老年神经根型颈椎病患者生活质量调查及其影响因素  

Quality of life in elderly patients with cervical radiculopathy and its influencingfactors

作　　者：李娜[1] 黄雷[1] 赵锋[1] 王玥[1] 孙雪琴 Li Na;Huang Lei;Zhao Feng;Wang Yue;Sun Xueqin(Department of Pain and Rehabilitation Medicine,First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,China)

机构地区：[1]湖南中医药大学第一附属医院疼痛康复科,长沙410007

出　　处：《中华老年多器官疾病杂志》2024年第5期336-340,共5页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：湖南省科卫联合项目(2020JJ8066)。

摘　　要：目的 调查老年神经根型颈椎病患者生活质量情况,并分析其影响因素。方法 选择湖南中医药大学第一附属医院疼痛康复科门诊2020年5月至2023年5月收治的163例老年神经根型颈椎病患者作为研究对象,采用中文版健康调查量表(SF-36)调查患者生活质量。选择SPSS 20.0软件行数据分析。依据数据类型分别应用t检验与方差分析进行组间比较,采用多元线性回归分析影响老年神经根型颈椎病患者生活质量的因素。结果 163例老年神经根型颈椎病患者生活质量总分为(60.33±11.79)分。单因素分析结果显示,性别、年龄、伏案或者低头时间、学历、医疗费用来源、病程、病变节段数及巴氏征方面比较,差异有统计学意义(P<0.05)。多元线性回归结果显示性别、伏案或者低头时间、学历及病程是老年神经根型颈椎病患者生活质量的影响因素(t=4.693,2.513,3.022,4.663;P<0.05)。结论 老年神经根型颈椎病患者生活质量较差,性别、伏案或者低头时间、学历、病程是影响患者生活质量的因素,对于存在上述因素患者应该重点关注,以便提高患者生活质量。Objective To investigate the quality of life(QOL)in elderly patients with cervical radiculopathy and analyze its influencing factors.Methods A total of 163 elderly outpatients with cervical radiculopathy treated in our department from May 2020 to May 2023 were enrolled in this study.Chinese version of 36-Item Short Form Health Survey(SF-36)was used to investigate the QOL of the patients.SPSS statistics 20.0 was employed for data analysis.Depending on data type,student′s t test and analysis of variance were applied for intergroup comparison,and multiple linear regression analysis was conducted to analyze the factors affecting the QOL of elderly patients with radiculotic cervical spondylosis.Results The total score of QOL was(60.33±11.79)points in the 163 elderly patients with cervical radiculopathy.Univariate analysis showed that significant differences were observed in gender,desk-bound or head-down time,education level,source of medical expense,course of disease,number of lesion segments,and Babinski reflex(P<0.05).Multiple linear regression analysis indicated that gender,desk-bound or head-down time,education level,and course of disease were influencing factors for QOL in the elderly patients with cervical radiculopathy(t=4.693,2.513,3.022,4.663;P<0.05).Conclusion Elderly patients with cervical spondylotic radiculopathy have poor QOL.Gender,prolonged desk-bound or head-down time,education level and course of disease are factors affecting their QOL.So,special attention should be paid to the patients with above factors in order to improve their QOL.

关 键 词：老年人 神经根型颈椎病 生活质量 

分 类 号：R592[医药卫生—老年医学] R681.5[医药卫生—内科学]