摘要
目的探讨激光玻璃体消融术治疗玻璃体混浊中影响治疗效果的因素及影响患者满意度的相关性因素,以评价其临床价值。方法选取该院2019年10月至2024年2月接受Ultra Q Nd:YAG激光玻璃体消融术治疗的196例玻璃体混浊患者302只眼作为研究对象。采用患者病历量表、患者满意度调查问卷进行调查,将调查数据进行机器编码分类,采用Python语言进行决策树预测以分析影响治疗效果的因素,并使用Stata18.0 OLS线性回归分析医疗服务提供者的品质、诊疗便捷程度、医疗环境及措施等与患者满意度的相关性。结果激光玻璃体消融术后,95.3%的玻璃体混浊患者症状明显改善,90.3%对术后视觉质量的提升表示满意。患者的性别、年龄、术前玻璃体混浊形态及屈光度是否低于-6.00D等对治疗效果有影响(P<0.05)。Python语言决策树预测分析显示激光玻璃体消融术对年龄>30~45岁、病程持续6~12个月且屈光度低于-6.00D的患者表现出更佳的治疗效果。Stata18.0 OLS线性回归分析显示所有考察变量在1%的显著性水平上均呈正相关,其中患者的期望感受对治疗术后满意度的影响最大(r=1.053)。结论Ultra Q Nd:YAG激光玻璃体消融术对治疗玻璃体混浊显示出较高的安全性和患者满意度。
Objective To investigate factors that affect the treatment effect of laser vitrectomy for vitreous opacity and the related factors that affect patient satisfaction,so as to evaluate its clinical value.Methods A total of 196 patients with vitreous opacity treated using the Ultra Q Reflex TM Nd:YAG laser system at our hospital between October 2019 and February 2024 were enrolled.Patient medical records and satisfaction questionnaires were analyzed.Investigational data underwent machine-coded classification,and a Python-based decision tree prediction model was employed to identify factors affecting treatment outcomes.Stata18.0 OLS linear regression was used to assess correlations between patient satisfaction and variables such as healthcare provider quality,treatment accessibility,and medical environment.Results After laser vitrectomy,95.3%of patients with vitreous opacity showed significant improvement in symptoms,and 90.3%expressed satisfaction with the improvement in postoperative visual quality.Patients'gender,age,preoperative vitreous opacity morphology,and refractive error below-6.00D had an impact on the treatment outcome(P<0.05).Python decision tree analysis demonstrated superior efficacy in patients aged>30-45 years with 6-12 months of symptom duration and refractive error<-6.00D.Stata18.0 OLS linear regression analysis showed that all examined variables were positively correlated at the 1%significance level,with patients'expected feelings having the greatest impact on postoperative satisfaction with treatment(r=1.053).Conclusion Ultra Q Nd:YAG laser vitreous ablation demonstrates high safety and patient satisfaction for vitreous opacity treatment.
作者
张正周
王瑞夫
祖丽皮娅
张杨婧
蒋霞霞
李海帆
赵雅婷
ZHANG Zhengzhou;WANG Ruifu;Zulipiya;ZHANG Yangjing;JIANG Xiaxia;LI Haifan;ZHAO Yating(Urumqi Aier Eye Hospital,Urumqi,Xinjiang 830000,China)
出处
《重庆医学》
2025年第6期1394-1398,共5页
Chongqing Medical Journal
