术前焦虑抑郁与腰椎管狭窄症术后疗效的相关性探讨.docVIP

精品论文 参考文献 术前焦虑抑郁与腰椎管狭窄症术后疗效的相关性探讨 　　于洪德 尚静波 李仁波 周伟 杨光 聂晶鑫 姜丽 康红 　　(大连第三人民医院 116000) 　　【摘要】目的：探讨焦虑抑郁与腰椎管狭窄症患者术后疗效的相关性。方法：选择2009年3月-2012年3月在我院行腰椎管狭窄症手术的40例患者，术前所有患者完成JOA评分（去掉主观症状项）、Oswestry下腰痛评分、汉密尔顿抑郁量表17项评分以及汉密尔顿焦虑量表14项评分。按照汉密尔顿抑郁量表评分(7分为界)将患者分为抑郁组与非抑郁组，按照汉密尔顿焦虑量表评分(6分为界)将患者分为焦虑组与非焦虑组。术后4个月随访JOA评分（去掉主观症状项）及Oswestry评分。比较抑郁组与非抑郁组、焦虑组与非焦虑组的术后疗效。结果：抑郁组与非抑郁组、焦虑组与非焦虑组的患者术后JOA评分（去掉主观症状项）无显著性差异，术后Oswestry下腰痛评分有显著性差异，抑郁组及焦虑组疼痛缓解率差(Plt;O.01)。结论：术前焦虑抑郁将加重腰椎管狭窄症患者术后疼痛。 　　【关键词】抑郁 焦虑 腰椎管狭窄症 术后疗效 　　【中图分类号】R395 【文献标识码】A 【文章编号】2095-1752（2014）01-0138-02 　　Dpression and Anxiety of preoperation associated with the postoperative outcome of lumbar spinal stenosis 　　【Abstract】Objective：To investigate the correlation of depression and anxiety and postoperative pain degree for lumbar spinal stenosis. outcome.Method：To choose 40 cases with lumbar spinal stenosis undergoing surgery in our institute from March 2009 to March 2012.JOA(Japanese Orthopedic Association)scores，Oswestry(Oswestry disability index) scores, Hmilton depression scale scores of 17 versions and Hamilton anxiety scale scores of 14 versions were performed on all patients.Based on the Hamilton depression scale Score(over or less than 7)，all patients were classified into depression group and nondepression group.Again all patients were classified into anxiety group and nonanxiety group based on the Hamilton anxiety scale score(over or less than 6).4 months after operation all patients were followed up for JOA and Oswestry scores.To compare the clinical curative effects of anxiety group and nonanxiety group, depression group and nondepression group. Result：The JOA scores of depression group, nondepression group, anxiety group and non anxiety group are 15.1plusmn;0.3, 15.3plusmn;0.8, 14.2plusmn;0.2 and 14.8plusmn;0.9. The Oswestry scores of them are 15.15plusmn;0.53，5.53plusmn;0.40，,14.23plusmn;0.55 and 6.48plusmn;0.38.The postoperative pain relief of depress gro