年龄相关性白内障患者术后视觉质量的影响因素  

Factors affecting postoperative visual quality in patients with age-related cataract

作　　者：倪连红 刘慧茹 李维娜[1] 潘运龄 李丽兰 Ni Lianhong;Liu Huiru;Li Weina;Pan Yunling;Li Lilan(Department of Ophthalmology,910th Hospital of the Joint Logistic Support Force of the Chinese People′s Liberation Army,Quanzhou 362000,Fujian Province,China)

机构地区：[1]中国人民解放军联勤保障部队第九一〇医院眼科,福建泉州362000

出　　处：《中华老年多器官疾病杂志》2024年第7期537-540,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：泉州市科技计划项目(2022N003S)。

摘　　要：目的分析年龄相关性白内障患者术后视觉质量影响因素。方法回顾性分析2020年4月至2022年4月于中国人民解放军联勤保障部队第九一〇医院眼科收治的2134例年龄相关性白内障患者的临床资料,采用视功能与生存质量调查问卷评估患者术后视觉质量。采用SPSS 20.0软件进行数据分析。根据数据类型,组间比较分别采用t检验及方差分析。采用多元线性回归分析患者术后视觉质量影响因素。结果患者视觉适应、主观视觉、立体视觉、周边视觉、心理状态、活动能力、生活自理能力以及社交能力等评分较术前均明显改善,差异均有统计学意义(P<0.05);且术后视觉质量总分[(76.64±11.37)分]明显高于术前[(55.72±10.89)分],差异有统计学意义(P<0.05)。年龄、糖尿病史、术前干眼症状、角膜散光度、瞳孔大小、高度近视等一般资料,以及手术切口大小、超声乳化模式、人工晶状体类型、人工晶状体有效位置、术后干眼症状等临床资料对患者术后视觉质量影响显著(P<0.05)。多元线性回归分析结果显示年龄、角膜散光度、高度近视、超声乳化模式、人工晶状体有效位置、术后干眼症状是患者术后视觉质量影响因素(β=0.832、0.215、0.314、1.136、0.763、0.833;P<0.05)。结论年龄相关性白内障患者术后视觉质量受示年龄、角膜散光度、高度近视、超声乳化模式等因素影响,需要从影响因素着手提高患者术后视觉质量。Objective To analyze the factors affecting postoperative visual quality in the patients with age-related cataract.Methods The clinical data of 2134 patients with age-related cataract treated at the Ophthalmology Department of the 910th Hospital of the Chinese People′s Liberation Army Joint Logistics Support Force from April 2020 to April 2022 were retrospectively analyzed.The postoperative visual quality of patients was evaluated using the questionnaire of visual function and quality of life,and SPSS 20.0 was used for data analysis.Comparison between two groups was performed using t test or variance analysis depending on data type.Multiple linear regression was used to analyze the factors affecting postoperative visual quality.Results The scores of visual adaptation,subjective vision,stereovision and peripheral vision,mental state,mobility,self-care ability and social ability were significantly improved compared with those before surgery,and the differences were statistically significant(P<0.05).The total score of postoperative visual quality[(76.64±11.37)points]was significantly higher than that before surgery[(55.72±10.89)points],and the difference was statistically significant(P<0.05).General data such as age,history of diabetes,preoperative dry eye symptoms,corneal astigmatism,pupil size,high myopia,and clinical data such as surgical incision size,phacoemulsification mode,intraocular lens type,effective position of the intraocular lens,postoperative dry eye symptoms had significant effects on postoperative visual quality(P<0.05).Multiple linear regression analysis showed that age,corneal astigmatism,high myopia,phacoemulsification mode,effective position of the intraocular lens,and postoperative dry eye symptoms were the factors affecting postoperative visual quality(β=0.832,0.215,0.314,1.136,0.763,0.833;P<0.05).Conclusion The postoperative visual quality of patients with age-related cataract is affected by such factors as age,corneal astigmatism,high myopia,and phacoemulsification mode.It is necessary t

关 键 词：老年人 白内障 视觉质量 因素 

分 类 号：R779.66[医药卫生—眼科] R592[医药卫生—临床医学]