摘要
目的评估患者接受胰十二指肠切除术(PD)后的生活质量(QOL),以指导其远期治疗。方法采用普通症状问卷表和中文版 SF-36量表评估自2002年1月至2003年12月于我院普外科行 PD 的18例患者(PD 组)的生活质量,并与相应手术日行腹腔镜胆囊切除术(laparoscopiccholecystectomy,LC)的18例患者(LC 组)进行病例对照分析。结果 SF-36量表调查显示,与 LC 组相比,PD 组在 SF-36总分及总体生理健康分值上无明显降低,而 PD 组的总体心理健康分值低于 LC组。SF-36量表各维度评估显示:在生理功能、生理职能、躯体疼痛、总体健康、社会功能5个维度的生活质量评估中,PD 组较 LC 组有所下降;而在活力、情感职能和精神健康3个维度的生活质量评估中,PD 组与 LC 组比较无明显降低。症状问卷显示,腹泻和疾病复发是影响 PD 组总体生理健康分值的因素;而体重减轻和失业是影响其总体心理健康分值的因素。结论 PD 组 QOL 水平并无明显减低,其总体 QOL 水平与 LC 组无显著性差异。体重减轻、失业、疾病复发及慢性胰源性腹泻是影响 PD后 QOL 水平的因素。
Objective To evaluate the quality of life （QOL） of the patients who received pancreaticoduodenectomy （PD） and work out their long term therapy agents. Methods QOL of 18 eases who received PD （group PD） and 18 cases received laparoscopic cholecystectomy （LC） （ group LC） in the same days was determined by symptoms questionnaire and Chinese version SF-36 QOL questionnaire from Jan 2002 to Dec 2003 in Sir Run Run Shaw Hospital. Results Compared with group LC, the total QOL score and physical health score of group PD didn＇t have significant decrease. But the mental health score of group PD was lower than group LC （P 〈 0. 05）. Eight different scales of SF-36 questionnaire showed that the score in physical functioning, role-physical, bodily pain, general health, social functioning of group PD was lower than that of group LC. The score in vitality, role-emotional and mental health of group PD was the same as the group LC. According to the symptoms questionnaire, the patient diarrhea and recurrence had obvious influence on PH score. The patient weight loss and unemployment had obvious influence on MH2 score. Conclusions The QQL of patients received PD didn＇t have decreased. Their total score of SF-36 QQL was close to the patients who received LC. But the mental health score of group PD was lower than group LC. Weight loss, unemployment, recurrence and chronic pancreatic diarrhea may be infect the Quality of life after PD.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第1期17-20,共4页
Chinese Journal of Surgery
