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青少年脊柱侧凸患者生活质量的现状调查

赵云欣 孟繁媛 赵智 李陆明 敖丽娟 陈茉弦

赵云欣, 孟繁媛, 赵智, 李陆明, 敖丽娟, 陈茉弦. 青少年脊柱侧凸患者生活质量的现状调查[J]. 昆明医科大学学报, 2022, 43(5): 50-57. doi: 10.12259/j.issn.2095-610X.S20220522
引用本文: 赵云欣, 孟繁媛, 赵智, 李陆明, 敖丽娟, 陈茉弦. 青少年脊柱侧凸患者生活质量的现状调查[J]. 昆明医科大学学报, 2022, 43(5): 50-57. doi: 10.12259/j.issn.2095-610X.S20220522
Yunxin ZHAO, Fanyuan MENG, Zhi ZHAO, Luming LI, Lijuan AO, Moxian CHEN. Factors Affecting the Quality of Life in Adolescent Scoliosis[J]. Journal of Kunming Medical University, 2022, 43(5): 50-57. doi: 10.12259/j.issn.2095-610X.S20220522
Citation: Yunxin ZHAO, Fanyuan MENG, Zhi ZHAO, Luming LI, Lijuan AO, Moxian CHEN. Factors Affecting the Quality of Life in Adolescent Scoliosis[J]. Journal of Kunming Medical University, 2022, 43(5): 50-57. doi: 10.12259/j.issn.2095-610X.S20220522

青少年脊柱侧凸患者生活质量的现状调查

doi: 10.12259/j.issn.2095-610X.S20220522
基金项目: 国家重点研发计划基金资助项目[2018YFC2001604] ;云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目[2019FE001(-188)]
详细信息
    作者简介:

    赵云欣(1996~),女,山西运城人,医学硕士,初级康复治疗师,主要从事青少年脊柱侧凸相关工作

    通讯作者:

    陈茉弦,E-mail:chenmoxian@kmmu.edu.cn

  • 中图分类号: R682.3

Factors Affecting the Quality of Life in Adolescent Scoliosis

  • 摘要:   目的  分析人口学参数和脊柱畸形测量参数间青少年脊柱侧凸(adolescent scoliosis,AS)患者在脊柱侧凸研究学会-22(scoliosis researth society-22,SRS-22)量表中疼痛、自我形象、功能状况和心理状况各维度得分的差异性及与之的相关性,了解AS患者的生活质量现状。  方法   收集2021年3月至2021年9月于昆明医科大学第二附属医院和云南(中德)骨科医院就诊的AS患者103例并完成SRS-22量表问卷,整理归纳所有研究对象的人口学资料和脊柱畸形测量数据,通过独立样本t检验、单因素方差分析、相关性分析SRS-22量表各维度得分间的差异性及与之的相关性。  结果   单弯与三弯、双弯与三弯在SRS-22量表功能状况维度上,差异有统计学意义(P < 0.05);胸弯与双弯患者在SRS-22量表自我形象维度上,差异有统计学意义(P < 0.05);胸弯与胸腰弯患者、胸弯与双弯患者在SRS-22量表心理状况维度上,差异有统计学意义(P < 0.05);年龄与疼痛维度得分呈负相关(r = -0.328,P = 0.000);主弯Cobb角分别与自我形象和心理状况维度得分呈负相关(r = -0.292,P = 0.003;r = -0.203,P = 0.039);顶椎旋转度分别与自我形象和心理状况维度得分呈负相关(r = -0.295,P = 0.003;r = -0.236,P = 0.017)。  结论   年龄越大,AS患者的疼痛程度越严重;主弯顶椎位置不同的AS患者其自我形象感受也不同,顶椎位置越靠近胸段的个体,自我形象感受越糟糕;同时主弯Cobb角和顶椎旋转度越严重,AS患者的自我形象感受越差;不同的侧弯数量会造成个体的功能状况不同,侧弯曲线数量为三弯的患者功能状况感知最不佳;主弯Cobb角和顶椎旋转度越严重的患者,心理状况也最不良;因此了解AS患者的生活质量很有必要,相关工作人员需要根据不同情况的个体给予相对应的个性化治疗。
  • 图  1  汉族和少数民族AS患者SRS-22量表各维度得分

    Figure  1.  Scores of each dimension of SRS-22 scale in AS of Han and Ethnic

    图  2  男性和女性AS患者SRS-22量表各维度得分

    Figure  2.  The scores of each dimension of the SRS-22 scale in male and female AS

    图  3  不同侧弯曲线数量的AS患者SRS-22量表各维度得分

    *P < 0.05。

    Figure  3.  The scores of each dimension of SRS-22 scale in AS patients with different number of scoliosis curve

    图  4  不同顶椎位置的AS患者SRS-22量表各维度得分

    *P < 0.05。

    Figure  4.  The scores of each dimension of SRS-22 scale in AS patients with different apical vertebrae positions

    图  5  年龄与AS患者疼痛维度得分的相关性分析

    Figure  5.  Correlation analysis between age and pain dimension scores in with AS

    图  6  顶椎旋转度与AS患者自我形象和心理状况维度得分的相关性分析

    Figure  6.  Correlation analysis between apical vertebra rotation and self-image and mental health dimension scores in AS

    图  7  主弯Cobb角与AS患者自我形象和心理状况维度得分的相关性分析

    Figure  7.  Correlation analysis of the Cobb angle of main curve with the scores of self-image and mental health in AS

    表  1  研究对象的一般情况(%)

    Table  1.   General information of all subjects (%)

    变量人数(n)百分率变量人数(n)百分率
    性别 侧弯曲线数量
     男 9 8.7 单弯 25 24.3
     女 94 91.3 双弯 50 48.5
    民族 三弯 28 27.2
     汉族 80 77.7 主弯顶椎位置
     少数民族 23 22.3 胸弯 40 38.8
    顶椎旋转度 胸腰弯 18 17.5
     0度 26 25.2 腰弯 20 19.4
     1度 48 46.6 双弯 25 24.3
     2度 23 22.3 主弯Cobb角严重程度
     3度 4 3.9 10°~20° 19 18.4
     4度 2 1.9 21°~40° 57 55.3
    > 40 27 26.2
    下载: 导出CSV

    表  2  研究对象SRS-22问卷各维度得分(分)

    Table  2.   The scores of each dimension of the SRS-22 questionnaire of all subjects (Points)

    SRS-22量表疼痛自我形象功能状况心理状况
    得分4.49 ± 0.443.42 ± 0.584.4 ± 0.473.87 ± 0.66
    下载: 导出CSV

    表  3  相关性分析结果

    Table  3.   Correlation analysis results

    参数疼痛自我形象功能状况心理状况
    年龄 r = −0.328 r = −0.046 r = −0.066 r = −0.043
    P = 0.000 P = 0.627 P = 0.490 P = 0.660
    顶椎旋转度 r = 0.045 r = −0.295 r = −0.071 r = −0.236
    P = 0.654 P = 0.003 P = 0.477 P = 0.017
    主弯Cobb角 r = −0.001 r = −0.292 r = −0.185 r = −0.203
    P = 0.992 P = 0.003 P = 0.061 P = 0.039
    下载: 导出CSV
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