Oswestry和Roland-morris失能问卷:测量慢性下腰痛病人生存质量实用性评价

Oswestry and Roland-disability scales:Evaluation of utility of measurement of quality of life in patients with chronic low back pain

目的在慢性腰腿痛患者中使用Oswestry和Roland-morris失能问卷,探讨二问卷评价慢性下腰痛病人生存质量的实用性。方法病程超过3周,腰椎活动不受限,感觉、反射、肌力无异常,腰椎CT均证实有不同程度腰椎间盘突出,收集患者的临床资料,用Oswestry和Roland失能问卷评价患者生存质量。使用SAS软件对资料进行统计分析。结果Oswestry和Roland两个失能问卷得分之间存在直线相关关系(相关系数:r=0.78,P<0.001)。临床医生和患者都认为Roland失能问卷较Oswestry问卷易于理解,患者完成失能问卷时间较问卷短。结论临床上失能问卷较问卷有更佳的实用性。

Objective To explore the practicality of scales throughout evaluation of quality of life.Method we applied Oswestry and Roland disability scales to the patients with chronical back pain and disc herniation confirmed by computed Tomography, and asked understanding extents for patients and doctors.Result We found that Oswestry scales can really reflect patients' quality of lifes as well as Roland disability scales.Concolusion Clinically Roland disability scales has more advantages than Oswestry scales.