CAJ | 학술논문

目的探讨焦虑情绪对腰椎间盘突出症手术疗效的影响。方法入住常州市第二人民医院脊柱外科的腰椎间盘突出症拟行手术患者，在术前用汉密尔顿焦虑量表筛选出有焦虑的患者(H AMA≥17分)，将其纳入观察组(30例)，无焦虑的患者(HAMA<7分)纳入对照组(30例)。在术前术后分别用 Oswestry 功能障碍指数(ODI)评估患者腰椎功能改善情况，采用视觉疼痛模拟评分(VAS)对患者腰痛、腿痛进行评定，比较两组间疗效的差异。结果有焦虑情绪的观察组患者术后 ODI评分、腰痛 VAS评分、腿痛 VAS评分均显著高于对照组，差异均有统计学意义(P<0.05)。结论焦虑与腰椎间盘突出症的手术疗效有相关性，术前评定患者的焦虑情绪以指导实施针对性干预有一定意义。
목적탐토초필정서대요추간반돌출증수술료효적영향。방법입주상주시제이인민의원척주외과적요추간반돌출증의행수술환자，재술전용한밀이돈초필량표사선출유초필적환자(H AMA≥17분)，장기납입관찰조(30례)，무초필적환자(HAMA<7분)납입대조조(30례)。재술전술후분별용 Oswestry 공능장애지수(ODI)평고환자요추공능개선정황，채용시각동통모의평분(VAS)대환자요통、퇴통진행평정，비교량조간료효적차이。결과유초필정서적관찰조환자술후 ODI평분、요통 VAS평분、퇴통 VAS평분균현저고우대조조，차이균유통계학의의(P<0.05)。결론초필여요추간반돌출증적수술료효유상관성，술전평정환자적초필정서이지도실시침대성간예유일정의의。
Obj ective]To explore the effect of anxiety on surgical outcome of lumbar disc herniation.[Methods]Pa-tients with lumbar disc herniation scheduled for the surgery in spinal surgery department of second people's hospital of Changzhou city were enrolled in the study.Before the operation,patients with anxiety(HAMA≥1 7 points)was screened by Hamilton anxiety scale(HAMA)and selected as observation group(n=30).Patients without anxiety(HAMA<7 points)were selected as control group(n=30).The improvement of lumbar function of patients before and after opera-tion was assessed with Oswestry disability index(ODI).Visual analogue scale(VAS )was used to evaluate low back and leg pain of patient.The efficacy was compared between two groups.[Results]There was significant difference in postop-erative ODI score and VAS of low back and leg pain between observation group and control group(P<0.05).[Conclu-sion]Anxiety is associated with surgical outcome of lumbar disc herniation.Preoperative evaluation of anxiety of patients is of significance.