飞秒激光近视手术安全性及其相关危险因素分析

Safety and related risk factors of femtosecond laser myopia surgery

目的:探讨飞秒激光近视手术安全性的危险因素。方法:选择2020年1月—2021年6月在医院接受飞秒激光近视手术的患者86例,评估手术安全性,根据结果分为安全性差组与安全性良好组,比较两组基线资料,分析飞秒激光近视手术安全性的危险因素。结果:86例行飞秒激光手术患者中,手术安全差20例(23.26%);安全性差组与安全性好组患者的焦虑、结膜囊冲洗不当、频繁眨眼情况比较,差异有统计学意义(P<0.05);经Logistics回归分析结果显示,焦虑、结膜冲洗不当、频繁眨眼是飞秒激光近视手术安全性差的危险因素(OR>1,P<0.05)。结论:飞秒激光近视手术安全性差,风险较高,飞秒激光近视手术安全性差的危险因素为焦虑、结膜冲洗不当、频繁眨眼。

Objective:To investigate the risk factors for the safety of femtosecond laser myopia surgery.Methods:A total of 86 patients who underwent femtosecond laser myopia surgery in hospital from January 2020 to June 2021 were selected as the study subjects to evaluate the safety of the surgery.According to the results,they were divided into poor safety group and good safety group.The baseline data of the two groups were compared to analyze the risk factors of femtosecond laser myopia surgery.Results:The safety of femtosecond laser surgery was poor in 20 cases(23.26%,20/86).Anxiety,improper irrigation of conjunctival sac and frequent blinking were compared between the poor safety group and the good safety group(P<0.05).The results of Logistics regression analysis showed that anxiety,improper conjunctiva irrigation and frequent blinking were all risk factors for poor safety of femtosecond laser myopia surgery(OR>1,P<0.05).Conclusion:Femtosecond laser myopia surgery has a high risk of poor safety,and the risk factors of femtosecond laser myopia surgery are anxiety,improper conjunctival irrigation,frequent blinking.