脊髓型颈椎病患者的生活质量状况及其相关因素评价-骨外科专业论文.docxVIP

山东大学硕士学位论文脊髓型颈椎病患者的生活质量状况及其相关因素评价 山东大学硕士学位论文 脊髓型颈椎病患者的生活质量状况及其相关因素评价 导师 聂林 研究生 李涛 摘 要 目的：应用SF-36评价脊髓型颈椎病患者的生活质量状况，并探讨其生活 质量的主要影响因素。 方法：选择2010-07／2010—12山东大学齐鲁医院骨创科住院入院治疗的脊 髓型颈椎病患者32例，应用36简明健康状况调查量表评估其生活质量，并与在 该院体检中心选择的30例健康志愿者的对照组相比较(人口学特征统计无差 异)。同时根据患者的人口学特征调查和临床特点引入可能的影响因素，采用 Logistic回归分析筛选出主要因素。 结果：脊髓型颈椎病患者的32份和对照组的30份问卷量表均准确、完整， 全部进入结果分析。脊髓型颈椎病患者的SF-36量表总分及各维度得分均低于对 照组，差异均有统计学差异(P0．05)。在引入的性别、年龄、文化程度、职业、 病程、病变节段数、巴氏征、医疗费用来源等8个可能影响因素中，影响各维度 的主要因素不同，其中性别、文化程度、职业、病程对生活质量状况的影响较广 泛。 结论：脊髓型颈椎病患者的生活质量低于健康人群，其中性别、文化程度、 职业、病程是影响其生活质量的主要因素。 关键词：生活质量；SF-36；脊髓型颈椎病；影响因素。 山东大学硕士学位论文Evaluation 山东大学硕士学位论文 Evaluation of the quality of life and influencing factors in patients with cervical spondylotic myeiopathy ABSTRACT Purposes：To evaluate the quality of life of patients with cervical spondylotic myelopathy by the SF·36 survey and study the maior factors which affect the scores of the survey Methods：Thcrty-two inpatients with cervical spondylotic myelopathy from the Department of Bone—Trauma，the Qi—lu Hospital of Shah-dong University between July 20 10 and December 20 1 0．The q训ity of life(QOL)of patients WaS measured by the 36．item short form．The same t0 the therty healthy volunteers(no difference in demographic characteristics)selected randomly from the Examination-Center as control group．Based on the demographic and clinical characteristics ofthe patients， some possible factors were introduced，and the main influencing factors were screened out by Logi st i c regression analysis． Results：All the 32 questionnaires filled by the patients and 30 questionnaires were correct and complete，and all were involved in the analysis of results．The total score and every dimonsional score of SF一36 of patients were lower than the control group， showing significant difference(p0．05)．Among the introduced facters including gender，age，eduction，employment，course ofdisease，number oflesion segments’ Babinski sign and Source of medical expenses，main facters affected different dimensions seperately．O