中文摘要：

目的了解眼球摘除患者的心理健康状况及影响因素。方法临床病例回顾性研究。对2013年3月至2015年1月在北京同仁医院眼科采用症状自评量表（SCL-90）对193例眼球摘除患者进行问卷调查，以性别、文化程度、致病原因等为变量进行统计学分析。结果眼球摘除患者SCL-90多项因子分值高于正常对照组，尤其是敌对和焦虑；部分因子的均分在性别、文化程度、致病原因及外伤或眼部疾病持续时间等组间存在差异，且差异具有统计学意义（P〈0．05）。多因素回归分析表明，致病原因是SCL-90因子的主要影响因素。结论眼球摘除患者的心理健康状况显著低于正常人群，主要表现为敌对和焦虑，其影响因素主要为致病性质。

英文摘要：

Objective To study the mental health status and influencing factors in patients with eye enucleation. Methods Symptom Checklist 90 （SCL-90） was applied to assess the mental health level of 193 patients with eye enucleation. Results The mean scores of SCL-90 factors in those pa- tients were significantly higher than those in normal controls, especially for the factors of hostility and anxiety. There were significant differences in some of the SCL-90 factors among groups by sex, level of education, pathogeny of eye enucleation and duration of ocular trauma or diseases. Multiple factor analysis showed that pathogeny of eye enucleation was the main influencing factor of SCL-90 scores. Conclusions The mental health of patients with eye enucleation and ocular prosthesis is sig- nificantly lower than that of normal controls, and the pathogeny of eye enucleation is the major fac- tor in mental health.