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刘 颖,杨少峰,陈丽霞.慢性腰痛患者功能障碍与生存质量的研究[J].中国康复医学杂志,2010,25(1):31~34
慢性腰痛患者功能障碍与生存质量的研究    点此下载全文
刘 颖  杨少峰  陈丽霞
中国医学科学院,中国协和医科大学,北京协和医院物理医学康复科,北京,100730
基金项目:
DOI:
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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。
关键词:慢性腰痛  生存质量  功能障碍  评定
A study of dysfunction and quality of life in patients with chronic low back pain    Download Fulltext
Department of Rehabilitation Medicine, Beijing Union Medical College Hospital,Beijing,100730
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Abstract:
      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), Oswestry 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.
Keywords:chronic low back pain  quality of life  dysfunction  evaluation
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