中低度近视青少年角膜塑形术后屈光不正的生存质量量表分析

Comparative Analysis of Quality of Life Before and After Orthokeratology in Adolescents with Mild to Moderate Myopia

目的对中低度近视青少年在角膜塑形术后屈光不正的生存质量量表进行调查分析。方法对就诊于中国医科大学附属第四医院眼科验配角膜塑形镜矫正近视(中低度)的青少年进行问卷调查。共分发100份中文版屈光不正的生存质量量表,对完整完成的85份量表进行整理和统计分析,比较中低度近视青少年角膜塑形术后各条目的得分差异,采用配对t检验对数据进行分析。结果 85名青少年近视患者角膜塑形术前及术后6个月生活质量评分分别为(39.61±5.62)分和(22.07±2.35)分。角膜塑形术后生存质量明显提高,差异有统计学意义(P<0.05)。量表24项条目中,有19项条目的角膜塑形术后6个月得分较角膜塑形术前有改善,其中14项差异有统计学意义(P<0.05)。结论角膜塑形术后,中低度近视青少年患者生存质量有所提高。

Objective To investigate and analyze the quality of life scores before and after orthokeratology in adolescents with mild to moderate myopia. Methods A questionnaire survey was conducted at the Ophthalmology Department of the Fourth Affiliated Hospital of China Medical University（Shenyang） for correction of myopia via orthokeratology. A total of 100 questionnaires were distributed,of which 85 complete surveys were statistically analyzed. Each item score was calculated before and after orthokeratology;statistical analysis was performed using the paired t test. Results In the 85 adolescents with myopia,the mean quality of life score was 39.61±5.62 before and 22.07±2.35 at 6 months after orthokeratology. The overall quality of life score improved after orthokeratology. The scores for 19 questionnaire items were lower after orthokeratology,and 14 items demonstrated significant differences in score between before and after orthokeratology（P〈 0.05）. Conclusion The quality of life is significantly improved in the majority of patients who underwent orthokeratology for myopia.