中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2010年
1期
15-18
,共4页
李康寯%余野%王勤美%吕帆%杨新军
李康寯%餘野%王勤美%呂帆%楊新軍
리강준%여야%왕근미%려범%양신군
角膜磨镶术,激光原位%优势比%生命质量%屈光矫正者生命质量量表
角膜磨鑲術,激光原位%優勢比%生命質量%屈光矯正者生命質量量錶
각막마양술,격광원위%우세비%생명질량%굴광교정자생명질량량표
Keratomileusis,laser in situ%Odds ration%Quality of life%Quality of life impact of refractive correction
目的 探讨准分子激光原位角膜磨镶术(LASIK)对近视患者生命质量(QOL)的影响,并对其影响因素进行分析.方法 应用中文版的屈光矫正者牛命质量量表(QIRC)对115例近视患者LASIK术前及术后3个月的生命质量进行打分.该量表包括症状、视功能与身体机能、社会活动及精神心理4个模块,共20项指标.115例近视患者中,女性64例,男性51例;年龄18～40岁,平均(22.7±4.8)岁;其中术前低、中度近视组(<-6.0 D)70例,高度及超高度近视组(≥-6.0 D)45例.应用SPSS16.0统计软件对数据进行处理,采朋配对t检验分析LASIK手术前、后QOL总分及不同性别、年龄和屈光状态下近视患者QOL得分改变情况,以Logistic回归模型分析术后QOL的影响因素.结果 术后3个月,近视患者QOL得分由术前39.15±4.23提高到术后41.78±4.76,差异有统计学意义(t=4.63,P<0.01).其中,高度及超高度近视组患者LASIK手术前、后QOL得分改变最(4.60±1.08)与中、低度近视组患者(3.83±1.18)的差异无统计学意义(t=1.53,P=0.22);男性患者组QOL得分改变量(3.57±0.18)与女性患者组(4.28±1.26)的差异无统计学意义(t=1.83,P=0.58);<23岁患者组QOL得分改变量(3.64±0.73)与≥23岁患者组(3.56±1.31)的差异无统计学意义(t=1.73,P=0.75).在影响术后QOL的相关因素中,有用眼保护(OR=5.93,95% CI:1.57-22136)、较少并发症(OR=15.13,95% CI:2.57-88.94)、较低相关医药费(OR=7.80,95% CI:1.66-36.71)、日常生活便利性(OR=10.36,95%CI:2.44-44.05)、被他人认同感(OR=3.90,95% CI:1.08-14.13)及自信心(OR=12.73,95% CI:2.97-54.57)等因素存在,则能提高QOL得分,而年龄、性别、术前屈光度等均不是LASIK术后QOL的影响因素.结论 LASIK手术后,大部分近视患者的生命质量较术前提高.术后用眼保护、手术并发症、相关医药费用、日常生活便利性、被认同感及自信心等是影响LASIK患者术后生命质最的重要因素.
目的 探討準分子激光原位角膜磨鑲術(LASIK)對近視患者生命質量(QOL)的影響,併對其影響因素進行分析.方法 應用中文版的屈光矯正者牛命質量量錶(QIRC)對115例近視患者LASIK術前及術後3箇月的生命質量進行打分.該量錶包括癥狀、視功能與身體機能、社會活動及精神心理4箇模塊,共20項指標.115例近視患者中,女性64例,男性51例;年齡18～40歲,平均(22.7±4.8)歲;其中術前低、中度近視組(<-6.0 D)70例,高度及超高度近視組(≥-6.0 D)45例.應用SPSS16.0統計軟件對數據進行處理,採朋配對t檢驗分析LASIK手術前、後QOL總分及不同性彆、年齡和屈光狀態下近視患者QOL得分改變情況,以Logistic迴歸模型分析術後QOL的影響因素.結果 術後3箇月,近視患者QOL得分由術前39.15±4.23提高到術後41.78±4.76,差異有統計學意義(t=4.63,P<0.01).其中,高度及超高度近視組患者LASIK手術前、後QOL得分改變最(4.60±1.08)與中、低度近視組患者(3.83±1.18)的差異無統計學意義(t=1.53,P=0.22);男性患者組QOL得分改變量(3.57±0.18)與女性患者組(4.28±1.26)的差異無統計學意義(t=1.83,P=0.58);<23歲患者組QOL得分改變量(3.64±0.73)與≥23歲患者組(3.56±1.31)的差異無統計學意義(t=1.73,P=0.75).在影響術後QOL的相關因素中,有用眼保護(OR=5.93,95% CI:1.57-22136)、較少併髮癥(OR=15.13,95% CI:2.57-88.94)、較低相關醫藥費(OR=7.80,95% CI:1.66-36.71)、日常生活便利性(OR=10.36,95%CI:2.44-44.05)、被他人認同感(OR=3.90,95% CI:1.08-14.13)及自信心(OR=12.73,95% CI:2.97-54.57)等因素存在,則能提高QOL得分,而年齡、性彆、術前屈光度等均不是LASIK術後QOL的影響因素.結論 LASIK手術後,大部分近視患者的生命質量較術前提高.術後用眼保護、手術併髮癥、相關醫藥費用、日常生活便利性、被認同感及自信心等是影響LASIK患者術後生命質最的重要因素.
목적 탐토준분자격광원위각막마양술(LASIK)대근시환자생명질량(QOL)적영향,병대기영향인소진행분석.방법 응용중문판적굴광교정자우명질량량표(QIRC)대115례근시환자LASIK술전급술후3개월적생명질량진행타분.해량표포괄증상、시공능여신체궤능、사회활동급정신심리4개모괴,공20항지표.115례근시환자중,녀성64례,남성51례;년령18～40세,평균(22.7±4.8)세;기중술전저、중도근시조(<-6.0 D)70례,고도급초고도근시조(≥-6.0 D)45례.응용SPSS16.0통계연건대수거진행처리,채붕배대t검험분석LASIK수술전、후QOL총분급불동성별、년령화굴광상태하근시환자QOL득분개변정황,이Logistic회귀모형분석술후QOL적영향인소.결과 술후3개월,근시환자QOL득분유술전39.15±4.23제고도술후41.78±4.76,차이유통계학의의(t=4.63,P<0.01).기중,고도급초고도근시조환자LASIK수술전、후QOL득분개변최(4.60±1.08)여중、저도근시조환자(3.83±1.18)적차이무통계학의의(t=1.53,P=0.22);남성환자조QOL득분개변량(3.57±0.18)여녀성환자조(4.28±1.26)적차이무통계학의의(t=1.83,P=0.58);<23세환자조QOL득분개변량(3.64±0.73)여≥23세환자조(3.56±1.31)적차이무통계학의의(t=1.73,P=0.75).재영향술후QOL적상관인소중,유용안보호(OR=5.93,95% CI:1.57-22136)、교소병발증(OR=15.13,95% CI:2.57-88.94)、교저상관의약비(OR=7.80,95% CI:1.66-36.71)、일상생활편리성(OR=10.36,95%CI:2.44-44.05)、피타인인동감(OR=3.90,95% CI:1.08-14.13)급자신심(OR=12.73,95% CI:2.97-54.57)등인소존재,칙능제고QOL득분,이년령、성별、술전굴광도등균불시LASIK술후QOL적영향인소.결론 LASIK수술후,대부분근시환자적생명질량교술전제고.술후용안보호、수술병발증、상관의약비용、일상생활편리성、피인동감급자신심등시영향LASIK환자술후생명질최적중요인소.
Objective To measure the quality of life (QOL) of Chinese patients after LASIK and to analyze the factors that influence postoperative QOL. Methods A Chinese version of the Quality of life impact of refractive correction (QIRC) questionnaire was used to survey 115 patients before and 3 months after LASIK. The questionnaire included symptoms, visual and physiological function, social activity, mental state and psychological assessment. All participants were 18～40 years old. There were 64 females and 51 males in the patient population, 70 patients with low or medium status and 45 with high or very high status. The change in QOL was analyzed by paired-sample t test and influencing factors were analyzed by Logistic regression. Results The overall QOL score for patients improved from 39.15±4.23 to 41.78±4.76 (t=-4.63, P<0.01) after LASIK surgery. There was no significant difference in the change in QOL when corrective error status (t=1.53, P=0.22), gender (t=1.83, P=0.58) and age (t=1.73, P=0.75) were compared. Logistic regression analysis showed that the higher QOL score for patients had significantly increased odds with eye protection [odds ratio (OR)=5.93, 95% confidence interval (CI) 1.57-22.36], fewer complications (OR=15,13, 95% CI 2.57-88.94), little concern about cost (OR=7.80, 95% CI 1.66-36.71), convenience (OR= 10.36, 95% CI 2.44-44.05), feeling complimented (OR=3.90, 95% CI 1.08-14.13) and confident (OR=12.73, 95% CI 2.97-54.57). Preoperative QOL (OR=-0.07, 95% CI -0.16-2.86), preoperative refraction (OR= 0.57, 95% CI 0.12-2.74), age (OR=0.83, 95% CI 0.11-6.17), gender (OR=20.50, 95% CI 0.85-494.06) and educational background (OR=0.17, 95% CI 0.03-0.99) showed no signifi- cant association with postoperative QOL. Conclusion Significant QOL improvements are found in the majority of LASIK patients. Eye protection, fewer complications, cost, convenience, feeling compli- mented and confident are factors that influenced postoperative QOL in patients.
