神经肌肉放松训练对慢性闭角型青光眼患者生活质量和眼压的影响

Effect of progressive muscle relaxation training on the quality of life and intraocular pressure in patients with chronic angle-closure glaucoma

目的探讨神经肌肉放松训练对慢性闭角型青光眼患者生活质量和眼压、视野的影响。方法对89例慢性闭角型青光眼患者随机分为对照组和实验组(神经肌肉放松训练组);对照组采用常规对症支持治疗和手术治疗;实验组在常规治疗和手术治疗基础上进行神经肌肉放松训练。分别在训练前、训练3个月、训练6个月进行生活质量量表和眼压、视野的测定。结果与对照组相比,实验组生活质量各维度得分均有明显改善;实验组患者经过肌肉放松训练6个月后在躯体疼痛、活力、社会功能、情感角色、心理健康等得分[分别为(84.9±21.5)分、(74.8±19.6)分、(59.9±21.5)分、(81.9±27.6)分、(79.4±19.2)分]显著提高(P<0.01)。实验组在放松训练6个月后眼压[(21.7±2.81)mmHg]明显下降,与对照组[(28.4±3.31)mmHg]相比差异有统计学意义(P<0.05),而视野参数在6个月后与对照组相比差异无统计学意义(P>0.05)。结论神经肌肉放松训练作为一种简单易行、安全有效的心理干预方法,可有效改善慢性闭角型青光眼患者的生活质量和眼压。

Objective To study the effect of progressive muscle relaxation training on the quality of life and intraocular pressure,visual field in patients with chronic angle-closure glaucoma.Methods Totally 89 patients with chronic angle-closure glaucoma were divided into control group and experiment group（progressive muscle relaxation training group）.Patients in both groups received routine medication and operation treatment,besides those in the experiment group were treated with progressive muscle relaxation training.All the patients were evaluated with short form 36 health survey questionnaire（SF-36） and intraocular pressure,visual field before and three,six months after progressive muscle relaxation training.Results There were non-significant differences between the two groups in the SF-36 before progressive muscle relaxation training.While after progressive muscle relaxation training,the experiment group showed significant difference in all SF-36 dimensions compared with the control group.The scores of BP,VT,SF,RE,MH in SF-36 became significant increase after six months relaxation training in the experiment group[（84.9±21.5）,（74.8±19.6）,（59.9±21.5）,（81.9±27.6）,（79.4±19.2）]（P0.01）.Compared with the control group[（28.4±3.31）mmHg],intraocular pressure were markedly lower[（21.7±2.81）mmHg]（P0.05）,but there was non-significant difference between the two groups in visual field parameter.Conclusion Progressive muscle relaxation training can effectively improve the quality of life and intraocular pressure in patients with chronic angle-closure glaucoma.