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焦虑对白内障术后患者的干眼症状及生活质量的影响

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目的 探讨焦虑对白内障术后患者的干眼症状及生活质量的影响.方法 本研究对象为2021年2月~2022年12月97例白内障患者,术后进行焦虑情绪评价,并根据评价结果设为焦虑组以及无焦虑组.术后1周评估汉密尔顿焦虑量表(HAMA)、干眼主观症状及体征评分、视功能评分(VF)以及过中国版视功能指数量表(VF-14-CN),并分析焦虑组HAMA评分与上述指标的相关性.结果 97例白内障患者术后检出焦虑28例;焦虑组干眼主观评分显著高于无焦虑组,泪膜破裂时间(BUT)、泪液分泌试验显著低于无焦虑组,(P<0.05);焦虑组VF评分、VF-14-CN评分显著低于无焦虑组,(P<0.05);焦虑组HAMA评分与干眼主观评分呈正相关,与BUT、泪液分泌试验、VF评分、VF-14-CN评分呈负相关,(P<0.05).结论 白内障术后焦虑情况较为常见,焦虑可能加重白内障术后干眼症状,并降低视功能以及视觉相关生活质量.
Effect of anxiety on dry eye symptoms and quality of life in patients after cataract surgery
Objective To explore the impact of anxiety on dry eye symptoms and related quality of life in patients after cataract surgery.Methods Ninety-seven cataract patients from February 2021 to December 2022 were selected as the study subjects.Postoperative evaluation of anxiety was conducted and divided into anxiety group and non anxiety group based on the evaluation results,The Hamilton Anxiety Scale(HAMA),Dry Eye Subjective Symptoms and Signs Score,Visual Function Score(VF),and Chinese Version of Visual Function Index Scale(VF-14-CN)one week after surgery were evaluated.The correlation between HAMA score in anxiety group and the above indicators were analyzed.Results Postoperative anxiety was detected in 28 out of 97 cataract patients.The subjective dry eye score of the anxiety group was significantly higher than that of the non anxiety group,and the tear film rupture time(BUT)and tear secre-tion test were significantly lower than those of the non anxiety group(P<0.05).The VF score and VF-14-CN score of the anxiety group were significantly lower than those of the non anxiety group(P<0.05).The HAMA score in the anxi-ety group was positively correlated with the subjective dry eye score,but negatively correlated with BUT,tear secretion test,VF score,and VF-14-CN score(P<0.05).Conclusion Anxiety is common after cataract surgery,which may worsen dry eye symptoms and reduce visual function and visual related quality of life.

AnxietyCataractPostoperativeXerophthalmiaQuality of Life

张豪、王其华

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空军军医大学第一附属医院眼科(西安,710032)

焦虑 白内障 术后 干眼症 生活质量

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(4)