Objective To explore the effects of psychological intervention on anxiety , depression and intraocular pressure in patients with primary angle closure glaucoma ( PACG) ,and to explore the exact way of psychological intervention on PACG.Methods Fort-eight patients were divided into two groups randomly .There are no difference in the general situ-ation, medication, surgical Methods, while the intervention group was given psychological intervention .The value of Ham-ilton Anxiety Scale and Depression Scale were detected respectively at the time of admission , the night before surgery ,one day after surgery and discharge .Intraocular pressure were measured every other day after surgery .Data are compared using t test within groups as well as between groups .Results There are no difference between two groups at the time of admis-sion.And the value of Hamilton Anxiety Scale and Depression Scale are significantly lower in intervention group than in control group at all time points(all P <0.05).Intraocular Pressure is significantly lower in intervention group than in con-trol group at the night before surgery and the day of discharge ( P =0.032, P =0.015,respectively).Conclusion Psy-chological intervention is helpful in relieving anxiety and depression and maintaining stable postoperative intraocular pres -sure before and after surgery .%目的：探讨心理干预对原发性闭角型青光眼（ PACG）患者焦虑、抑郁及眼内压的影响，探索将心理干预应用于PACG辅助治疗的具体方法。方法将48例PACG患者随机分为两组，除干预组给予心理干预及放松治疗外，其他术前准备、手术方式均相同。分别于入院时、术前1d晚上、术后1d和出院时检测汉密尔顿焦虑量表及抑郁量表评分，隔日测量眼内压，t检验分析组内及组间差异。结果两组入院时焦虑、抑郁评分及眼内压比较差异无显著性，在术前1 d，术后1 d及出院前干预组和对照组的焦虑值相比分别是24.85±4.22 vs 36.82±3.76（ P＜0.01），24.23±4.73 vs 37.82±3.23（ P ＜0.01），22.27±4.16 vs 25.68±3.64（ P ＜0.01），干预组明显低于对照组，差异有显著性；抑郁值相比分别是27.58±3.73 vs 29.86±4.35（ P ＝0.02），27.62±4.59 vs 30．45±4.77（ P ＝0.02），23.62±3.56 vs 26.5±3.6（ P ＜0.01），干预组明显低于对照组，差异有显著性；干预组的眼内压仅在术前1 d和出院前明显低于对照组，分别是31.27±7.30 vs 34.95±6.00（ P ＝0.032），18.23±2.32 vs 19.68±2.12（ P ＝0.015），差异有显著性。结论心理干预有助于缓解术前和术后的焦虑及抑郁情绪，维持术后平稳的眼内压。
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