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
2015年
4期
206-208,212
,共4页
巩倩文%曾继红%杨国渊%张文秋%刘陇黔
鞏倩文%曾繼紅%楊國淵%張文鞦%劉隴黔
공천문%증계홍%양국연%장문추%류롱검
斜视手术%视觉,双眼%成人斜视生存质量量表%生活质量%成年人
斜視手術%視覺,雙眼%成人斜視生存質量量錶%生活質量%成年人
사시수술%시각,쌍안%성인사시생존질량량표%생활질량%성년인
Strabismus surgery%Vision,binocular%Adult strabismus health related quality of life questionnaire%Quality of life%Adults
目的 评估斜视手术对成人斜视患者生活质量的影响.方法 前瞻性研究.对2013年11月至2014年9月在四川大学华西医院眼科就诊的89例成人斜视患者,分别在其术前1d及术后(83.6±34.0)d采用成人斜视生存质量量表(AS-20)进行生活质量评价.分析手术前后AS-20分值的变化情况,并评估年龄、性别、斜视类型、双眼视觉和手术前后AS-20分值及其变化值的关系.对数据进行独立样本t检验,秩和检验和Spearman相关分析.结果 患者术前AS-20得分为(50.3±18.5)分,术后得分为(80.8±20.6)分,差异有统计学意义(t=9.975,P＜0.01).相比男性,女性在术前的AS-20得分偏低,在术后提升快,差异均有统计学意义(t术前=2.050,t变化=-2.593,P＜0.05);而无论术前术后,不同斜视类型(t术前=-0.480,t术后=0.237,t变化=1.495,P＞0.05)、双眼视觉是否为阳性(t术前=0.446,t术后=0.498,P＞0.05)患者间的AS-20得分差异均无统计学意义,患者年龄与手术前后AS-20总分值的差值无相关性(r=0.021,P＞0.05).结论 成人斜视患者术后生活质量有明显提高.女性相比男性在术前的生活质量偏低,在术后提升快.内外斜视患者、是否存在双眼视觉患者及不同年龄患者的生活质量改善情况并无明显差异.
目的 評估斜視手術對成人斜視患者生活質量的影響.方法 前瞻性研究.對2013年11月至2014年9月在四川大學華西醫院眼科就診的89例成人斜視患者,分彆在其術前1d及術後(83.6±34.0)d採用成人斜視生存質量量錶(AS-20)進行生活質量評價.分析手術前後AS-20分值的變化情況,併評估年齡、性彆、斜視類型、雙眼視覺和手術前後AS-20分值及其變化值的關繫.對數據進行獨立樣本t檢驗,秩和檢驗和Spearman相關分析.結果 患者術前AS-20得分為(50.3±18.5)分,術後得分為(80.8±20.6)分,差異有統計學意義(t=9.975,P＜0.01).相比男性,女性在術前的AS-20得分偏低,在術後提升快,差異均有統計學意義(t術前=2.050,t變化=-2.593,P＜0.05);而無論術前術後,不同斜視類型(t術前=-0.480,t術後=0.237,t變化=1.495,P＞0.05)、雙眼視覺是否為暘性(t術前=0.446,t術後=0.498,P＞0.05)患者間的AS-20得分差異均無統計學意義,患者年齡與手術前後AS-20總分值的差值無相關性(r=0.021,P＞0.05).結論 成人斜視患者術後生活質量有明顯提高.女性相比男性在術前的生活質量偏低,在術後提升快.內外斜視患者、是否存在雙眼視覺患者及不同年齡患者的生活質量改善情況併無明顯差異.
목적 평고사시수술대성인사시환자생활질량적영향.방법 전첨성연구.대2013년11월지2014년9월재사천대학화서의원안과취진적89례성인사시환자,분별재기술전1d급술후(83.6±34.0)d채용성인사시생존질량량표(AS-20)진행생활질량평개.분석수술전후AS-20분치적변화정황,병평고년령、성별、사시류형、쌍안시각화수술전후AS-20분치급기변화치적관계.대수거진행독립양본t검험,질화검험화Spearman상관분석.결과 환자술전AS-20득분위(50.3±18.5)분,술후득분위(80.8±20.6)분,차이유통계학의의(t=9.975,P＜0.01).상비남성,녀성재술전적AS-20득분편저,재술후제승쾌,차이균유통계학의의(t술전=2.050,t변화=-2.593,P＜0.05);이무론술전술후,불동사시류형(t술전=-0.480,t술후=0.237,t변화=1.495,P＞0.05)、쌍안시각시부위양성(t술전=0.446,t술후=0.498,P＞0.05)환자간적AS-20득분차이균무통계학의의,환자년령여수술전후AS-20총분치적차치무상관성(r=0.021,P＞0.05).결론 성인사시환자술후생활질량유명현제고.녀성상비남성재술전적생활질량편저,재술후제승쾌.내외사시환자、시부존재쌍안시각환자급불동년령환자적생활질량개선정황병무명현차이.
Objective To evaluate the effect of strabismus surgery on the quality of life in strabismus patients.Methods From November 2013 to September 2014,89 strabismus patients at West China Hospital were evaluated with an Adult Strabismus (AS-20) test and were followed up for (83.6±34.0)days.The difference between pre-and postoperative scores was analyzed using the AS-20 test and its subscales (psychosocial and functional).The influence of age,gender,deviation type,and the existence or non-existence of binocular vision were compared using independent samples t test,rank sum test,Spearman test.Results The preoperative AS-20 total score was 50.3±18.5 and was significantly higher at 80.8±20.6 postoperatively (t=9.975,P＜0.01).Females had a lower preoperative AS-20 total score but had greater improvement compared to males (tpy=2.050,tchange=-2.593,P＜0.05).Patients with esotropia and exotropia (tpre=-0.480,tpost,=0.237,tchange=1.495,P＞0.05) and the existence of binocular vision (tpre=0.446,tpost=0.498,P＞0.05) did not show a statistically significant difference in the AS-20 total scores or a change in AS-20 scores.There was no correlation between age and the change in AS-20 scores (r=0.021,P＞0.05).Conclusion Strabismus surgery resulted in a highly significant improvement in quality-of-life scores.Females had a lower quality-of-life preoperatively but had a greater benefit.There was no relationship between the deviation type,age,or the existence or non-existence of binocular vision and the AS-20 scores.
