国际眼科纵览 ›› 2012, Vol. 36 ›› Issue (5): 331-336.doi: DOI: 103760/ cma. j. issn. 16735803 2012 05 010

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甲状腺相关眼病患者生存质量的研究现状

许根贵, 吴艺君, 朱秀影, 盛文   

  1.  325027 浙江, 温州医学院附属眼视光医院
  • 收稿日期:2012-06-07 出版日期:2012-10-22 发布日期:2012-10-23
  • 通讯作者: 盛文,Email: sw2168@126com

Health related quality of life in patients with thyroid associated ophthalmopathy

XU Gengui, WU Yijun, ZHU Xiuying, SHENG Wen.   

  1. Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical College, Wenzhou 325027, China
  • Received:2012-06-07 Online:2012-10-22 Published:2012-10-23
  • Contact: SHENG Wen, Email:sw2168@126com

摘要: 【摘要】甲状腺相关眼病(thyroid associated ophthalmopathy,TAO)是一种自身免疫性疾病,临床表现为眼球突出、眼睑退缩、复视、角膜及视神经损伤等。各国学者采用一般生存质量量表、视功能损害相关性量表和甲状腺相关眼病生存质量量表评估TAO患者的生存质量及各种干预方式对其生存质量的影响,发现TAO引起的外观改变及视功能损害影响了患者的工作和生活,患者的精神心理压力巨大,生存质量严重下降。激素冲击、放射疗法、眶减压术等各种干预方式能一定程度改善患者生存质量,但效果不甚满意。开发适合TAO生存质量的评估体系及研究改善生存质量的手段是目前的研究热点和重点。(国际眼科纵览, 2012, 36: 331336)

Abstract: 【Abstract】Thyroid associated ophthalmopathy (TAO) is an autoimmune disease causing proptosis, eyelid retraction, motility disorders with diplopia, corneal damage, compressed optic nerve and so on. Researchers found that physical discomfort, facial disfigurement and impaired visual function caused by TAO have a negative impact on patients’ employment, daily life, psychosocial function and their quality of life(QOL), using general healthrelated QOL questionnaires, visionspecific questionnaires and diseasespecific QOL questionnaires. Intervening measures, including surgery, intravenous methylprednisolone, orbital radiotherapy and so on, could improve patients' QOL, but not satisfying. In this review, we assess the evidence of the impact on patients’ QOL, improving means and the social care of TAO. (Int Rev Ophthalmol, 2012, 36: 331336)