CAJ | 학술논문

目的探讨术前眼位训练在飞秒激光联合准分子激光原位角膜眼位磨镶术（femtosecond laser-assisted laser in situ keratomileusis，FL-LASIK）中的应用效果。方法选择行 FL-LASIK 的近视患者168例（328眼），随机分为实验组85例（166眼）和对照组83例（162眼），对照组患者术前给予常规配合检查及知识讲解，实验组在对照组基础上，由专人负责对患者进行术前眼位干预。比较手术过程患者眼位改变及术后角膜地形图、视力恢复情况。结果两组患者术中调整眼位及停机次数情况比较，P ＜0?001，差异具有统计学意义，实验组患者调整眼位及停机次数明显少于对照组；两组患者术后角膜地形图及术后视力恢复情况比较，均 P ＞0?05，差异无统计学意义。结论FL-LASIK 术前给予眼位干预，使患者在术中能保持较好的眼位，减少由于眼位调整所致的停机次数，使手术顺利完成。
목적탐토술전안위훈련재비초격광연합준분자격광원위각막안위마양술（femtosecond laser-assisted laser in situ keratomileusis，FL-LASIK）중적응용효과。방법선택행 FL-LASIK 적근시환자168례（328안），수궤분위실험조85례（166안）화대조조83례（162안），대조조환자술전급여상규배합검사급지식강해，실험조재대조조기출상，유전인부책대환자진행술전안위간예。비교수술과정환자안위개변급술후각막지형도、시력회복정황。결과량조환자술중조정안위급정궤차수정황비교，P ＜0?001，차이구유통계학의의，실험조환자조정안위급정궤차수명현소우대조조；량조환자술후각막지형도급술후시력회복정황비교，균 P ＞0?05，차이무통계학의의。결론FL-LASIK 술전급여안위간예，사환자재술중능보지교호적안위，감소유우안위조정소치적정궤차수，사수술순리완성。
Objective To investigate the clinical effects of preoperative eye position training on femtosecond laser-assisted laser in situ keratomileusis(FL-LASIK)? Methods One hundred and sixty-eight myopia patients(328 eyes)scheduled for selective FL-LASIK were randomly divided into the experiment group of 85 cases(166 eyes)and the control group of 83 cases(162 eyes)?The patients in the control group were given the routine preoperative education and the patients in the experiment group received the preoperative intervention of eye position besides routine preoperative education? The two groups were compared in terms of intraoperative changes of eye position,corneal topography and the postoperative visual acuity? Results The frequency of eye position adjustment and machine stopping in the experiment group was significantly smaller than that of the control group(P < 0?001)? But no significant differences were found between the two groups in corneal topography and the postoperative visual acuity(P > 0?05)? Conclusion Preoperative training of eye position may maintain ideal eye position and reduce the frequency of downtime due to eye position adjustment during FL-LASIK,which may ensure the successful completion of FL-LASIK?