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多节段颈椎病患者ACDF前后健康相关生理指标的相关性分析

  • 李浩曦,雍之瑶,李新华,刘涛,陈兆雄,吴德升

* 通信作者: 吴德升, 单位:上海市同济大学附属东方医院脊柱外科 200120

摘要


目的 探究颈椎前路椎间盘切除融合术(anterior cervical discectomy fusion ACDF)前后患者的健康相关生命质量变化及与此相关的影响因素。

方法 对2010年2月至2016年2月收治的143例行颈椎前路椎间盘切除融合术的患者进行手术前后的心理状况及生活质量进行调查。采用SF-36量表进行生活质量测评。多元回归分析评价相关影响因素。

结果 纳入病例术前生活质量不佳,术后有6个(66.7%)与生活质量相关评分指标提示显著改善,但部分社会功能延迟至术后6月才得到改善。其中低教育程度(初中及初中以下)与生理健康恢复不佳显著相关(P=0.038)。

结论 患者ACDF术后可生活质量改善明显,针对于教育程度较低患者术后应给予更多的护理和宣教。

关键词:[关键词] 颈椎;前路融合术;生活质量;SF-36

ABSTRACT


Objective: To evaluate the Quality of life and asscociated factors in patients undergoing anterior cervical discectomy fusion.Method: The psychological status and quality of life of 143 patients who underwent anterior cervical discectomy and fusion were analyzed retrospectively from February 2010 to February 2016. The SF-36 scale was used for quality of life assessment. Multiple regression analysis was used to evaluate the influencing factors.

Results: Six patients (66.7%) had poor quality of life before the operation, and the scores related to quality of life showed a significant improvement, but some social functions were delayed until after 6 months. (P = 0.038) .

Conclusion  : The low level of education (junior middle school and junior high school students) is associated with poor physical health recovery (P = 0.038).

Conclusion   :Patients with postoperative ACDF quality of life can be improved significantly, for the less educated patients should be given more care and education.

Key words: Key words: cervical spine; anterior fusion; quality of life; SF-36

引用本文 / How to Cite This Article

李浩曦,雍之瑶,李新华,刘涛,陈兆雄,吴德升.多节段颈椎病患者ACDF前后健康相关生理指标的相关性分析[J]. 国际精神病学杂志, , (): -

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