颈椎全椎间盘置换患者整体生活质量的随访研究(英文)  

Cervical total disc replacement( TDR) with Mobi- C encourages quick return to work rates,participations and activity profiles and increases overall quality of life

作　　者：海滨[1] 张稳[1] 程雷[1] 聂林[1] 

机构地区：[1]山东大学齐鲁医院脊柱外科,中国济南250012

出　　处：《中国矫形外科杂志》2014年第19期1729-1736,共8页Orthopedic Journal of China

摘　　要：[目的]对48例患者进行SF-问卷调查,了解MobiC颈椎全椎间盘置换（TDR）后的生活质量。[方法]采用著名的经改编后适用于中国香港人群的SF-36量表测量健康相关生活质量（HRQOL）,调查TDR人群中摩比-C更换3年后临床状况和社会融合,职业,自主性,驾驶出勤的健康状况和管理,感伤的关系和感知生活质量。[结果]87位受访者中48人（55.17%）完整完成问卷并交回以供分析。本次审计表明男性患者中41.67%,女性患者中58.33%反馈良好。随访时42.2%仍坚守工作岗位和69%仍旧驾驶车辆,从电动自行车到私家车的车辆不等。考虑到在山东省政府允许老年人口持有公交卡免费乘车,本研究还研究人们的活动。结果表明对于68.2%受访者,在空闲时间（节假日）与朋友、亲戚和同事们见面时间与患病前相比相同或增加,而31.8%的受访者表示减少。52.1%的受访者离开家的时间与摩比-C更换前相比相同或者增加,其中50.6%的受访者表示他们从事兴趣爱好的时间与之前相同或有所增加。[结论]更换摩比-C的TDR患者中认为自己的生活质量较高,其考勤、自主性和包括兴趣爱好在内的活动增加的主要是36~56岁之间,已婚、不吸烟、不饮酒的男性。考虑投入体育锻炼的时间,唯一的区别是大部分受访者中表示减少的为女性。[ Objective] To report 48 cases among whom the SF - Questionnaires were conducted to find out their quality of life after cervical total disc replacement （TDR） with mobi - C. [ Methods] A well known SF -36 QUESTIONNAIRE adapted for Chinese population in Hong Kong which measures the health related quality of life （HRQOL） was introduced to investigate the health status and management of clinical conditions and attendance of social integration, occupation, autonomy, driving abili- tities, sentimental relationship and perceived quality of life in TDR population after an average of 3 years duration post replace- ment with Mobi -C. [ Results] Forty -eight respondents （55. 17% ） out of the total 87, completed and returned the questionnaire for analysis. The present audit demonstrated a good feedback rate including 41.67% from male participants and 58.33% from the female. At follow up 42. 2% still held their jobs and 69% drove the vehicles which ranged from Electric bicycle to pri- vate cars. The movement of people was also analyzed in terms of possession of a bus card which the government issued to the eld- erly population in China offering them free transportation. The results showed that for the 68.2% of respondents, the attendance of friends, relatives and colleagues during the free time （ national holidays） was the same or was increased with the time before the treatment where as 31.8% showed decreased reduction. The amount of time, 52. 1% of respondents spent outdoors remained the same or increased compared to before the Mobi - C replacement, where as 50. 6% of the respondent said that the time they were engaged in hobbies （ activity profile） either stayed the same or increased. [ Conclusion ] TDR populations perceived with higher QoL and whose attendance, autonomy and activity profile was increased, were mainly married, non smoker, non drinker male participants with an age range between 36 and 56 years. Regarding the amount of time dedicated to practicing sports, the only difference was that th

关 键 词：颈椎全椎间盘置换(TDR) 颈前路减压植骨融合术(ACDF) 椎间盘退行性疾病(DDD) 健康相关生活质量(HRQOL) SF-36=36条生理功能和心理健康评分简称 

分 类 号：R687.3[医药卫生—骨科学]