摘要
目的:调查腰椎管狭窄症患者术前、术后生活质量的变化。方法分析53例腰椎管狭窄症患者术前及术后3个月、12个月的 SF-36量表及 JOA评分变化。主要的观察指标有:SF-36中的躯体功能、躯体角色、肌体疼痛、一般健康状况、生命力、社会功能、情感角色及心理健康;JOA评分中的症状和体征。结果腰椎管狭窄症患者的 SF-36量表中大部分选项评分较低,其中躯体角色、躯体疼痛评分最低。术后随访3个月、12个月,SF-36量表中的所有选项及 JOA评分均明显增加,其中改善最明显的是肌体疼痛,改善最小的是一般健康状况。结论腰椎管狭窄症患者生活质量低下,手术能明显改善患者的生活质量。腰椎管狭窄症手术疗效的评价除依据症状、体征外,同时还应关注其生活质量的变化。
Objective To investigate the quality of life of patients with lumbar spinal stenosis between pre-operation and post-operation.Methods Subjects were 53 consecutive candidates with lumbar spinal stenosis who received surgical interventions.Outcomes were assessed using short form 36(SF-36),JOA score before and after surgery 3 months and 12 months,and the magnitude of the ef ect was calculated.The possible predictor variables for outcomes were physical functioning(PF),physical role(PR),bodily pain(BP),general health(GH),vitality(VT),social functioning(SF);emotional role(ER)and mental health(MH)from the SF-36 subscales;subjective symptoms and clinical signs from the JOA scores.Results Most subscales of the SF-36 were lower in patients with lumbar spinal stenosis with a minimum ef ect size in PF and BP.Al subscales of the SF-36 and JOA scores increased significantly after surgery 3 months and 12 months of fol ow-up with a maximum ef ect size in BP and a minimal in GH.Conclusion Quality-of-life(QOL)was lower in patients with lumbar spinal stenosis.Surgery for lumbar spinal stenosis improved health-related quality-of-life.At ach great importance to the quality of life after surgery besides the evaluation of the surgery outcomes.
作者
宋红星
于方
付胜良
易男
SONG Hong-xing;YU Fang;FU Sheng-liang;YI nan(Department of Orthopedics,Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing100038,China;The Second Hospital Affiliated to Suzhou University,Suzhou215000,Jiangsu,China)
