1目的　评价准分子激光原位角膜磨镶术 (L ASIK)治疗近视的效果 ,探讨病人对疗效的满意程度与自身心理素质的关系。2方法　采用 L ASIK治疗近视 5 7例 113眼 ,根据术前屈光度分为 A,B两组 ,根据焦虑自评量表将病人分为 , 两组 ,术后随访 0 .5年以上。 3结果　术后 0 .5年 113眼裸眼视力 <0 .5 ,0 .5～ 0 .8,>0 .8者 ,A组分别占 4.0 % ,6 .8% ,89.2 % ,B组为 12 .8% ,2 5 .6 % ,6 1.6 % ,两组间比较差异有显著性 (χ2 =12 .0 85 ,P<0 .0 1)。裸眼视力与术前最佳矫正视力 (BCVA )相比 ,≥ BCVA,比 BCVA下降≤ 2行 ,比 BCVA下降 >2行者 ,A组分别占 77.0 % ,17.6 % ,5 .4% ,B组占 6 6 .7% ,2 0 .5 % ,12 .8% ,两组间比较差异无显著性 (χ2 =2 .2 6 ,P>0 .0 5 )。对疗效表示非常满意、满意、不满意者 , 组分别占 6 4.1% ,2 5 .6 % ,10 .3% , 组为 11.1% ,6 6 .7% ,2 2 .2 % ,两组间比较差异有显著性 (χ2 =13.93,P<0 .0 0 1)。 4结论　 L ASIK治疗近视可取得良好效果 ,但术后裸眼视力与术前屈光度有关。病人对疗效的满意程度与自身心理素质有关 1 Objective To evaluate the effect of laser in situ keratomileusis (LASIK) on myopia and to explore the relationship between patients’ satisfaction with their efficacy and their own psychological quality. 2 Methods LASIK treatment of myopia 57 cases 113 eyes, according to preoperative refraction is divided into A, B two groups, according to anxiety self-rating scale the patients were divided into two groups, followed up for 0.5 years. 3 Results 0.5 years after 113 eyes uncorrected visual acuity <0.5, 0.5 to 0.8,> 0.8, A group accounted for 4.0%, 6.8%, 89.2%, B group was 12 .8%, 25.6%, 61.6% respectively. There was significant difference between the two groups (χ2 = 12.085, P <0.01). Compared with preoperative best corrected visual acuity (BCVA), uncorrected visual acuity (BCVA) ≥ BCVA decreased by ≤ 2 lines in BCVA and decreased by> 2 lines in BCVA, with 77.0%, 17.6% and 5.4% in group A, 6 6 .7%, 20.5%, 12. 8% respectively. There was no significant difference between the two groups (χ2 = 2.26, P> 0.05). The patients who were satisfied, unsatisfied, and group were 6 4.1%, 25.6% and 10.3% respectively, with 11.1%, 66.7% and 22.2% respectively, The difference was significant (χ2 = 13.93, P <0.001). 4 Conclusion L ASIK treatment of myopia can achieve good results, but postoperative uncorrected visual acuity and preoperative refraction. Patient satisfaction with the efficacy of their own psychological quality