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目的:评价屈光手术后新兵生活质量。方法:采用以人群为基础的横断面调查。应用屈光矫正生活质量影响量表(QIRC)对615例屈光手术后新兵的生活质量进行评价。对不同组间QIRC量表总得分进行比较,包括术前屈光不正程度、术后时间、手术方式和术后恢复时间等。结果:屈光手术后新兵平均QIRC量表总得分为49.15±7.89。术前屈光不正程度不同有显著差异(F=4.16,P<0.05),其中低度近视组得分(50.67±7.59)明显好于高度近视组(47.57±7.52)。而术后6mo以内得分(49.18±7.86)和术后6mo以上得分(49.18±8.03)没有统计学差异。行表层切削得分(46.68±6.09)最低,但并没有统计学差异(t=1.99,P>0.05),行MK-LASIK,SBK,FSLASIK,ReLEx flex或SMILE等其他手术方式得分也无统计学差异。屈光手术后有不良主诉的新兵得分(45.85±6.66)较低,和全部相比有统计学差异(t=5.28,P<0.01)。结论:除去有术后并发症的,屈光手术后新兵生活质量较好,术前低度近视新兵术后生活质量好于高度近视新兵。
Objective: To evaluate the quality of life of recruits after refractive surgery. METHODS: A population-based cross-sectional survey was used. The quality of life of new recruits after refractive surgery was evaluated using the QIRC (Refractive Correction Quality of Life Scale). The total scores of QIRC scales in different groups were compared, including the degree of preoperative refractive error, postoperative time, surgical methods and postoperative recovery time. Results: The average score of recruits after the refractive surgery QIRC scale was 49.15 ± 7.89. The difference of preoperative refractive errors was significant (F = 4.16, P <0.05). The score of low myopia group (50.67 ± 7.59) was significantly higher than that of high myopia group (47.57 ± 7.52). However, there was no significant difference between the score of 6 months after surgery (49.18 ± 7.86) and the score of 6 months after surgery (49.18 ± 8.03). There was no significant difference in the scores of other surgical procedures such as MK-LASIK, SBK, FSLASIK, ReLEx flex or SMILE between the two groups (46.68 ± 6.09, t = 1.99, P> 0.05) . Recruits with adverse complaints after refractive surgery were lower (45.85 ± 6.66) and statistically significant (t = 5.28, P <0.01). Conclusion: The quality of life of recruits after refractive surgery is better than those with postoperative complications. The quality of life of new low surgeons after surgery is better than that of high myopia.