经口腔前庭腔镜甲状腺手术后患者生命质量的调查研究

Investigation of quality of life in patients undergoing oral vestibular thyroid surgery

目的探索经口腔前庭腔镜甲状腺手术患者的基本情况及术后生命质量.方法选择2015年3月至2018年4月头颈外科收治的128例经口腔前庭腔镜甲状腺手术患者,对患者复查时进行问卷调查.使用SPSS 22.0进行相关性分析.结果经SPSS统计软件分析表明,患者术后康复较好,有95%以上的患者对于症状的感受为"没有"或者"有点",对于患者过去1周内总的健康状况和总的生命质量分别有91.8%(102/111)和93.6%(104/111)的患者感知在一般水平及以上.患者术后生命质量的方差分析,患者术后回归工作岗位与患者术后的社会认知、失眠以及经济困难存在显著联系.患者的受教育程度、所从事的职业、婚姻状况和家庭收入均会对患者术后的经济情况产生显著的影响,有统计学意义(t=2.66~4.74,P<0.05).患者生命质量的回归分析,其中情绪功能、躯体功能是影响患者生命质量的独立危险因素,有统计学意义(t=-2.072、-5.564,P<0.05).结论经口腔前庭腔镜甲状腺手术效果良好、外形美观、生命质量高等优势,值得推广应用.

Objective To explore the basic conditions and postoperative quality of life in patients undergoing oral vestibular thyroid surgery.Methods A total of 128 patients undergoing oral vestibular thyroid surgery were enrolled in the Department of Head and Neck Surgery from March 2015 to April 2018.On the basis of routine thyroid tumor care,we used telephone,WeChat public platform,WeChat group,QQ,and Email.Questionnaires such as information technology and clinic review.Correlation analysis was performed using SPSS 22.0.Results According to the analysis of SPSS statistical software,the postoperative recovery of the patients is good,and more than 95%of the patients have the feeling of"no"or"a little"for symptoms,and 91.8%(102/111)and 93.6%(104/111)of the patients have the perception of the general health status and life quality of the patients in the past 1 week respectively.Analysis of variance of postoperative life quality of patients,postoperative regression post was significantly correlated with postoperative social cognition,insomnia and economic difficulties of patients.The education level,occupation,marital status and family income of the patients all had significant influences on the postoperative economic status of the patients,and the differences were statistically significant(t=2.66-4.74,P<0.05).In the regression analysis of patients′life quality,emotional function and physical function were independent risk factors affecting patients′life quality,with statistical significance(t=-2.072,-5.564,P<0.05).Conclusion Endoscopic thyroidectomy via oral vestibule has the advantages of good effect,beautiful appearance and high quality of life,which is worth popularizing and applying.