近視患者行SMILE手術后滿意度調查

任勝衛，龐辰久，孟志紅，代麗娟，魯傳琴

?

·調查研究·

近視患者行SMILE手術后滿意度調查

任勝衛，龐辰久，孟志紅，代麗娟，魯傳琴

Foundation item:National Natural Science Foundation of China (No.81200664)

Department of Ophthalmology, Henan Eye Institute; Henan Eye Hospital; Henan Provincial People’s Hospital, Zhengzhou 450003, Henan Province, China

?METHODS: Myopic patients treated with SMILE were enrolled from Jan. to Dec.2013 in Henan Eye Institute. The patients were divided into different myopia groups according to spherical equivalent, and were divided into low age group and high age group according to age. The satisfaction survey was performed 18-30mo after SMILE. The differences of response rate and satisfaction score among different myopia groups were performed by Chi-square test and One-way ANOVA, respectively. The differences of satisfaction score between different age groups were performed by samplet-test. The differences of satisfaction score between postoperative symptomatic group and asymptomatic group were performed by samplet-test.

?RESULTS: A total of 239 eyes of 120 patients were enrolled. A total of 183 eyes of 92 patients replied, the response rate was 76.6%. The average age was (25.6±5.3) years, the mean preoperative spherical equivalent was (-4.87±1.37)D. The response rates were not statistically significant among different myopia groups (χ2=12.00,P>0.05). The percentage of patients that were very satisfied with surgery was 98.9%, and they would like to recommend the surgery to their families or friends. The satisfaction score of moderate myopia group was significantly higher than that of low myopia group and high myopia group (P<0.05). The satisfaction score of low age group was higher than that of high age group (t=2.95,P<0.05). The incidence of dry eyes, poor night vision, glare and eye discomfort was 15.3%, 9.8%, 7.7%, and 7.1% after operation. The satisfaction score of dry eye was lower than that of asymptomatic patients (P<0.05). There were no significant differences between asymptomatic patients and poor night vision, glare or eye discomfort patients (P>0.05).

?CONCLUSION: The satisfaction extent of myopic patients after SMILE is very high. The satisfaction score of moderate myopia group and low age group was high, and the postoperative satisfaction score of dry eye is low.

目的：調查近視患者行飛秒激光微小切口角膜基質透鏡取出術(small incision lenticule extraction，SMILE)后的滿意度以及滿意度評分。

方法：連續納入2013-01/12在河南省眼科研究所行SMILE手術的患者，依據患者等效球鏡度(SE)分為低度近視組(-3.0030歲)。于術后18～30mo采用問卷方式調查患者術后滿意度。不同近視程度組之間應答率比較采用卡方檢驗，滿意度評分比較采用單因素方差分析；不同年齡組間滿意度評分比較采用獨立樣本t檢驗；滿意度評分在術后有主觀癥狀組與無主觀癥狀組比較采用獨立樣本t檢驗。

結果：共納入患者120例239眼進行調查，92例183眼患者應答，應答率為76.6%。患者平均年齡18～46(25.6±5.3)歲，術前平均等效球鏡度數為-4.87±1.37D。不同近視組中應答率比較，差異無統計學意義(χ2=12.00,P>0.05)。98.9%患者對手術結果滿意，并愿將此手術方式推薦給朋友或家人。中度近視組滿意度評分高于低度近視組和高度近視組，差異有統計學意義(P<0.05)。低年齡組患者滿意度評分高于高年齡組，差異有統計學意義(t=2.95，P<0.05)。術后眼干澀、夜視力差、眩光及眼部不適感的發生率依次為15.3%、9.8%、7.7%、7.1%。眼干澀患者滿意度評分均低于無癥狀患者，差異有統計學意義(P<0.05)，眼部不適感、眩光及夜視力差患者滿意度評分與無癥狀之間無統計學差異(P>0.05)。

結論：近視患者行SMILE術后滿意度很高。中度近視組和低年齡組患者滿意度評分高，而術后眼干澀患者滿意度評分低。

近視；飛秒激光微小切口角膜基質透鏡取出術；滿意度；調查

引用：任勝衛，龐辰久，孟志紅，等.近視患者行SMILE手術后滿意度調查.國際眼科雜志2016;16(12):2292-2294

0引言

飛秒激光微小切口角膜基質透鏡取出術(small incision lenticule extraction, SMILE)近年已成為治療屈光不正的主要方式之一，其治療近視、散光的有效性、安全性、可預測性等方面已經得到證實[1-3]。角膜……