摘要
目的:探讨慢性腰痛(CLBP)患者功能障碍与生存质量(QOL)的关系。方法:选取CLBP患者60例(男22例,女38例),分别采用目测类比定级法(VAS)、Oswestry功能障碍指数(ODI)、日本骨科学会(JOA)腰痛评估表及健康状况调查问卷(SF-36)评定患者的疼痛程度、功能状况及QOL。结果:男性CLBP患者总体健康(GH)和心理健康(MH)评分明显高于女性(P<0.05)。SF-36及其中躯体功能(PF)、生理职能(RP)、躯体疼痛(BP)、患者自控镇静(PCS)项的评分与VAS和ODI评分呈负相关(P<0.05),与JOA评分呈正相关(P<0.05)。GH、活力(VT)、社会功能(SF)及精神健康总评(MCS)项的评分与ODI评分呈负相关(P<0.05),与JOA评分呈正相关(P<0.05)。结论:腰痛及功能障碍在一定程度上影响CLBP患者的QOL,应加以干预,使其能够正确对待疾病,提高QOL。
Objective：To investigate the effect of dysfunction and quality of life （QOL） in patients with chronic low back pain （CLBP）. Method：Sixty patients （male22,female38） with CLBP were recruited. Their pain, function and QOL were evaluated with visual analogue scale（VAS）, Oswestl7 disability index（ODI）,Japanese orthopaedic association （JOA） score and the short form-36 health survey（SF-36） respectively. Result： The scores of GH and MH in male were significantly higher than that in female （P〈0.05）. There were negative correlation between SF-36,PF,RP,BP,PCS score and ODI,VAS score, but positive correlation between SF-36,PF,RP,BP,PCS score and JOA score （P〈0.05）. The negative correlation were also observed between GH, VT,SF,MCS score and ODI （P〈0.05）. JOA score had a positive correlation with GH,VT,SF and MCS score （P〈 0.05 ）. Conclusion： The LBP and dysfunction may cause negative influences on QOL of CLBP patients. Relevant intervention should be provided for patients handling their disease correctly and raising QOL.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2010年第1期31-34,共4页
Chinese Journal of Rehabilitation Medicine
关键词
慢性腰痛
生存质量
功能障碍
评定
chronic low back pain
quality of life
dysfunction
evaluation
作者简介
刘颖，女，博士，主治医师
