当前城乡差异对青少年特发性脊柱侧凸患者术后SRS-22评分的影响

发布时间：2018-03-12 09:52

本文选题：青少年特发性脊柱侧凸　切入点：生存质量　出处：《中国矫形外科杂志》2017年11期 　论文类型：期刊论文

【摘要】：[目的]采用简体中文版脊柱侧凸研究学会22项(Scoliosis Research Society-22,SRS-22)量表对青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)患者术后生存质量进行评估,探讨当前城乡差异对青少年特发性脊柱侧凸患者术后SRS-22量表评分的影响及其原因。[方法]将128例AIS术后患者分为两组,城市组68例(男14例,女54例),农村组60例(男11例,女49例),平均随访时间4.2年。两组在性别、年龄、随访时间、术前主弯Cobb角、末次随访残余Cobb角等方面差异无显著意义(P0.05)。所有患者均填写一份简体中文版SRS-22量表,比较两组SRS-22量表中各个条目和各个维度得分以及总得分之间的差异。[结果]城市组与农村组在功能/活动度维度条目12、15、18,自我形象/外观维度条目4、6、10、14上的得分差异有统计学意义(P0.05);城市组自我形象/外观维度的得分低于农村组(P0.05);两组在功能/活动度、疼痛、精神健康、治疗满意度维度的得分及总得分方面差异无统计学意义(P0.05)。[结论]当前城乡差异仍会对AIS患者术后SRS-22量表的评分结果产生影响且结果具有新的特征,使用SRS-22量表对青少年特发性脊柱侧凸患者术后生存质量进行评估时仍不能忽略当前城乡差异的影响。
[Abstract]:[objective] to evaluate the postoperative quality of life (QOL) of adolescent idiopathic scoliosis by using the simplified Chinese version of 22 items of Scoliosis Research Society-22SRS-22. To investigate the influence of urban and rural differences on postoperative SRS-22 score of adolescent idiopathic scoliosis patients and its causes. [methods] 128 cases of AIS patients were divided into two groups: 68 cases in urban group (14 males, 54 females), 60 cases in rural group (11 males). The average follow-up time of 49 female patients was 4.2 years. There was no significant difference between the two groups in sex, age, follow-up time, Cobb angle of main curvature before operation, residual Cobb angle of the last follow-up, etc. All the patients completed a simplified Chinese version of SRS-22 scale. [results] the differences between urban group and rural group in functional / activity dimension item 1215 / 18, self image / appearance dimension item 4 / 6 / 1014 were compared between the two groups. [results] the difference between the two groups in the scores of each item, each dimension and the total score. [results]. The score of self-image / appearance dimension in urban group was lower than that in rural group. There was no significant difference in the scores of pain, mental health, treatment satisfaction and total score (P 0.05). [conclusion] the difference between urban and rural areas will still affect the score of SRS-22 scale in patients with AIS after operation, and the results have new characteristics. Using SRS-22 scale to evaluate the quality of life of adolescent idiopathic scoliosis patients can not ignore the influence of current urban and rural differences.
【作者单位】：中南大学商学院;中南大学湘雅医院脊柱外科;
【分类号】：R726.8

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