心理干预对闭角型青光眼患者心理和视野及眼压的影响

Effect of psychotherapy on psychology,visual field and IOP in primary angle-closure glaucoma patients

目的:评估心理治疗对闭角型青光眼患者心理、视野及眼压的影响。方法:运用SCL-90、焦虑和抑郁自评量表对100例闭角型青光眼患者进行问卷调查,并在术后3mo对患者的视野、眼压和HRTⅡ进行检查。结果:通过一定的心理干预后,干预组SCL-90量表中人际关系、抑郁、焦虑、恐怖和偏执等指标评分较非干预组有所改善。干预组与非干预组相比,焦虑和抑郁评分明显改善,差异具有统计学意义(P<0.05)。术后3mo,干预组患者的眼压较非干预组低,差异具有统计学意义(P<0.05),但干预组与非干预组的视野平均缺损和模式标准差无显著性差异。HRTⅡ中的指标,干预组中C/D和线性C/D与非干预组有显著性差异外,其余指标均无明显差异。结论:心理干预对闭角型青光眼患者的治疗作用只能是在药物和手术治疗的基础上起一定辅助作用,提高药物、手术治疗的疗效。

AIM： To assess the impact of psychotherapy on psychology, visual field and intraocular pressure（ lOP ）in primary angle-closure glaucoma patients. METHODS： One hundred patients with primary angleclosure glaucoma took part in the survey. Symptom check list-90 （SCL-90）, self-rating depression scale （SDS） and self-rating anxiety scale （SAS） were used. The visual field, lOP and HRT II were examined 3 months after operation. RESULTS： After psychotherapy, the score of depression, paranoid, anxiety, phobia in SCL-90 had changed significantly in therapy group. Compared with non-therapy group, the score of therapy group in SAS and SDS had altered, too. 3 months after operation, the lOP of therapy group was lower than that of non-therapy group, there was statistical significance. However, the MD and PSD had no change between two groups. In HRT II the differences about C/D and line C/D were obvious in two groups. CONCLUSION： Psychotherapy has some auxiliary effect for primary angle-closure glaucoma patients.