方法：选取72例接受准分子激光近视手术的患者按术前矫正方式不同分为两组，配戴框架镜组50例，配戴角膜接触镜组22例，应用2007年中文版屈光矫正者生活质量量表(the quality of life impact of refractive correction ，QIRC)在术前和术后3mo进行问卷调查。

结果：(1)准分子激光近视手术后配戴框架镜组的生活质量(术后42.29±4.90，术前39.30±5.16)和满意度评分(术后86.51±9.14，术前71.58±13.24)均高于术前，差异均有统计学意义(P<0.01)。增加显著的模块是视功能与身体机能(P<0.01)； 增加显著的条目包括夜间驾驶(P<0.01)、夜间户外活动(P<0.05)、强光下不戴太阳镜生活或工作(P<0.05)、游泳(P<0.01)、担心花费(P<0.01)、自我感觉(P<0.05)及自信(P<0.01)方面。晨起视物(P<0.05)方面评分则较术前显著减少。(2)准分子激光近视手术后配戴接触镜组的生活质量(术后42.32±5.95，术前41.26±5.21)评分与术前比较无显著差异(P>0.05)，但满意度评分(术后87.14±10.64，术前73.77±21.26)较术前显著增加(P<0.01)。在社会活动模块(P<0.05)及游泳(P<0.01)、担心并发症(P<0.05)方面的评分显著高于术前。

结论：配戴框架镜的近视患者在接受准分子激光术后生活质量和对矫正方式的满意度明显提高，在视功能、身体机能、运动等方面提高显著。配戴接触镜的近视患者在接受准分子激光术后生活质量与术前相比没有明显差别，但对矫正方式的满意度增加，在运动、对眼部健康和花费的担忧方面明显改善。

METHODS:Totally 72 cases were enrolled in the investigation with 50 spectacle wearers and 22 contact lens wearers. The QOL of them were surveyed by Chinese QIRC before surgery and 3 months later after surgery.

RESULTS: 1. The QOL scores(42.29±4.90 in post-operation vs 39.30±5.16 in pre-operation)and satisfaction scores(86.51±9.14 in post-operation vs 71.58±13.24 in pre-operation)of spectacle wearers were higher after surgery more than before, and the difference was statistically significant(P<0.01). The vision and physical functioning(P<0.05), driving and activity in night(P<0.01), living and working under sunlight without sunglasses(P<0.05), swimming(P<0.01), worrying about costs(P<0.01), self-feeling(P<0.05), confident(P<0.01)chiefly drove the differences before and after surgery. 2. There was no significant difference of the QOL score before(41.26±5.21)and after(42.32±5.95)surgery for contact lens wearers(P>0.05). But the satisfaction score(87.14±10.64 in post-operation vs 73.77±21.26 in pre-operation)was higher after surgery than before, and the difference was statistically significant(P<0.01). The social activity(P<0.05), swimming(P<0.01), worrying about complications(P<0.05)chiefly drove the differences before and after surgery.

CONCLUSION: There was significant difference of QOL before and after surgery in spectacle wearers but no difference in contact lens wearers. But vision functioning, physical functioning and sports were scored significantly more after refractive surgery in spectacle wearers and sports, worrying about eye health and costs in contact lens wearers. Otherwise the satisfaction scores added much more in both two groups after refractive surgery than before.