方法：回顾性临床研究。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)对2019-06/2020-12期间在我院眼科确诊的原发性青光眼患者60例(30例PACG，30例POAG)和将同期来自我院体检部的30名健康成年人设为对照组进行评估，比较三组受试者SAS、SDS、PSQI得分。

结果：PACG组和POAG组SAS、SDS、PSQI得分(48.40±9.302，53.40±8.625，9.57±2.861； 42.57±9.684，48.80±10.320，7.23±2.223分)均明显高于对照组(37.03±6.805，38.63±7.881，4.87±2.688分)(P<0.05)。PACG组SAS、PSQI得分较POAG组高(均P<0.05)。以SAS≥45分、SDS≥50分和PSQI>7分为临界，PACG组的焦虑、抑郁和失眠症状阳性率(77%、73%、70%)高于POAG组(43%、40%、37%)和对照组(13%、10%、20%)(P<0.05)。

结论：PACG患者比POAG有更严重的焦虑、抑郁及失眠，应给予必要的心理干预。

METHODS: Retrospective clinical study. The Anxiety Self-Rating Scale(SAS), Depression Self-Rating Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate 60 patients with primary glaucoma(30 PACG, 30 POAG)diagnosed in the department of ophthalmology in our hospital during the period from June 2019 to December 2020 and 30 healthy adults from the physical examination department of our hospital as a control group. The scores of anxiety, depression and sleep quality in the three groups were compared.

RESULTS: The scores of SAS, SDS and PSQI in PACG and POAG groups(48.40±9.302, 53.40±8.625, 9.57±2.861; 42.57±9.684, 48.80±10.320, 7.23±2.223)were significantly higher than those in control group(37.03±6.805, 38.63±7.881, 4.87±2.688)(P<0.05). The scores of SAS and PSQI in PACG group were higher than those in POAG group(all P<0.05). With SAS≥45, SDS≥50 and PSQI>7, the positive rates of anxiety, depression and insomnia in the PACG group(77%, 73%, 70%)were higher than those in the POAG group(43%, 40%, 37%)and the control group(13%, 10%, 20%)(P<0.05).

CONCLUSION: Patients with PACG has more severe anxiety, depression and insomnia than POAG, so necessary psychological intervention should be given.