超声乳化白内障吸除术后和囊外白内障摘除术后患者生存质量的比较

Comparing patients′ quality of life after phacoemulsification with intraocular lens implantation with that after extracapsular cataract extraction with intraocular lens implantation

目的 比较超声乳化白内障吸除人工晶状体植入术后和囊外白内障摘除人工晶状体植入术后患者生存质量的变化。方法 分别于术前和术后 1周、1个月、3个月 ,观察 116例单眼超声乳化白内障吸除人工晶状体植入术后患者 (Ⅰ组 )和 93例单眼囊外白内障摘除人工晶状体植入术后患者 (Ⅱ组 )的眼部情况 ,使用生存质量调查量表记录分数。结果 术前生存质量总分数和各指标分数、术后 1个月和 3个月的自理和活动指标分数 ,Ⅰ组与Ⅱ组比较差异均无显著意义 (P >0 0 5 )。术后1周生存质量总分数和各指标分数、术后 1个月和 3个月的社交和心理指标分数 ,Ⅰ组高于Ⅱ组 ,两组比较差异均有显著意义 (P <0 0 5 )。结论 超声乳化白内障吸除人工晶状体植入术后患者的生存质量得到明显提高 ,手术效果好于囊外白内障摘除术。但是 ,本研究的观察时间较短 ,远期结果尚待深入探讨。

ObjectiveTo Compare the effects of phacoemulsification with intraocular lens implantation (PHACO+IOL) to extracapsular cataract extraction with intraocular lens implantation (ECCE+IOL) on quality of life. MethodsThe study population consisted of 116 patients receiving PHACO+IOL and 93 patients receiving ECCE+IOL. They were interviewed using the quality of life questionnaire, and the clinical outcomes were obtained before surgery and in 1 week, 1 month, 3 months after surgery respectively. ResultsPatients receiving PHACO+IOL reported larger benefit in quality of life and all sub-scales than did those receiving ECCE+IOL in 1 week after surgery. Subjects underwent PHACO+IOL showed better improvement in quality of life and two sub-scales (social and mental) than did those underwent ECCE+IOL in 1 month and 3 months after surgery. However, the improvement in other two sub-scales (self-care and mobility) was similar between two surgical groups in 1 month and 3 months after surgery. ConclusionThe patients receiving PHACO+IOL reported better and more rapid improvement in quality of life within 3 months after surgery. PHACO+IOL and ECCE+IOL have the same effects on improvement in self-care and mobility. So quality of life in patients receiving PHACO+IOL are better than those of ECCE+IOL.