CAJ | 학술논문

目的：调查腰椎管狭窄症患者术前、术后生活质量的变化。方法分析53例腰椎管狭窄症患者术前及术后3个月、12个月的 SF-36量表及 JOA评分变化。主要的观察指标有：SF-36中的躯体功能、躯体角色、肌体疼痛、一般健康状况、生命力、社会功能、情感角色及心理健康；JOA评分中的症状和体征。结果腰椎管狭窄症患者的 SF-36量表中大部分选项评分较低，其中躯体角色、躯体疼痛评分最低。术后随访3个月、12个月，SF-36量表中的所有选项及 JOA评分均明显增加，其中改善最明显的是肌体疼痛，改善最小的是一般健康状况。结论腰椎管狭窄症患者生活质量低下，手术能明显改善患者的生活质量。腰椎管狭窄症手术疗效的评价除依据症状、体征外，同时还应关注其生活质量的变化。
목적：조사요추관협착증환자술전、술후생활질량적변화。방법분석53례요추관협착증환자술전급술후3개월、12개월적 SF-36량표급 JOA평분변화。주요적관찰지표유：SF-36중적구체공능、구체각색、기체동통、일반건강상황、생명력、사회공능、정감각색급심리건강；JOA평분중적증상화체정。결과요추관협착증환자적 SF-36량표중대부분선항평분교저，기중구체각색、구체동통평분최저。술후수방3개월、12개월，SF-36량표중적소유선항급 JOA평분균명현증가，기중개선최명현적시기체동통，개선최소적시일반건강상황。결론요추관협착증환자생활질량저하，수술능명현개선환자적생활질량。요추관협착증수술료효적평개제의거증상、체정외，동시환응관주기생활질량적변화。
Objective To investigate the quality of life of patients with lumbar spinal stenosis between pre-operation and post-operation. Methods Subjects were 53 consecutive candidates with lumbar spinal stenosis who received surgical interventions. Outcomes were assessed using short form 36 (SF-36), JOA score before and after surgery 3 months and 12 months, and the magnitude of the ef ect was calculated. The possible predictor variables for outcomes were physical functioning (PF), physical role (PR), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF);emotional role (ER) and mental health (MH) from the SF-36 subscales;subjective symptoms and clinical signs from the JOA scores. Results Most subscales of the SF-36 were lower in patients with lumbar spinal stenosis with a minimum ef ect size in PF and BP. Al subscales of the SF-36 and JOA scores increased significantly after surgery 3 months and 12 months of fol ow-up with a maximum ef ect size in BP and a minimal in GH. Conclusion Quality-of-life (QOL) was lower in patients with lumbar spinal stenosis. Surgery for lumbar spinal stenosis improved health-related quality-of-life. At ach great importance to the quality of life after surgery besides the evaluation of the surgery outcomes.