CAJ | 학술논문

目的：研究儿童创伤性骨折术后健康相关生存质量（ HRQOL）的变化情况。方法对200例6～12岁创伤性骨折的儿童，采用儿童生存质量测定量表（PedsQL 4．0）和自编问卷调查表为测评工具，分别测量骨折前、骨折后1个月、骨折后3个月和骨折后6个月时的HRQOL评分，并比较各组之间的差异。结果 HRQOL总评分，骨折前为（94．42±3．43）分，骨折后1个月时为（74．93±4．43）分，骨折后3个月时为（84．79±5．24）分，骨折后6个月时为（91．84±4．40）分，不同时间点的HRQOL总评分两两比较，差异均有统计学意义（t分别为75．760，54．576，33．860，15．206；P＜0．01）。结论儿童发生创伤性骨折后，对其HRQOL有明显的负面影响，且到术后6个月时仍不能恢复到骨折前的水平。
목적：연구인동창상성골절술후건강상관생존질량（ HRQOL）적변화정황。방법대200례6～12세창상성골절적인동，채용인동생존질량측정량표（PedsQL 4．0）화자편문권조사표위측평공구，분별측량골절전、골절후1개월、골절후3개월화골절후6개월시적HRQOL평분，병비교각조지간적차이。결과 HRQOL총평분，골절전위（94．42±3．43）분，골절후1개월시위（74．93±4．43）분，골절후3개월시위（84．79±5．24）분，골절후6개월시위（91．84±4．40）분，불동시간점적HRQOL총평분량량비교，차이균유통계학의의（t분별위75．760，54．576，33．860，15．206；P＜0．01）。결론인동발생창상성골절후，대기HRQOL유명현적부면영향，차도술후6개월시잉불능회복도골절전적수평。
Objective To study the change of health-related quality of life ( HRQOL) in children with traumatic fracture after operation .Methods Two hundred children with traumatic fracture aged from six to twelve years old were chosen , and the scores of HRQOL were measured by the Pediatric Quality of Life Inventory Measurement Models ( PedsQL 4.0 ) and the self -designed questionnaire before fracture , and 1, 3 and 6 months after fracture , and the differences were compared .Results The total scores of HRQOL were respectively (94.42 ±3.43), (74.93 ±4.43), (84.79 ±5.24), (91.84 ±4.40) before fracture, and 1, 3 and 6 months after fracture, and the differences were found in the scores of different time points (t=75.760, 54.576, 33.860, 15.206, respectively; P <0.01).Conclusions The traumatic fracture in children has negative influence on the HRQOL , and the HRQOL of children with traumatic fracture cannot return to the pre fracture level 6 months after operation .