摘要
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。
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 secretion 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 anxiety 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.
作者
张豪
王其华
ZHANG Hao;WANG Qihua(Department of Ophthalmology,First Affiliated Hospital of Air Force Military Medical University,Xi’an 71003,China)
出处
《国际精神病学杂志》
2024年第4期1251-1253,共3页
Journal Of International Psychiatry
关键词
焦虑
白内障
术后
干眼症
生活质量
Anxiety
Cataract
Postoperative
Xerophthalmia
Quality of Life
