髂静脉受压综合征介入术后生活质量的研究

The research of the quality of life in patients with iliac vein compression syndrome after interventional treatment

目的:探讨髂静脉受压综合征介入治疗的临床疗效及生活质量的研究。方法:将临床确诊髂静脉受压综合征患者46例,按照患者意愿分为介入治疗组和对照组,其中介入治疗组22例采用球囊扩张或置入支架治疗。对照组24例采用抗栓压力带及活血通络药物治疗。两组于出院前及出院后12个月安排临床随访。观察患者下肢溃疡、肿胀、皮温情况、色素沉着、疼痛、双下肢周径情况并进行比较,填写CIVIQ生活质量调查表,进行生活质量评分。结果:治疗12个月后,介入治疗组患肢肿胀,患肢静脉曲张率,双下肢有皮温差异率较对照组明显改善。下肢溃疡,色素沉着,疼痛3方面无明显改善。CIVIQ生活质量调查表显示:介入治疗组较对照组可明显提高患者的生活质量,差异有统计学意义(P<0.05)。介入治疗组较对照组在疼痛、精神心理和体能3方面可明显提高患者的生活质量,差异有统计学意义(P<0.05)。结论:CIVIQ生活质量调查表显示:介入治疗后可明显提高患者的生活质量,在精神心理、体能和疼痛3个方面有明显提高。

Objective： To observe the quality of life in patients with iliac vein compression syndrome after interventional treatment. Methods： Randomly selected 46 patients with iliac vein compression syndrome, then they were divided into interventional therapy group and control group according with the wishes of patients. There were 22 people in the intervention treatment group, balloon dilatation or stent implantation were used to treat patients. And in the control group, there were 24 people, antithrombotie pressure belt or promoting blood circulation drugs were used. Then surveyed them before their discharge and 1 year after their discharge at lower extremity ulcers, swelling, skin temperature, pigmentation, pain, the circumference of both lower extremities pain. CIVIQ quality questionnaires and their quality of life were done. Resuits： After 12 months, the patients in the intervention treatment group were significantly better than the control group ones in sick limb ulcers, varicosis rate, skin temperature difference rate area, and it had significant improvement in lower extremity ulcers, pigmentation, pain. CIVIQ quality questionnaires showed that the patients in interventional therapy group had a better quality of life than the other group. There were statistical signifieances of difference （P 〈0.05）. The patients in interventional therapy group lived better than the other group in pain, psychological, physiological and physical aspects. There were statistical significanees of difference （P 〈0.05）. Conclusion.. After interventional therapy, the patients＇quality of life could been significantly improved, in the spirit of mental, physical and pain in three aspects have been greatly improved, especially in pain, psychological .physiological and physical aspects.