焦虑情绪对腰椎间盘突出症手术疗效的影响  

Effect of Anxiety on Surgical Outcome of Lumbar Disc Herniation

作　　者：田琛妍 蒋巍[2] 孙剑[1] 赵彬[1] 

机构地区：[1]中国人民解放军第102医院精神一科,江苏常州213003 [2]南京医科大学附属常州第二人民医院骨科,江苏常州213003

出　　处：《医学临床研究》2014年第12期2367-2368,共2页Journal of Clinical Research

摘　　要：目的探讨焦虑情绪对腰椎间盘突出症手术疗效的影响。方法入住常州市第二人民医院脊柱外科的腰椎间盘突出症拟行手术患者，在术前用汉密尔顿焦虑量表筛选出有焦虑的患者（H AMA≥17分），将其纳入观察组（30例），无焦虑的患者（HAMA＜ 7分）纳入对照组（30例）。在术前术后分别用 Oswestry 功能障碍指数（ODI）评估患者腰椎功能改善情况，采用视觉疼痛模拟评分（VAS）对患者腰痛、腿痛进行评定，比较两组间疗效的差异。结果有焦虑情绪的观察组患者术后 ODI评分、腰痛 VAS评分、腿痛 VAS评分均显著高于对照组，差异均有统计学意义（P＜ 0.05）。结论焦虑与腰椎间盘突出症的手术疗效有相关性，术前评定患者的焦虑情绪以指导实施针对性干预有一定意义。Obj ective]To explore the effect of anxiety on surgical outcome of lumbar disc herniation.[Methods]Pa-tients with lumbar disc herniation scheduled for the surgery in spinal surgery department of second people＆#39;s hospital of Changzhou city were enrolled in the study.Before the operation,patients with anxiety（HAMA≥1 7 points）was screened by Hamilton anxiety scale（HAMA）and selected as observation group（n=30）.Patients without anxiety（HAMA〈 7 points）were selected as control group（n=30）.The improvement of lumbar function of patients before and after opera-tion was assessed with Oswestry disability index（ODI）.Visual analogue scale（VAS ）was used to evaluate low back and leg pain of patient.The efficacy was compared between two groups.[Results]There was significant difference in postop-erative ODI score and VAS of low back and leg pain between observation group and control group（P〈 0.05）.[Conclu-sion]Anxiety is associated with surgical outcome of lumbar disc herniation.Preoperative evaluation of anxiety of patients is of significance.

关 键 词：焦虑 椎间盘移位/外科学 腰椎 治疗结果 

分 类 号：R681.533.1[医药卫生—骨科学]