神经肌肉放松训练对慢性闭角型青光眼患者心理和生活质量的影响

目的探讨神经肌肉放松训练对慢性闭角型青光眼患者焦虑、抑郁状态和生活质量的影响。方法89例慢性闭角型青光眼患者分为观察组43例和对照组46例，对照组患者给予常规对症支持治疗和手术治疗，观察组患者在常规治疗和手术治疗的基础上进行神经肌肉放松训练。分别于训练前和训练3、6个月进行汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）和健康调查简表（SF-36）测定。结果2组患者训练前HAMA及HAMD总分比较差异均无统计学意义（P〉0．05）；对照组患者训练3、6个月后HAMA和HAMD总分与训练前比较差异均无统计学意义（P〉0．05）；观察组患者训练3、6个月后HAMA和HAMD总分显著低于训练前（P〈0．05）。训练3、6个月后观察组患者HAMA和HAMD总分显著低于对照组（P〈0．05）。2组患者训练前sF-36得分比较差异无统计学意义（P〉0．05）。观察组患者训练3、6个月后躯体疼痛（BP）、活力（VT）、情感角色（RE）、心理卫生（MH）和总的健康状况（GH）得分显著高于训练前（P〈0．05）；观察组患者训练3、6个月后社会功能（SF）、躯体功能（PF）和躯体角色（RP）得分与训练前比较差异无统计学意义（P〉0．05）。对照组患者训练6个月后BP、sF和RE得分显著低于训练前（P〈0．05）；对照组患者训练6个月后PF、RP、GH、VT和MH得分与训练前比较差异无统计学意义（P〉0．05）。训练3个月后观察组患者BP、GH、VT、SF、RE和MH得分显著高于对照组（P〈0．05）；训练6个月后观察组患者sF-36量表得分显著高于对照组（P〈0．05）。结论神经肌肉放松训练可有效地改善慢性闭角型青光眼患者的焦虑、抑郁状态和生活质量。

Effect of progressive muscle relaxation training on psychological health and quality of life in patients with chronic angle-closure glaucoma

Objective To study the effect of progressive muscle relaxation training on anxiety, depression and quality of life in patients with chronic angle-closure glaucoma. Methods . A total of 89 patients with chronic angle-closure glaucoma were divided into observation group （n = 43 ） and control group（ n =46 ）, the patients in control group were treated with routine sup- portive treatment and operation, based on these, the patients in observation group were treated with progressive muscle relaxa- tion training. All the patients were evaluated with Hamilton anxiety scale （HAMA） , Hamilton depression scale （HAMD） and short form 36 health survey questionnaire （SF-36） before and 3,6 months after progressive muscle relaxation training. Results There was no significant difference in the HAMA, HAMD and SF-36 total scores before progressive muscle relaxation training between the two groups （ P 〉 0.05 ）. There was no statistical difference in the total scores of HAMA and HAMD between pre- training and 3,6 months later. The total scores of HAMA and HAMD after training of 3 and 6 months were significantly lower than those before training in observation group （ P 〈 0.05 ）. The total scores of HAMA and HAMD after training of 3 and 6 months in observation group were significantly lower than those in control group （P 〈0. 05 ）. There was no significant difference in SF-36 score before training between the two groups （P 〉 0.05 ）. The scores of bodily pain （BP） , vitality（VT） , role emotional （ RE）, mental health （ MH ） and general health （ GH ） after 3,6 months training were significantly higher than those beforetraining in observation group （ P 〈 0.05 ）. There was no significant difference in the scores of social function （ SF）, physical function （PF） and role physical （RP） between pre-training and 3,6 months training later in observation group （ P 〉 0.05 ）. The scores of BP, SF and RE after training of 3,6 months were significantly lower than those before training（ P 〈 0.05 ）. There was no significant difference in the scores of PF, RP, GH, VT and MH between pre-training and 3,6 months training later in control group （ P 〉 0.05 ）. The scores of BP, GH, VT, SF, RE and MH after training of 3 months in observation group were significantly higher than those in control group（P 〈 0.05 ）. After training of 6 months, the SF-36 score in observation group were significant- ly higher than those in control group（ P 〈 0.05 ）. Conclusion Progressive muscle relaxation training can effectively improve the anxiety, depression and quality of life in patients with chronic angle-closure glaucoma.