85例ERCP胆总管取石术患者生存质量测评的调查  

Assessment of Quality of Life in Patients with Common Bile Duct Stones after Endoscopic Retrograde Cholangiopancreatography

作　　者：刘有理[1] 黄志刚[1] 王光明[1] 邓衍部 贺道兴 朱影[1] 周政[1] 陈兆夷[1] 

机构地区：[1]安徽省宣城市人民医院消化内科,242000

出　　处：《中华全科医学》2013年第5期757-757,768,共2页Chinese Journal of General Practice

摘　　要：目的探讨内窥镜逆行胰胆管造影胆总管结石取石患者不同时期生存质量的变化及其影响因素。方法采用GIQLI消化系统疾病生存质量量表对85例行ERCP胆总管结石取石患者手术前、手术后第2、第6、第8周的生存质量,包括生理功能状态、症状学、社会活动和日常生活能力、精神状态等5个方面,共有36项调查项目变化进行问卷调查、统计、分析。结果术前平均GIQLI生存质量指数92.46分,术后2周为105.77分,术后4周为107.34分,术后8周为113.92分。其中以自觉症状和心理情绪状态分值升高较为明显,经统计学处理差异有统计学意义(P<0.05)。结论 ERCP手术对患者的生理功能干扰轻微,利于患者在术后短期内恢复日常生活和工作,明显改善生活质量。其中教育程度、性格、经济、家庭是其主要影响因素。Objective To evaluate the effect of endoscopic retrograde cholangiopancreatography （ERCP） with common bile duct stones. Methods Totally 85 inpatients ,who underwent ERCP because of common bile duct stones ,were assessed by GIQLI questionnaires before ,2,4 and 8 weeks after the operation. Results The mean GIQLI score of patients before ERCP was 92.46, which was significandy increased to 105.77,107.34 and 113.92 at 2 ,4 and 8 weeks after ERCP（ P 〈 0.05 ）. Conclusion ERCP can improve the life of quality patients with common bile duct stones. The education level, character, economic, and family were the main influence factors.

关 键 词：胰胆管造影术 内窥镜逆行 胆总管结石 生存质量 

分 类 号：R651.42[医药卫生—外科学] R195[医药卫生—临床医学]