CAJ | 학술논문

目的为提高白内障病人手术后生活质量,对其危险因素做一调查分析.方法收集到上海交通大学附属第一人民医院分院258例白内障手术病人手术前和手术后3个月的视功能相关生活质量(vision health related quality of life,VRQoL)数据,以及生活质量改变的相关资料包括病人的年龄、性别等特征,视力改善程度,单眼或双眼手术,眼部和全身合并症情况,以及手术并发症等进行分析.结果有手术并发症、眼部和全身合并症的病人手术后生活质量提高程度低(P=0.016,0.172,0.166).手术前VRQoL、视力的改善、眼部合并症是影响单眼白内障手术后生活质量提高的独立危险因素(P=0.000,0.032,0.036);手术前VRQoL、手术前的视力、视力的改善、手术并发症是影响双眼白内障手术后生活质量提高的独立危险因素(P=0.000,0.000,0.000,0.024).结论在这组具有高合并症负荷的上海老人中,手术前高VRQoL、低视力提高、手术前的高视力、和手术并发症是影响白内障手术后生活质量提高的危险因素.
목적 위제고백내장병인수술후생활질량,대기위험인소주일조사분석.방법 수집도상해교통대학부속제일인민의원분원258례백내장수술병인수술전화수술후3개월적시공능상관생활질량(vision health related quality of life,VRQoL)수거,이급생활질량개변적상관자료포괄병인적년령、성별등특정,시력개선정도,단안혹쌍안수술,안부화전신합병증정황,이급수술병발증등진행분석.결과 유수술병발증、안부화전신합병증적병인수술후생활질량제고정도저(P=0.016,0.172,0.166).수술전VRQoL、시력적개선、안부합병증시영향단안백내장수술후생활질량제고적독립위험인소(P=0.000,0.032,0.036);수술전VRQoL、수술전적시력、시력적개선、수술병발증시영향쌍안백내장수술후생활질량제고적독립위험인소(P=0.000,0.000,0.000,0.024).결론 재저조구유고합병증부하적상해노인중,수술전고VRQoL、저시력제고、수술전적고시력、화수술병발증시영향백내장수술후생활질량제고적위험인소.
Objective To investigate the risk factors of low improvement of vision health related quality of life(VRQoL)after cataract surgery for improving surgical care for patients.Methods A total of 258 patients underwent cataract extraction were evaluated for preoperative and 3-month postoperative VRQoL in a public hospital in Shanghai.Data associated with the VRQoL changes including the patients'characteristics,unilateral or bilateral cataract extraction,visual acuity improvement,systemic or ocular comorbidities,and surgical complications were analyzed.Results Patients with surgical complications,ocular and systemic comorbidities had lower VRQoL scores improvement(P=0.016,0.172,0.166).Preoperative VRQoL scores,the change of visual acuity,and ocular comorbidities were the independent risk factors of VRQoL scores change of unilateral cataract extraction patients(P=0.000,0.032,0.036).Preoperative VRQoL scores,preoperative visual acuity,the change of visual acuity,and surgical complications were the independent risk factors of VRQoL scores change of bilateral cataract extraction patients(P=0.000,0.000,0.000,0.024).Conclusions In a cohort of Shanghai veterans with heavy preoperative comorbidities burden,high preoperative VRQoL,low change of visual acuity,high preoperative visual acuity,and surgical complications are risk factors of low VRQoL improvement after cataract extraction.