马方综合征脊柱侧凸患者术前SRS-22、SF-36问卷心理健康评分分析:与青少年特发性脊柱侧凸患者的比较  

Mental health scores of SRS-22 and SF-36 questionnaire in surgicallytreated Marfan syndrome scoliosis patients: a comparison withadolescent idiopathic scoliosis patients

作　　者：于斌[1] 赵宏[1] 仉建国[1] 沈建雄[1] 赵宇[1] 李书纲[1] 邱贵兴[1] YU Bin;ZHAO Hong;ZHANG Jianguo;SHEN Jianxiong;ZHAO Yu;LI Shugang;QIU Guixing(Department of Orthopaedics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院骨科,北京100730

出　　处：《中华骨与关节外科杂志》2020年第1期17-21,共5页Chinese Journal of Bone and Joint Surgery

摘　　要：背景:脊柱畸形不仅影响青少年的外观,还会影响患者的心理健康。但关于马方综合征脊柱侧凸(MSS)畸形对青少年心理健康影响的文献报道并不多。目的:分析接受矫形手术的MSS患者术前SRS-22问卷和SF-36问卷中的心理健康评分情况,并与青少年特发性脊柱侧凸(AIS)患者进行比较。方法:回顾分析2010年9月至2014年8月在我院接受手术治疗的28例MSS患者的SRS-22问卷及SF-36问卷结果,其中男7例,女21例;术时年龄11~19岁,平均14.8岁。选取同期收治的56例AIS患者的资料进行配比,男7例,女49例;年龄11~17岁,平均14.3岁。比较两组患者的临床及影像学参数、SRS-22问卷和SF-36问卷中的心理健康评分的差异。结果:MSS组与AIS组患者SRS-22问卷心理健康平均得分分别为3.6±0.5和3.8±0.6,总得分分别为17.8±2.7和19.2±3.0。MSS组与AIS组患者SF-36心理健康最终得分分别为66.3±11.4和71.9±10.3。上述SRS-22问卷及SF-36问卷心理健康得分组间比较差异均有统计学意义(P<0.05)。得分差异主要来自于SRS-22问卷的Q20和SF-36问卷的Q9.8,其他问题得分差异无统计学意义。MSS组患者的上述心理健康评分与患者年龄、身高、体重指数、术前剃刀背高度、主弯冠状面Cobb角、顶椎偏距、术前冠状面躯干平衡情况、术前双肩及骨盆失平衡情况和矢状面胸后凸均无显著相关性(P>0.05)。结论:手术治疗的MSS患者的心理健康状况评分低于AIS患者,这种差异主要来源于问卷中有关愉快感受方面。MSS患者的心理健康状况评分与患者侧凸的临床及影像学参数无明显相关性。Background: Spinal deformity will affect not only the appearance of the children, but also their mental health.While the literatures focused on the mental health of scoliosis in Marfan syndrome patients were few. Objective: To analyze whether there were differences in mental health scores of Scoliosis Research Society-22(SRS-22) questionnaire and Short Form-36(SF-36) questionnaire between Marfan syndrome scoliosis(MSS) and adolescent idiopathic scoliosis(AIS) patients.Methods: The SRS-22 and SF-36 questionnaires of 28 MSS patients surgically treated from September 2010 to August 2014 in our hospital were retrospectively reviewed. There were 7 males and 21 females with an average age of 14.8 years old(range,11 to 19). A relatively matched group of 56 AIS patients during the same period were also reviewed. Clinical and radiographic data and mental health scores of SRS-22 and SF-36 questionnaires were compared between two groups. Results: The scores of mental health of SRS-22 questionnaire in the MSS group and AIS group were as the followings: the average scores were 3.6±0.5 and 3.8±0.6, and the total scores were 17.8±2.7 and 19.2±3.0, respectively. The total scores of mental health of SF-36 questionnaire were 66.3±11.4 and 71.9±10.3, respectively. There were significant differences in the scores mentioned above between two groups(P<0.05). Further analysis showed that the differences were mainly from item Q9.8 of SF-36 questionnaire and Q20 of SRS-22 questionnaire, while the difference in the other items was not significant. There was no significant correlation between the mental health scores and the age, height, body mass index, rib hump, coronal Cobb angle and the apical verte-bral lateral deviation of the major curve, preoperative coronal trunk balance, shoulder imbalance, pelvic imbalance or thoracic kyphosis in MSS patients(P>0.05). Conclusions: In surgically treated patients, MSS patients have lower mental health scores of both SRS-22 and SF-36 questionnaires than AIS patients, and the differences are d

关 键 词：马方综合征 脊柱侧凸 心理健康 SRS-22问卷 SF-36问卷 

分 类 号：R726.8[医药卫生—儿科]