Comparison the mental scale measurement change in primary angle-closure glaucoma before and after surgery
Comparison the mental scale measurement change in primary angle-closure glaucoma before and after surgery
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作者：
L. Chen
目的比较原发性闭角型青光眼（primary angle-closure glaucoma，PCAG）患者手术前后心理量表测量值的变化，探讨原发性急性闭角型青光眼（primary acute closure angle-closure glaucoma，PCAG）与原发性慢性闭角型青光眼（primary chronic closure angle-closure glaucoma，PCAG）患者焦虑、抑郁情绪变化的差异。对35例原发性急性闭角型青光眼和35例原发性慢性闭角型青光眼患者进行心理量表测试。结果原发性急性闭角型青光眼患者术前焦虑自评量表（SAS）评分为46.9± 7.3分，抑郁自评量表（SDS）评分为53.8 ± 8.6分，原发性慢性闭角型青光眼患者术前焦虑自评量表（SAS）评分为43.8± 7.1分，抑郁自评量表（SDS）评分为53.8 ± 9.8分。它们没有统计学上的显著差异。原发性急性闭角型青光眼患者术后SAS、SDS评分分别为41.3± 5.4、49.7 ± 5.9，原发性慢性闭角型青光眼患者术后SAS、SDS评分分别为47.2± 5.9、56.4 ± 6.9。两者差异有统计学意义（P0.01）。原发性急性闭角型青光眼患者术后焦虑、抑郁评分均降低，而原发性慢性闭角型青光眼患者术后焦虑、抑郁评分均加重。对原发性慢性闭角型青光眼患者进行心理治疗是必要的。
Objective To compare the mental scale measurement change in primary angle-closure glaucoma before and after operation and investigate the different change of anxiety and depression between primary acute angle-closure glaucoma and primary chronic angle-closure glaucoma.Methods One hundred patients with primary angle-closure glaucoma were collection. Thirty-five patients with primary acute angle-closure glaucoma and thirty-five patients with primary chronic angle-closure glaucoma were finished mental scale measure. Using self-rating anxiety scale(SAS) and self-rating depression scale(SDS) measured those patients before and after operation,compare the different of two teams.Results Before operation,the score of SAS and SDS in patients with primary acute angle-closure glaucoma were 46.9±7.3,53.8±8.6,respectively,and the score with primary chronic angle-closure glaucoma were 43.8±7.1,53.8±9.8,respectively. They have no statistically significant differences. After operation,the score of SAS and SDS in patients with primary acute angle-closure glaucoma were 41.3±5.4,49.7±5.9,respectively,and the score with primary chronic angle-closure glaucoma were 47.2±5.9,56.4±6.9,respectively. They have statistically significant differences(P0.01). In the primary acute angle-closure glaucoma patients,the score of anxiety and depression was reduced after operation,however the score was aggravated after operation in the primary chronic angle-closure glaucoma patients.Conclusion Before and after operation,there were different changes of anxiety and depression between primary acute angle-closure glaucoma patients and primary chronic angle-closure glaucoma. Psychotherapy is necessary for primary chronic angle-closure glaucoma patients.