鼻泪管狭窄合并干眼综合征患者行硅胶支架置入术后生活质量的变化
Change in quality of life of patients undergoing silicone stent intubation for nasolacrimal duct stenosis combined with dry eye syndrome.
作者信息
Oh Jong Rok, Chang Jee Ho, Yoon Jin Sook, Jang Sun Young
机构信息
Department of Ophthalmology, Soonchunhyang Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
出版信息
Br J Ophthalmol. 2015 Nov;99(11):1519-22. doi: 10.1136/bjophthalmol-2014-306496. Epub 2015 May 6.
AIMS
To investigate the effect of silicone stent intubation (SI) on the quality of life of patients diagnosed with nasolacrimal duct stenosis and dry eye syndrome.
METHODS
This study is a prospective, interventional case series. Consecutive 30 patients diagnosed with nasolacrimal duct stenosis and reflex tearing due to dry eye syndrome were included. Eligible subjects underwent SI and were asked to complete the Glasgow Benefit Inventory (GBI) questionnaire. Surgical outcomes and GBI scores were investigated 6 months postoperatively.
RESULTS
The surgical success rate determined by the patients' subjective symptoms was 76.7% (23/30). Mean total GBI score was +17.19 (95% CI 8.34 to 26.03). The general subscale score was +20.36 (95% CI 10.19 to 30.54), the social support scale score was +21.54 (95% CI 11.37 to 31.71) and the physical health score was -0.56 (95% CI -8.92 to 7.80).
CONCLUSIONS
SI could be an effective treatment option for reflex tearing in patients diagnosed with dry eye syndrome and nasolacrimal duct stenosis.
目的
探讨硅胶支架置入术（SI）对诊断为鼻泪管狭窄和干眼综合征患者生活质量的影响。
方法
本研究为前瞻性干预性病例系列研究。纳入30例因干眼综合征诊断为鼻泪管狭窄并伴有反射性流泪的连续患者。符合条件的受试者接受了硅胶支架置入术，并被要求完成格拉斯哥获益量表（GBI）问卷。术后6个月调查手术结果和GBI评分。
结果
根据患者主观症状确定的手术成功率为76.7%（23/30）。GBI总评分均值为+17.19（95%可信区间8.34至26.03）。一般分量表评分为+20.36（95%可信区间10.19至30.54），社会支持量表评分为+21.54（95%可信区间11.37至31.71），身体健康评分为-0.56（95%可信区间-8.92至7.80）。
结论
硅胶支架置入术可能是诊断为干眼综合征和鼻泪管狭窄患者反射性流泪的有效治疗选择。
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