脊柱退行性病变患者的心理状况及医学干预

发布时间：2018-08-06 21:51

【摘要】：目的探讨脊柱退行性病变患者治疗前和治疗3个月后的心理状况差异。方法采用症状自评量表(SCL-90)对683例脊柱退行性病变患者治疗前后的心理状况进行评定。采用SPSS 16.0软件进行统计学分析。结果治疗前683例脊柱退行性病变患者SCL-90的躯体化、强迫、抑郁、焦虑评分均高于常模,差异有统计学意义(P0.01)。609例3个月后获得回访,其中手术治疗组261例,非手术治疗组348例。手术治疗组3个月后的躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性、附加因子评分均低于治疗前,差异有统计学意义(P0.05)。非手术治疗组3个月后的躯体化、强迫、抑郁、焦虑、敌对、恐怖、偏执和精神病性评分均低于治疗前,差异有统计学意义(P0.05)。手术治疗组躯体化、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性和附加因子评分均低于非手术治疗组,差异有统计学意义(P0.05)。结论脊柱退行性病变患者心理状况总体较差,治疗后患者的心理状况得到改善,手术治疗者术后早期心理状况好于非手术治疗者。
[Abstract]:Objective to study the psychological status of patients with spinal degenerative diseases before and after 3 months treatment. Methods the psychological status of 683 patients with spinal degenerative diseases before and after treatment was evaluated by symptom Checklist (SCL-90). SPSS 16.0 software was used for statistical analysis. Results the scores of somatization, obsessive-compulsion, depression and anxiety in 683 patients with spinal degenerative diseases before treatment were higher than those in the norm. The difference was statistically significant (P0.01) .609 cases were visited back after 3 months, including 261 cases in the surgical treatment group and 348 cases in the non-operative group. The scores of somatization, obsessive-compulsion, interpersonal relationship, depression, anxiety, hostility, phobia, paranoid ideation, psychosis and additional factors in the operation group were significantly lower than those before treatment (P0.05). The scores of somatization, compulsion, depression, anxiety, hostility, phobia, paranoid ideation and psychosis in the non-operative group were significantly lower than those before treatment (P0.05). The scores of somatization, interpersonal relationship, depression, anxiety, hostility, phobia, paranoid ideation, psychosis and additional factors in the surgical treatment group were significantly lower than those in the non-operative treatment group (P0.05). Conclusion the psychological status of the patients with spinal degenerative diseases is generally poor and the psychological status of the patients with spinal degenerative diseases after treatment is improved. The early psychological status of the patients treated with surgical treatment is better than that of the patients with non-operative treatment.
【作者单位】：上海市虹口区江湾医院骨科;福建省肿瘤医院肿瘤科;同济大学附属东方医院脊柱外科;
【基金】：上海市卫生和计划生育委员会面上项目(编号:201440323)
【分类号】：R681.5

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