探讨腰椎间盘突出症患者临床康复评估的研究  

The research and evaluation of the therapeutic effect on patients with protrusion of intervertebral disc using FABQ and IDEEA

作　　者：毛晶[1] 吴建贤[1] 

机构地区：[1]安徽医科大学第二附属医院康复医学科,合肥230601

出　　处：《安徽医学》2011年第4期413-416,共4页Anhui Medical Journal

基　　金：安徽省科技厅计划内年度重点项目(07021002);安徽省高校自然科学研究项目(教育厅皖北产学研)KJ2008A097;KJ2010A194

摘　　要：目的应用恐惧-逃避信念问卷及智能能量消耗和日常活动记录仪对腰椎间盘突出症患者进行疗效评估,并对各测量方法之间的相关性进行研究。方法选取腰椎间盘突出症患者42例(男性22例,女性20例),分别采用问卷,包括FABQ、视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)及健康状况调查问卷(SF-36)评定患者的心理状况、疼痛程度、功能状况及QOL;并应用IDEEA相关软件,采集步态的相关数据进行统计分析。同时应用Person相关系数进行相关分析。结果治疗前FABQ与其他三量表见的相关性分别为r=0.43(P<0.01),0.37(P<0.05),0.47(P<0.01);治疗后FABQ与三量表间的相关性为r=0.19(P<0.01),0.25(P<0.05),0.32(P<0.05)。治疗后FABQ、SF-36、ODI、VAS评分均有改善,且改善具有统计学意义(P<0.05)。6 min步行,治疗后步态周期中的支撑相中的单脚支撑时间、双脚支撑时间、地面反冲力、步速等差异有统计学意义(P<0.05),并且FABQ与步速具有中度相关性。结论应用FABQ及IDEEA等综合评估方法,能够反映腰椎间盘突出症患者的心理状态和腰部活动功能的相关性,是腰椎间盘突出症疗效评估的良好方法,有较高的临床实用价值。Objective To observe and compare the effects in the treatment of patients with Protrusion of intervertebral dise（PID）by FABQ（The Fear-avoidance beliefs questionnaire） and IDEEA（intelligent device for energy expenditure and activity） and to study the correlation of the evaluation above.Methods Forty-two Patients（n=42 male 22,female 20） of PID were recruited.Their mentality,pain,function and QOL were evaluated with FABQ,visual analogue scale（VAS）,ODI,and SF-36.IDEEA software was used to record gait data of patients with PID and analyze the correlation of data by Person correlation analysis.Results FABQ、SF-36、ODI、VAS were significant different after the treatment（P0.05）.Before treatment,the correlation coefficients between FABQ and VAS is r=0.43（P0.01）,between FABQ and ODI is r=0.37（P0.05）,between FABQ and SF-36 is r=0.47（P0.01）.After treatment,the correlation coefficients between FABQ and VAS,ODI and SF-36 are r=0.19（P0.01）,0.25（P0.05）,0.32（P0.05）.6-min walking test show that single support time,double support time,ground recoil,walking speed in gait period after the treatment are statistically significant（P0.05）.There is moderate correlation between FABQ and walking speed.Conclusion The comprehensive evaluation of FABQ and IDEEA are good method of evaluating the curative effect of PID disease,they can better reflect the relationship between physiological state of patient and function,having good clinical value of application.

关 键 词：腰椎间盘突出症 恐惧-回避信念问卷 智能能量和日常活动记录 康复评估 

分 类 号：R681.5[医药卫生—骨科学]