深静脉血栓形成患者非手术治疗后生存质量变化的研究
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赛力克·马高维亚, Email: chinese1018@126.com

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Alteration in quality of life of patients with lower extremity deep vein thrombosis after non-surgical treatment
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    摘要:

    目的:探讨非手术治疗后下肢深静脉血栓形成(DVT)患者生存质量的变化规律。 方法:选择74例经非手术治疗的急性及亚急性下肢DVT患者,采用SF-36量表对患者治疗前与非手术治疗后2~26个月的生理机能(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:不同治疗阶段患者的基线资料均衡可比,量表总Cronbach α系数为0.902。患者出院后不同阶段8个维度评分均明显高于在入院时(均P<0.05),但各维度分别在出院2~8个月后进入平台期,各维度评分差异均无统计学意义(均P>0.05);参考正常值,RP和PF维度评分轻微降低,VT维度评分降低较明显,其余基本接近正常。 结论:DVT患者经治疗后明显好转,且生存质量可获较长时间的改善。

    Abstract:

    Objective: To investigate the changing pattern of quality of life in patients with the lower extremity deep vein thrombosis (DVT). Methods: Seventy-four lower extremity DVT patients were selected. 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 2 to 26 months after non-surgical treatment. Results: The base-line data of the patients were evenly distributed and comparable at different stages, and the overall Cronbach’s α coefficient for the scale was 0.902. Of the patients, the scores for the 8 dimensions were all significantly higher at different stages after discharge than those at admission (all P<0.05), however, all dimensions reached a plateau at 2 to 8 months respectively, where all the scores for each dimension showed no significant difference (all P>0.05). Compared with the normal values, the scores for RP and PF were slightly decreased, and score for VT was obviously decreased, but those of all the other dimensions were unchanged. Conclusion: After non-surgical treatment, the condition of DVT patients can significantly be recovered, and their quality of life may be improved for a long period of time.

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田野,罗军,白超,赛力克·马高维亚.深静脉血栓形成患者非手术治疗后生存质量变化的研究[J].中国普通外科杂志,2014,23(12):1684-1688.
DOI:10.7659/j. issn.1005-6947.2014.12.017

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  • 收稿日期:2014-05-29
  • 最后修改日期:2014-11-08
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  • 在线发布日期: 2014-12-15