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目的评价白内障超声乳化术后患者的视力、视功能(visual function,VF)和生存质量(quality of life,QOL)。方法随访检查172例(205眼)白内障超声乳化术后6~36个月患者的日常生活视力。用尼泊尔眼病调查视力分级标准进行日常生活视力检查分级,同时由调查员采用美国眼科研究所开发的VF和QOL调查表进行现场问卷调查。结果本组病例平均VF得分为79.00±15.46,与视力等级的相关系数为-0.4,与远视力等级回归系数为-7.769,经t检验(t=-7.12,P=0.000)有统计学意义;与术前眼疾手术史的回归系数为-6.5059,经t检验(t=-2.92,P=0.004)有统计学意义。平均QOL得分为89.35±13.97,与视力等级的相关系数为-0.59。QOL与远视力等级的回归系数为-8.2867,经t检验(t=-9.27,P=0.000)有统计学意义。经方差分析术后不同时间组平均VF得分(F=1.09,P=0.3398)和QOL得分(F=0.62,P=0.5407)差别无统计学意义。结论白内障超声乳化术后6~36个月患者的VF和QOL状况稳定。
Objective To evaluate the visual acuity (VF) and quality of life (QOL) of patients after phacoemulsification. Methods Follow-up examination of 172 cases (205 eyes) cataract phacoemulsification 6 to 36 months after the daily life of patients with visual acuity. Visual acuity grading standards were used to carry out daily visual acuity grading in Nepal Eye Disease Survey. At the same time, field survey was conducted by investigators using the VF and QOL questionnaire developed by the American Eye Institute. Results The average VF score of this group was 79.00 ± 15.46. The correlation coefficient with visual acuity grade was -0.4, and the regression coefficient of distant visual acuity grade was -7.769. There was statistical significance by t test (t = -7.12, P = 0.000) The correlation coefficient between preoperative eye surgery and surgery history was -6.5059, which was statistically significant by t test (t = -2.92, P = 0.004). The average QOL score was 89.35 ± 13.97, and the correlation coefficient with visual acuity was -0.59. The regression coefficient between QOL and far vision was -8.2867, which was statistically significant by t test (t = -9.27, P = 0.000). There was no significant difference in mean VF score (F = 1.09, P = 0.3398) and QOL score (F = 0.62, P = 0.5407) at different time points after ANOVA. Conclusion The VF and QOL status of patients with phacoemulsification after 6 ~ 36 months are stable.