腮腺手术后患者生存质量评价及影响因素分析  

Evaluation of life quality of patients after parotidectomy and analysis of influencing factors

作　　者：凤麟飞[1] 后军[2] 阳宏林[1] 张令达[2] 蒋勇[1] 

机构地区：[1]安徽医科大学口腔医学院口腔预防教研室,合肥230032 [2]安徽医科大学第一附属医院口腔颌面外科,合肥230022

出　　处：《安徽医科大学学报》2013年第6期695-697,共3页Acta Universitatis Medicinalis Anhui

摘　　要：采用华盛顿大学生存质量问卷(UW-QOL)量表评价45例单侧腮腺非恶性肿瘤患者术前以及术后6个月的生存质量(QOL)。术后UW-QOL各条目中情绪和焦虑得分高于术前,但外貌得分低于术前。伴有共病、低收入人群以及女性患者术后QOL较低,肿块位于腮腺深叶、>3 cm、行腮腺全切除术以及术后面神经功能>Ⅱ级的患者术后QOL较低。改进腮腺手术方式、减少术后并发症发生、加强慢性病的预防及控制、增加社会支持及必要的康复指导与治疗可提高患者的术后QOL。To evaluate the quality of life （QOL） on 45 patients with unilateral parotid gland non-malignant tumor preoperation and 6 months after surgery by university of Washington quality of life questionnaire（UW-QOL）. Compared with preoperation, the scores of emotion and anxiety in UW-QOL of 6 months postoperation were higher, but the score of appearance was lower. Patients with comorbidity, or low-income groups, or female patients showed lower postoperative QOL. Parotid gland tumor located in deep leaf, and diameter 〉 3 cm, and received complete parotidectomy, and postoperative facial nerve function 〉 Ⅱ level showed lower postoperative QOL. To improve postoperative QOL in patients, the strategy includes optimizing the methods of parotidectomy, reducing postoperative complications, reinforcing the prevention and control of chronic diseases, strengthening social supports and providing necessary instructions for rehabilitation.

关 键 词：腮腺手术 生存质量 UW-QOL 

分 类 号：R739.87[医药卫生—肿瘤] R782.7[医药卫生—临床医学]