摘要
目的:明确城市和农村青少年特发性脊柱侧凸(AIS)患者术后生存质量评价的差异并探讨其原因。方法:将117例AIS术后患者(男16例,女101例)分为两组,城市组62例,农村组55例,平均随访时间3.1年。两组患者在性别、年龄、随访时间、主弯所在节段、术前主弯Cobb角,术后主弯残余Cobb角等方面无显著差异(P>0.05),经济状况存在显著差异(P<0.05)。所有患者填写一份简体中文版SRS-22量表,比较两组间量表单个维度和单个条目得分的差别。结果:城市组治疗满意度维度的得分高于农村组,而自我形象/外观维度的得分低于农村组(P<0.05)。两组功能/活动度、疼痛和精神健康维度的得分无显著差异(P>0.05)。两组功能/活动度维度的条目12、15、18,自我形象/外观维度的条目4、6、10,以及治疗满意度维度的条目22的得分有统计学差异(P<0.05)。结论:城乡差异会影响AIS患者术后生存质量的评测结果,使用SRS-22量表评测患者生存质量时需考虑该因素的影响。
Objective：To investigate how living domain affect patient＇s outcome in postoperative adolescent idiopathic scoliosis （AIS） patients using the SRS-22 questionnaire.Method： 117 AIS patients （ 16 males, 101 females） who were undergong surgery were separated into two groups,urban group and rural group.There were 62 patients in urban group and 55 patients in rural group.All patients＇average fellow-up was 3.1 years.There were no statistically significant differences between the groups for gender,age,main curve location,preoperative and postoperative main curve Cobb angle （P〉0.05）.But there was significant difference for economic status（P〈 0.05）.All patients were evaluated using the SRS-22 questionnaire.SRS-22 scores were statistical compared in individual domains and items using the t test.Result：Urban patients had significantly higher scores in satisfaction of management domain compared with rural patients.And urban patients had significantly lower scores in the self-image/appearace domain.There were no significant differences in function/activity,pain and mental health domains （P〉0.05）.With regard to individual items,there were significant differences in the scores between the 2 groups for 7 items（P〈0.05）.Conclusion：SRS-22 scores in the postoperative urban AIS population differed from that of the rural population.The living domain affect SRS-22 scores and patient＇s perceptions.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2008年第11期820-823,共4页
Chinese Journal of Spine and Spinal Cord
