经皮微创结合伤椎强化对老年人胸腰椎爆裂骨折治疗后生活质量影响因素分析

Minimally invasive percutaneous vertebral strengthening on the elderly with thoracolumbar burst fracture: Analysis of factors influencing quality of life after treatment

目的分析经皮微创结合伤椎强化治疗前后对老年胸腰椎爆裂骨折患者生活质量影响因素的变化,探讨经皮微创结合伤椎强化治疗对该类患者生存质量的影响。方法采用SF-36健康调查简表(the MOS item shortfrom health survey,SF-36)、诺丁汉健康调查问卷(Nottingham Health Profile,NHP)、世界卫生组织生存质量测定量表简表(The World Health Organization Quality of life(WHOQOL)-BREF,WHOQOL-BREF)及自制生活质量影响因素调查问卷对在我院进行经皮微创结合伤椎强化治疗的72例老年胸腰椎爆裂骨折患者治疗前后的生活质量进行全面测评。结果老年人胸腰椎爆裂骨折患者的生存质量主要受家庭支持程度、康复护理、医疗负担等因素的影响;经皮微创结合伤椎强化治疗后患者的SF-36评分为(212.5245.23)、NHP评分为(68.3118.04)、WHOQOL-BREF4个领域的评分分别为:生理(13.691.87)、心理(8.692.01)、社会(11.452.25)、环境(11.451.58),均较治疗前有明显改善(P<0.05),生活质量得到明显提高。结论经皮微创结合伤椎强化治疗能确实有效的改善老年胸腰椎爆裂骨折患者的生存质量。

Objective To analyze the changes in the quality of life impact factors with the minimally invasive percutaneous combination injury vertebral strengthen to the elderly thoracolumbar burst fracture patients before and after treatment,explore the quality of life in the treatment of this patient. Methods Used the SF-36 health survey（the MOS item short from health survey,SF-36）,the Nottingham health questionnaire （Nottingham Health Profile, NHP）,World Health Organization Quality of Life BREF（The World Health Organization quality of life（WHOQOL）-BREF, WHO- QOL-BREF） and homemade factors affecting the quality of life questionnaire combined with the quality of life of the fractured vertebral intensive treatment of 72 elderly patients with thoracolumbar burst fracture patients before and after treatment in our hospital with the minimally invasive percutaneous combination injury vertebral strengthen. Results The quality of life factors of the elderly thoracolumbar burst fracture patients mainly affected by the degree of family support, rehabilitation nursing,medical burden; combined with minimally invasive percutaneous fractured vertebral body to strengthen the SF-36 scores of patients after treatment, NHP scores and WHOQOL-BREF a significant improvement in the ratings than before treatment （P 〈 0.05）,and significantly improved quality of life. Conclusion The minimally invasive percutaneous combination injury vertebral strengthen treatment really effective to improve the elderly thoracolumbar burst fracture patients quality of life.