基于生存质量量表评价胆囊结石患者胆囊切除术后生活质量及其影响因素分析  

Based on the Quality of Life Scale to Evaluate the Quality of Life in Patients with Gallstones after Cholecystectomy and Analysis its Influencing Factors

作　　者：焦贞贞 王凤稳 刘换 骆淑萍 JIAO Zhen-zhen;WANG Feng-wen;LIU Huan;LUO Shu-ping(Department of Hepatobiliary Surgery,Shandong Provincial Third Hospital,Ji'nan,Shandong,250031,China)

机构地区：[1]山东省立第三医院肝胆外科,山东济南250031

出　　处：《现代生物医学进展》2025年第4期774-780,共7页Progress in Modern Biomedicine

摘　　要：目的:基于生存质量量表评价胆囊结石患者胆囊切除术后生活质量,并分析其影响因素.方法:选取2021年4月~2024年2月期间我院收治的156例均行腹腔镜胆囊切除术的胆囊结石患者.根据胃肠道生活质量指数(GIQLI)评分,将患者分为生活质量良好组(GIQLI评分≥121分)和生活质量较差组(GIQLI评分<121分),例数分别为112例和44例.收集两组临床资料,采用多因素Logistic回归分析影响胆囊结石患者胆囊切除术后生活质量的因素.结果:术后随访3个月,156例胆囊结石患者中GIQLI评分≥121分共112例,术后生活质量良好率为71.79%(112/156).生活质量较差组超重/肥胖比例、保持早餐习惯比例、高血压比例、高脂血症比例、保持运动习惯比例、症状性胆结石比例均高于生活质量良好组(P<0.05).高脂血症、高血压、症状性胆结石、合并超重/肥胖为胆囊结石患者胆囊切除术后生活质量较差的危险因素,而保持良好的早餐及运动习惯为患者术后生活质量较差的保护因素(P<0.05).结论:高脂血症、症状性胆结石、高血压、合并超重/肥胖是胆囊结石患者胆囊切除术后生活质量较差的危险因素,保持良好的早餐、运动习惯是患者术后生活质量较差的保护因素.Objective:Based on the quality of life scale to evaluate the quality of life in patients with gallstones after cholecystectomy,and analyze its influencing factors.Methods:156 patients with gallstones who underwent laparoscopic cholecystectomy in our hospital from April 2021 to February 2024 were selected.According to the gastrointestinal quality of life index(GIQLI)score,the patients were divided into good quality of life group(GIQLI score≥121)and poor quality of life group(GIQLI score<121),with 112 cases and 44 cases respectively.The clinical data in two groups were collected,and multivariate Logistic regression analysis was used to analyze the factors affecting the quality of life of patients with gallstones after cholecystectomy.Results:Followed up for 3 months after operation,112 of the 156 patients with gallstones had a GIQLI score≥121,and the quality of life after operation was 71.79%(112/156).The proportion of overweight/obesity,the proportion of maintaining breakfast habits,the proportion of hypertension,the proportion of hyperlipidemia,the proportion of maintaining exercise habits and the proportion of symptomatic gallstones in poor quality of life group were higher than those in good quality of life group(P<0.05).Hyperlipidemia,hypertension,symptomatic gallstones and overweight/obesity were risk factors for poor quality of life in patients with gallstones after cholecystectomy,while maintaining good breakfast and exercise habits were protective factors for poor quality of life after cholecystectomy(P<0.05).Conclusion:Hyperlipidemia,symptomatic gallstones,hypertension and overweight/obesity are risk factors for poor quality of life in patients with gallstones after cholecystectomy,maintaining good breakfast and exercise habits are protective factors for poor quality of life after operation.

关 键 词：生存质量量表 胆囊结石 胆囊切除术 生活质量 影响因素 

分 类 号：R3[医药卫生—基础医学] R49R657.4