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视网膜静脉阻塞患者的生活质量:一项病例对照研究。

Quality of Life among Patients with Retinal Vein Occlusion: A Case-Control Study.

作者信息

Chatzirallis Alexandros, Varaklioti Agoritsa, Sergentanis Theodoros N, Theodossiadis Panagiotis, Chatziralli Irini

机构信息

Faculty of Social Sciences, Department of Health Management, Hellenic Open University, Patras, Greece.

2nd Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Semin Ophthalmol. 2021 Nov 17;36(8):658-664. doi: 10.1080/08820538.2021.1896750. Epub 2021 Mar 8.

Abstract

: The purpose of this study was to evaluate health-related quality of life in patients with retinal vein occlusion (RVO) and investigate the possible risk factors for poor quality of life in patients with RVO.: Participants in the study were 67 patients with RVO, 42 male and 25 female, mean-aged 73.1 ± 10.9 years, and 70 sex- and age-matched controls. Demographic data, lifestyle factors and medical history were recorded. All patients underwent best-corrected visual acuity measurement, dilated fundoscopy and optical coherence tomography. All participants completed two questionnaires assessing quality of life (EQ-5D, NEI VFQ-25). Risk factors for health-related quality of life in RVO patients were investigated.: Patients with RVO exhibited significantly lower composite score for VFQ-25 compared to controls (74.1 ± 3.8 vs. 91.7 ± 3.9 for patients and controls, respectively, < .001). In addition, RVO patients had significantly lower EQ-5D Index score compared to controls (0.88 ± 0.15 vs. 0.92 ± 0.12 for patients and controls, respectively, = .043). Risk factors associated with quality of life in patients with RVO were found the alcohol consumption, the presence of thyroidopathy, coagulation disorders, visual acuity in the eye with RVO, central retinal thickness, the type of edema, the presence of ischemia and the condition of external limiting membrane. In multivariate analysis, only alcohol consumption and visual acuity in the eye with RVO were found to be independent risk factors, affecting quality of life in RVO patients.: Patients with RVO presented lower quality of life in comparison with controls. Potential risk factors should be taken into account and their early detection may improve quality of life in such patients and lead to targeted health policies.

摘要

本研究旨在评估视网膜静脉阻塞(RVO)患者的健康相关生活质量,并调查RVO患者生活质量不佳的可能危险因素。本研究的参与者为67例RVO患者,其中男性42例,女性25例,平均年龄73.1±10.9岁,以及70例性别和年龄匹配的对照组。记录人口统计学数据、生活方式因素和病史。所有患者均接受最佳矫正视力测量、散瞳眼底检查和光学相干断层扫描。所有参与者均完成了两份评估生活质量的问卷(EQ-5D、NEI VFQ-25)。调查了RVO患者健康相关生活质量的危险因素。与对照组相比,RVO患者的VFQ-25综合评分显著更低(患者组和对照组分别为74.1±3.8和91.7±3.9,P<0.001)。此外,与对照组相比,RVO患者的EQ-5D指数评分显著更低(患者组和对照组分别为0.88±0.15和0.92±0.12,P=0.043)。发现与RVO患者生活质量相关的危险因素有饮酒、甲状腺疾病、凝血障碍、患RVO眼的视力、视网膜中央厚度、水肿类型、缺血情况和外界膜状况。在多变量分析中,仅发现饮酒和患RVO眼的视力是影响RVO患者生活质量的独立危险因素。与对照组相比,RVO患者的生活质量更低。应考虑潜在危险因素,早期发现这些因素可能改善此类患者的生活质量并促成有针对性的健康政策。

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