简体中文版脊柱侧凸研究学会22项问卷量表各维度得分与成人脊柱侧凸患者手术治疗满意度的相关性研究  

Correlation between simplified Chinese version SRS-22 score and satisfaction to scoliosis correction surgery in adult patients

作　　者：胡凡琦 胡文浩[1] 张智发[1] 杨全中[1] 杨晓清[1] 张少甫[1] 张雪松[1] 

机构地区：[1]解放军总医院骨科,北京100853

出　　处：《解放军医学院学报》2016年第10期1075-1078,共4页Academic Journal of Chinese PLA Medical School

摘　　要：目的评价简体中文版SRS-22量表中各维度得分与成人脊柱侧凸患者手术满意度的关系。方法回顾性分析2008年6月-2011年2月在本院行矫形手术的83例成人脊柱侧凸患者临床资料,其中男40例,女43例,平均年龄49.8岁。平均体质量指数26.6 kg/m^2,均采用不少于5个节段后路融合手术。在术前及术后至少5年分别完成简体中文版SRS-22问卷调查,并对术前及术后5年站立位全脊柱正侧位X线片的影像学参数进行测量。使用配对t检验比较术前和术后(≥5年)的得分差异。使用Spearman相关性检验评估5年后SRS-22满意度得分与SRS-22各维度得分及影像学参数的变化的相关性。结果术后(≥5年)简体中文版SRS-22各维度得分及冠状位影像学参数均有显著改善(P≤0.002)。各维度得分与治疗满意度均具有一定相关性,其中心理(0.24)、活动(0.30)、疼痛(0.37)与满意度呈弱相关,外观(0.56)与满意度呈中度相关。ODI评分也与满意度呈中度相关。各类影像学参数与最终治疗满意度呈弱相关或极弱相关。术后5年满意度维度得分在3.0分以上的患者占90%,4.0以上的患者占69%,这在一定程度上表现出天花板效应。结论对于行不少于5个节段后路融合术的成人畸形患者,简体中文版SRS-22R量表外观维度得分与ODI评分最能反映患者的治疗满意度。Objective To evaluate the relationship between the domains of simplified Chinese version of the Scoliosis Research Society-22（SRS-22） questionnaire and satisfaction in adult scoliosis patients after surgery. Methods From June 2008 to February 2011, clinical data about 83 adult scoliosis patients（40 males and 43 females, with an average age of 49.8 years and BMI 26.6 kg/m^2）, who underwent surgical correction in our hospital, were selected and retrospectively analyzed. All patients underwent a posterior spinal fusion of at least 5 vertebraes and had completed the Simplified Chinese version of SRS-22 questionnaire preoperatively and 5-year postoperatively and their preoperative and 5-year postoperative radiographic parameters were also measured. Paired t-test was used to compare preoperative and 5-year postoperative scores. Spearman correlation was used to evaluate the relationship between 5-year SRS-22 satisfaction score and changes in SRS-22 domain scores and radiographic parameters. Results There was statistically significant improvement between preoperative and 5-year postoperative SRS-22 domain scores and the Coronal radiographic parameters（P ≤0.002）. Between the changes in SRS domain scores and the SRS satisfaction score at 5 years postoperative with the degree of low to moderate correlations were found： mental（0.24）, activity（0.30）, pain（0.37） and appearance（0.56）. Correlations between satisfaction and all radiographic parameters were either very low or low. The 5-year satisfaction scores of 3.0 points or more were achieved in 90% of the patients, while 4.0 points or more in 67% of the patients. A moderate ceiling effect was shown. Conclusion The appearance domain score in the simplified Chinese version of SRS-22 questionnaire and ODI reflect patients＇ satisfaction to scoliosis correction surgery in adults.

关 键 词：简体中文版SRS-22问卷 患者满意度 成人脊柱畸形 脊柱侧凸 

分 类 号：R687.3[医药卫生—骨科学]