摘要
目的：参照中文版Oswestry功能障碍指数（ODI），观察脊柱生活量表（QLS-DSD）在评定腰椎退行变患者生存质量时与ODI的相关性，探讨两种量表在患者手术前后的反应度，为临床应用提供客观依据。方法：48例腰椎退行性疾病手术治疗患者于术前、术后各完成填写ODI和QLS-DSD1次。应用Spearman相关系数来检验术前患者ODI总分与QLS-DSD总分得分的相关性，应用配对t检验比较患者治疗前后的ODI和QLS-DSD总分和各领域评分来评价两份量表的效度及反应度。结果：本次研究中患者手术治疗前后的ODI、QLS-DSD总分和各领域评分比较，两者间差异均有统计学意义（P〈0．05）；患者术前ODI总分与QIS-DSD总分的Spearman相关系数为0．7113（P〈0．0001）。结论：QLS-DSD和国内通用的中文版ODI一致性较好，可较好地反映患者生命质量和功能状况的变化，适用于腰椎退行性疾病患者自身及临床医生对患者生命质量和治疗效果的评定。
Objective：To evaluate the clinical practicality of quality of life scale for patients with de- generative spine disease（ QLS-DSD） using the Oswestry disability Index as a standard. Methods： Based on a questionnaire survey of 48 Cases of lumbar degenerative disease patients with surgical treatment, the correlation of ODI total points and QLS-DSD total points were observed before surgery by providing objective basis for clini- cal application. T - test analysis was conducted to evaluate the discrimination validity and reaction degree of the scales. Results： The total and field score statistics had statistically significant change in the two ~rouos ofpatients before and after surgery （ P 〈 0.05 ）. The total score between ODI and QLS-DSD had correlation, Spearman = 0.7113 （P 〈 0. 0001 ）. Conclusions ：The QLS-DSD scale can reflect changes in the patients＇ quality of life and func- tional status in evaluation of life quality with degenerative lumber disease like the ODI scale. It is suitable for patients with lumbar degenerative disease and the clinical doctors to evaluate the life quality and treatment effect.
出处
《解剖与临床》
2013年第6期485-487,共3页
Anatomy and Clinics
基金
国家自然科学基金（81272048）、卫生部公益性行业专项基金（201002018）、安徽省教育厅自然科学研究基金重点项目（1308085MH152）
