中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2011年
10期
727-729
,共3页
眼外伤%晶状体,人工%二期植入,二期%生存质量
眼外傷%晶狀體,人工%二期植入,二期%生存質量
안외상%정상체,인공%이기식입,이기%생존질량
Ocular trauma%Implantation of stage Ⅱ intraocular lens%Quality of life
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 - DVI)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 二期人工晶状体植入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.
目的 探討眼外傷術後無晶狀體眼二期人工晶狀體植入術前後生存質量的變化及其影響因素.方法 採用于彊等開髮的視功能損害眼病患者生活質量量錶( AQOL - DVI)對眼外傷術後無晶狀體眼98例行二期人工晶狀體植入手術.對術前2d、術後3箇月的生存質量進行比較,以配對t檢驗,併採用多元逐步迴歸分析方法篩選影響生存質量的因素.結果 植入術後3箇月量錶得分明顯高于術前2d者,差異具有統計學意義.影響手術後得分改變的首要獨立因素是患眼視力的變化.多元迴歸分析篩選齣5箇主要影響因子:術後3箇月視力(Bs =0.408)、用眼時間(Bs=-0.172)、社會保障(Bs=0.324)、晶狀體位置(Bs=-0.216)、術後眩光(Bs=-0.143).結論 二期人工晶狀體植入術後眼外傷患者的生存質量得到明顯提高.根據術後生存質量的影響因子,不僅要重視患者的單純的視力提高,同時還要瞭解患者的職業、經濟狀況及術後舒適度等.
목적 탐토안외상술후무정상체안이기인공정상체식입술전후생존질량적변화급기영향인소.방법 채용우강등개발적시공능손해안병환자생활질량량표( AQOL - DVI)대안외상술후무정상체안98례행이기인공정상체식입수술.대술전2d、술후3개월적생존질량진행비교,이배대t검험,병채용다원축보회귀분석방법사선영향생존질량적인소.결과 식입술후3개월량표득분명현고우술전2d자,차이구유통계학의의.영향수술후득분개변적수요독립인소시환안시력적변화.다원회귀분석사선출5개주요영향인자:술후3개월시력(Bs =0.408)、용안시간(Bs=-0.172)、사회보장(Bs=0.324)、정상체위치(Bs=-0.216)、술후현광(Bs=-0.143).결론 이기인공정상체식입술후안외상환자적생존질량득도명현제고.근거술후생존질량적영향인자,불부요중시환자적단순적시력제고,동시환요료해환자적직업、경제상황급술후서괄도등.
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 intraocular 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.
