽样法确定样本人群 ,其中白内障术后患者组成手术组 ,视功能损害者 (1只眼视力 <0 1者 )和部分正常对照者 (双眼视力均 >0 3者 )组成非手术组 ,由 4位工作人员按照标准化方式完成VF和QOL问卷调查工作。结果　在 5 342例受检者中 ,手术组 10 9例白内障术后患者中 99例 ,非手术组 6 2 6例视功能损害者中 5 35例、32 2 7例正常对照者中119例完成问卷调查工作。随着视力自正常下降至严重盲 ,非手术组VF和QOL分数的中位数分别自92下降至 2和自 10 0下降至 19;手术组VF和QOL分数的中位数分别自 80下降至 8和自 90下降至31。手术组视力与VF和QOL分数的关系与非手术组相似。VF和QOL的总分数手术组分别为 4 0和5 6 ,非手术组分别为 5 6和 72。通过多因素回归分析校正视力、年龄、性别和教育程度后 ,非手术组和手术组的QOL分数差异有显著意义 (P =0 0 15 ) ,VF分数差异无显著意义 (P =0 199)。结论　VF和QOL与视力显著相关。在本研究人群中 ,白内障术后患者的主观VF和QOL无明显提高 ,临床应进一步重视白内障术后患者的随访工作和社会心理康复。Objective To evaluate the outcome of cataract surgery in elderly population in Doumen County, Guangdong Province by assessment of subjective visual function and quality of life Methods All the cataract postoperative subjects were identified in the population level Visual Function and Quality of Life (VF/QOL) questionnaire developed by National Eye Institute, USA in developing countries was used as the instrument This Questionnaire was administered by four trained interviewers in all subjects with visual acuity less than 0 1 in either eye (treated as visual impairment cases), One in every 20 persons with visual acuity better than 0 3 (treated as normal control cases) in both eyes (un operated group) and all cataract postoperative cases (operated group) Results In 5 342 cross sectional examined persons, individuals who could be successfully interviewed included 99(90 8%)cataract postoperative cases, 535 (85 5%) visual impairment cases and 119 normal control ones On a 0 100 scale, medium total scores of VF and QOL diminished from 92 to 2 and from 100 to 19 respectively along with visual status from normal to severe blindness in the un operated group Similar findings on visual status and VF/QOL scores were found in the operated group The overall scores of VF and QOL were 40 and 56 for operated one and 56 and 72 for un operated one After adjusted the confounding effect of visual status, age, sex and education by multivariate regression model, the difference of QOL scores between un operated and operated group was significant ( P =0 015), while no significant difference ( P =0 199) was found in VF scores Conclusions The scores of VF and QOL are significantly correlated with the visual status Subjective visual function and quality of life could not be significantly improved after cataract surgery in this target population Concerns should be paid in postoperative follow up, aphakic correction and social psychological rehabilitation

关 键 词：广东 斗门县 白内障 生活质量 白内障摘除手术 流行病学 主观视功能 

分 类 号：R779.66[医药卫生—眼科]