摘要
目的探讨青光眼小梁切除术后早期滤过泡功能不良行滤过泡剥离治疗患者的焦虑、抑郁及睡眠障碍状况。方法选取行青光眼复合式小梁切除术后6个月复查恢复正常患者(A组)、早期滤过泡功能不良行滤过泡剥离治疗患者(B组)及查体健康成年人(C组)各30例,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和匹兹堡睡眠质量指数量表(PSQI)进行焦虑、抑郁及睡眠障碍评分,比较三组SAS、SDS、PSQI评分以及焦虑、抑郁及睡眠障碍阳性率差异,采用Spearman相关分析早期滤过泡功能不良行滤过泡剥离治疗患者SAS、SDS、PSQI评分的相关性。结果三组性别、年龄、文化程度、婚姻状况比较差异无统计学意义(P均>0.05),组间均衡可比。三组SAS、SDS、PSQI评分差异有统计学意义(P均<0.05)。B组与C组比较,SAS、SDS、PSQI评分差异有统计学意义(P均<0.05);A组与C组比较,PSQI评分差异有统计学意义(P<0.05)。分别以SAS评分≥45分、SDS评分≥50分、PSQI评分>7分作为焦虑、抑郁和睡眠障碍阳性判定标准。三组抑郁和睡眠障碍阳性率比较差异有统计学意义(P均<0.05);B组与C组相比,焦虑、抑郁和睡眠障碍阳性率差异均有统计学意义(P均<0.05);B组与A组、A组与C组相比,睡眠障碍阳性率差异有统计学意义(P均<0.05)。青光眼术后早期滤过泡功能不良行滤过泡剥离治疗患者PSQI评分与SAS评分、SDS评分呈正相关(r分别为0.511、0.296,P均<0.05);SAS评分与SDS评分呈正相关(r=0.355,P<0.05)。结论青光眼小梁切除术后早期滤过泡功能不良行滤过泡剥离治疗患者术后6个月内焦虑、抑郁及睡眠障碍发生率较高,应给予必要的心理干预。
Objective To investigate the anxiety,depression and sleep disorders in patients with early dysfunctional filtration blebs who underwent needle revision of filtration bleb after glaucoma trabeculectomy.Methods We selected 30 patients who recovered to normal 6 months after glaucoma trabeculectomy(Group A),30 patients with early dysfunc⁃tional filtration blebs who underwent needle revision of filtration bleb after glaucoma trabeculectomy(Group B),and 30 healthy adults(Group C).Anxiety,depression and sleep disorders were scored using Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI).We compared SAS,SDS,PSQI scores and the positive rate of anxiety,depression and sleep disorders among the three groups.The correlation of SAS,SADS and PSQI scores in patients with early dysfunctional filtration blebs was analyzed by Spearman correlation analysis.Results There were no significant differences in gender,age,educational level or marital status among the three groups(all P>0.05),and the balance between the groups was comparable.Significant differences were found in SAS,SDS and PSQI scores between the three groups(all P<0.05).There were significant differences in SAS,SDS and PSQI scores between the groups B and C(all P<0.05).Significant difference was found in PSQI score between group A and group C(P<0.05).SAS score of 45,SDS score of 50,and PSQI score of>7 were used as the positive determination criteria for anxiety,depression,and sleep disorders,respectively.There were significant differences in the positive rates of depression and sleep disorders among these three groups(all P<0.05).Significant differences were found in the positive rates for anx⁃iety,depression and sleep disorders between the group B and group C(all P<0.05).There was significant difference in the positive rate of sleep disorder between groups B and A,and between groups A and C(all P<0.05).PSQI score was positively correlated with SAS score(r=0.511)and SDS score(r=0.296)in patients of group B(P<0.05),and SAS score was positively correlated with SDS score(r=0.355,P<0.05).Conclusion Patients with early dysfunctional filtration blebs who underwent needle revision of filtration bleb after glaucoma trabeculectomy have high incidences of anxiety,depression and sleep disturbance within 6 months,so necessary psychological intervention should be given.
作者
孙中华
刘翠娟
张苗苗
刘伟
王建荣
孙嬿
纪珍
SUN Zhonghua;LIU Cuijuan;ZHANG Miaomiao;LIU Wei;WANG Jianrong;SUN Yan;JI Zhen(Department of Ophthalmology,Jinan Second People's Hospital,Jinan 250001,China)
出处
《山东医药》
CAS
2024年第4期32-35,共4页
Shandong Medical Journal
基金
济南市科技计划项目临床医学科技创新计划(202019067)。
关键词
青光眼
小梁切除术
滤过泡剥离
焦虑
抑郁
睡眠障碍
glaucoma
trabeculectomy
needle revision of filtration bleb
anxiety
depression
sleep disorder
