An Investigation on Factors Considered as Triggers for the Attacks in Patients with Posner-Schlossman Syndrome in Wenzhou
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目的： 调查温州地区青光眼睫状体炎综合征（PSS）患者发作的诱因及相关因素。 方法： 横断面调查研究。收集2017年1月至2020年12月于温州医科大学附属眼视光医院就诊的172例PSS患者，所有患者以调查问卷和量表形式收集人口学和行为学资料，量表包括焦虑自评量表（SAS）、多维疲劳量表（MFI-20）和匹兹堡睡眠质量指数量表（PSQI）。诱因采用频数法进行统计，量表结果采用Summary t检验对比受检者与常模的差异，各量表组间差异比较采用卡方检验、独立样本t检验或非参数检验进行，通过Pearson相关或Spearman相关分析量表得分与性别、年龄、疾病所处时期的相关性。 结果： 172例患者中回收问卷172份，回收率100%，有效问卷171份，有效率99.4%。在受检者报告的诱因中，前十位依次是疲劳（51.5%）、熬夜（35.7%）、焦虑（30.4%）、失眠（21.6%）、感冒（15.8%）、胃肠道不适（12.9%）、过敏（10.5%）、月经期（9.9%）、精神压力大（5.3%）和饮酒（5.3%）。55.0%的患者报告了多个诱因，26.3%的患者表示未发现明显诱因。18.1%的PSS患者存在焦虑（SAS标准分≥50）。48.0%的患者存在睡眠障碍（PSQI总分>5），与间歇期患者相比，PSS发作期患者晚于23点睡觉的人数占比更高（34.1%vs. 18.6%，χ2=5.30，P=0.021）。 结论： 疲劳、睡眠不良（包括熬夜和失眠）、焦虑是PSS的主要诱因，熬夜（晚于23点睡觉）与单次发作相关。改善生活方式，以健康的方法缓解压力可能是减少PSS发作的策略之一。 Objective: To investigate the factors considered as triggers and for the attacks in patients with Posner-Schlossman syndrome (PSS) in Wenzhou. Methods: In this cross-sectional investigation study, we recruited 172 PSS patients from January 2017 to December 2020 in the Eye Hospital, Wenzhou Medical University. The demographic and behavioral characteristics of all were collected by questionnaires and scales, including the Multidimensional Fatigue Inventory-20 (MFI-20), Self-Rating Anxiety Scale (SAS), Pittsburgh Sleep Quality Index (PSQI). Frequency was used to describe the factors. The differences between PSS patients and the norm were compared by the summary t-test, and Chi-square test, independent sample t-test, or nonparametric test were used to compare the differences between different gender and age groups. Pearson or Spearman correlation was used to analyze the correlation between the scale score and gender, age, and period. Results: 172 questionnaires were returned for a response rate of 100%. 171 questionnaires were returned effectively for an effective rate of 99.4%. The top ten factors were fatigue (51.5%), staying up late (35.7%), anxiety (30.4%), insomnia (21.6%), cold (15.8%), gastrointestinal discomfort (12.9%), allergy (10.5%), menstruation (9.9%), mental stress (5.3%) and consumption of alcohol (5.3%). 55.0% of patients reported at least 2 factors considered as triggers. 26.3% reported no obvious triggers. 18.1% screened positive for anxiety with the SAS standard scored 50 or more. 48.0% screened positive for sleeping disorders of PSQI scored more than 5. The proportion of patients who went to bed later than 23:00 was higher during the attack period than those during the remission periods (34.1% vs. 18.6%, χ2=5.30, P=0.021). Conclusions: Fatigue, sleeping disorders (including staying up late and insomnia), and anxiety were the primary common triggers for PSS attack. Staying up late (going to bed later than 23 o'clock) was associated with single attack. Improving lifestyle and relieving the pressure in healthy ways could be one of the strategies to reduce the recurrence rate.
Objective: To investigate the factors considered as triggers and for the attacks in patients with Posner-Schlossman syndrome (PSS) in Wenzhou. Methods: In this cross-sectional investigation study, we recruited 172 PSS patients from January 2017 to December 2020 in the Eye Hospital, Wenzhou Medical University. The demographic and behavioral characteristics of all were collected by questionnaires and scales, including the Multidimensional Fatigue Inventory-20 (MFI-20), Self-Rating Anxiety Scale (SAS), Pittsburgh Sleep Quality Index (PSQI). Frequency was used to describe the factors. The differences between PSS patients and the norm were compared by the summary t-test, and Chi-square test, independent sample t-test, or nonparametric test were used to compare the differences between different gender and age groups. Pearson or Spearman correlation was used to analyze the correlation between the scale score and gender, age, and period. Results: 172 questionnaires were returned for a response rate of 100%. 171 questionnaires were returned effectively for an effective rate of 99.4%. The top ten factors were fatigue (51.5%), staying up late (35.7%), anxiety (30.4%), insomnia (21.6%), cold (15.8%), gastrointestinal discomfort (12.9%), allergy (10.5%), menstruation (9.9%), mental stress (5.3%) and consumption of alcohol (5.3%). 55.0% of patients reported at least 2 factors considered as triggers. 26.3% reported no obvious triggers. 18.1% screened positive for anxiety with the SAS standard scored 50 or more. 48.0% screened positive for sleeping disorders of PSQI scored more than 5. The proportion of patients who went to bed later than 23:00 was higher during the attack period than those during the remission periods (34.1% vs. 18.6%, χ2=5.30, P=0.021). Conclusions: Fatigue, sleeping disorders (including staying up late and insomnia), and anxiety were the primary common triggers for PSS attack. Staying up late (going to bed later than 23 o'clock) was associated with single attack. Improving lifestyle and relieving the pressure in healthy ways could be one of the strategies to reduce the recurrence rate.
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