多节段颈椎病患者颈椎前路椎间盘切除融合术前后生活质量变化及健康改善的影响因素分析  

Analysis of the changes in quality of life before and after anterior cervical discectomy and fusion in patients with multi-segment cervical spondylosis and the influencing factors of health improvement

作　　者：何基琛 李文浩 唐四桂[1] 韦敏克[1] 丘德赞[1] 韦建勋[1] 梁斌[1] 李浩曦 HE Ji-chen;LI Wen-hao;TANG Si-gui(Department of Orthopaedics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China)

机构地区：[1]广西壮族自治区人民医院骨科,南宁530021

出　　处：《中国临床新医学》2020年第9期902-906,共5页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西壮族自治区人民医院青年基金项目(编号:YXQNRC2018-2)。

摘　　要：目的分析多节段颈椎病患者行颈椎前路椎间盘切除融合术(ACDF)前后生活质量变化及健康改善的影响因素。方法选择2010-02~2017-02该院收治的143例行ACDF治疗的多节段颈椎病患者,采用SF-36量表对其手术前后的生活质量进行评价。分析患者术后健康改善的影响因素。结果多节段颈椎病患者ACDF前生活质量普遍受限,ACDF可显著改善患者的生活质量。JOA评分<9分(OR=2.357)、教育程度为初中及以下(OR=1.645)、病程>6年(OR=3.122)、年龄>60岁(OR=5.049)及工作不稳定(OR=2.616)均为影响多节段颈椎病患者ACDF后健康改善的危险因素。结论ACDF可显著改善多节段颈椎病患者的生活质量,可对具有影响术后改善相关危险因素的患者给予更多的护理措施,以有效改善其术后生活质量。Objective To analyze the changes in quality of life before and after anterior cervical discectomy and fusion(ACDF)in patients with multi-segment cervical spondylosis and the influencing factors of health improvement.Methods One hundred and forty-three patients with multi-segment cervical spondylosis who underwent ACDF in our hospital from February 2010 to February 2017 were selected for evaluating the quality of life before and after operation using the Short-Form-36 Health Survey(SF-36)Scale.The influencing factors of postoperative health improvement of the patients were analyzed.Results The quality of life of the patients with multi-segment cervical spondylosis before ACDF was generally limited,and ACDF could significantly improve the quality of life for the patients.Japanese Orthopedics Association(JOA)scores<9 points(OR=2.357),education level of junior high school and below(OR=1.645),course of the disease>6 years(OR=3.122),age>60 years(OR=5.049),and insecure job(OR=2.616)were the risk factors affecting health improvement of the patients with multi-segment cervical spondylosis after ACDF.Conclusion ACDF can significantly improve the quality of life of the patients with multi-segment cervical spondylosis,and more nursing care should be given to the patients with the related risk factors affecting their postoperative improvement to effectively improve the quality of life after the operation.

关 键 词：颈椎 前路融合术 生活质量 

分 类 号：R684[医药卫生—骨科学]