屈光手术后新兵生活质量评价（英文）

A quality of life assessment of military recruits after refractive surgery

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。

AIM： To evaluate the quality of life of recruits after refractive surgery. METHODS： Population-based, cross-sectional study. Using the Quality of Life Impact of Refractive Correction（QIRC）questionnaire, the quality of life in 615 recruits underwent refractive surgery was evaluated. The overall score and each question score of QIRC were compared between subgroups of different strength of preoperative refractive error, postoperative interval, type of surgical procedure and postoperative recovery. RESULTS： The mean overall QIRC score of recruits underwent refractive surgery was 49.15±7.89. Significant difference was found for strength of preoperative refractive error（F=4.16, P〈0.05）, with the low myopia group（50.67±7.59）had significantly better scores than those with high myopia（47.57±7.52, F=4.16, P〈0.05）. Recruits after a postoperative interval no more than 6mo（49.18±7.86）scored equally to those of more than 6mo（49.18±8.03）. Recruits underwent surface ablation surgery scored lowest（46.68±6.09）, but showed no significant difference when compared with all underwent refractive surgery（t=1.99, P〉0.05）. Scores of recruits underwent MK-LASIK, SBK, FS-LASIK, ReLEx flex or smile procedure showed no significant difference too. Recruits had adverse complaints postoperatively（45.85±6.66）scored lower when compared with all underwent refractive surgery（t=5.28, P〈0.01）. CONCLUSION： The quality of life of recruits after refractive surgery was good except those with postoperative complications. Preoperative low myopia recruits had better quality of life than medium and high myopia ones.