下肢深静脉血栓形成患者非手术治疗后的近期生存质量研究
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赛力克·马高维亚, Email: chinese1018@126.com

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新疆医科大学第一附属医院科研奖励基金资助项目。


Quality of life after non-surgical treatment of patients with lower extremity deep vein thrombosis: a short-term observation
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    摘要:

    目的:观察下肢深静脉血栓形成(DVT)患者非手术治疗后的近期生存质量情况。方法:选取符合条件的50例下肢DVT患者,采用SF-36量表对入选患者治疗前与治疗后不同时间(1,2,3个月及4个月以上)的生理机能(PF)、生理职能(RP)、一般健康状况(GH)、情感职能(RE)、社会功能(SF)、躯体疼痛(BP)、精力(VT)及精神健康(MH)8个维度进行评分并比较。结果:患者在不同阶段的基线资料分布均衡可比,平均随访时间(3.82±1.84)个月,量表总Cronbach α系数为0.8652。患者在规范治疗前后的不同阶段8个维度评分差异均有统计学意义(均P<0.001),治疗后不同阶段各维度评分明显高于治疗前,且随时间逐渐增高。治疗后各阶段间除PF在治疗后1个月与治疗后4个月以上的评分间差异有统计学意义(P=0.01),所有维度评分的变化差异均无统计学意义(均P>0.05)。结论:下肢DVT患者经非手术治疗后近期生存质量明显好转并进入平台期,可恢复至健康人水平,患者生存质量的拐点出现的时间至少在治疗后4个月以上。

    Abstract:

    Objective: To investigate the quality of life after non-surgical treatment of patients with lower extremity deep vein thrombosis (DVT) during a short period of observation. Methods: Fifty eligible lower extremity DVT patients were enrolled. Using SF-36 Health Survey Scale, the scores for 8 subscales of health dimensions that included physical functioning (PF), general health (GH), physical role (RP), emotional role (RE), social functioning (SF), bodily pain (BP), vitality (VT), and mental health (MH), were determined and compared in these patients before and at different time points (1 month, 2, 3, and more than 4 months) after treatment. Results: The base-line data of the patients were evenly distributed and comparable at different stages, average follow-up time was (3.82±1.84) months, and the overall Cronbach’s α coefficient for the scale was 0.8652. Of the patients, the scores for the 8 dimensions were all statistically different before and after standard treatment (all P<0.001), in which the scores at different stages after treatment were significantly higher than those measured before treatment, and were gradually increased with time prolongation. Except for the scores for PF dimension that were statistically different between the stages of 1 month and more than 4 months after treatment (P=0.01), all scores for the 8 dimensions showed no statistical difference (all P>0.05). Conclusion: In a short period after non-surgical treatment of lower extremity DVT patients, their quality of life can be markedly improved and then reach a plateau, and can even restore to a healthy condition. So, the inflection point in quality of life of these patients may be at any time beyond the first 4 months after treatment.

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田野|张艳梅|赛力克·马高维亚|罗军|杨陆蒙|曹强.下肢深静脉血栓形成患者非手术治疗后的近期生存质量研究[J].中国普通外科杂志,2013,22(12):1609-1613.
DOI:10.7659/j. issn.1005-6947.2013.12.017

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  • 收稿日期:2013-04-19
  • 最后修改日期:2013-06-28
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  • 在线发布日期: 2013-12-15