肘关节僵硬松解术后患者生存质量对比调查

Comparative investigation of postoperative patients’life quality with elbow arthrolysis

关键词:  肘关节僵硬松解术  疼痛  SCL-90

Key words:  elbow arthrolysis  pain  SCL-90

摘要:

目的　分析肘关节僵硬患者行松解术前及术后生存质量，探讨术后疼痛对患者生存质量的影响。方法　回顾性分析2013年1月至2016年6月收治的30例创伤性肘关节僵硬患者的临床资料，术前及术后2周分别行90项症状清单（Symptom Checklist 90, SCL-90）评估及视觉模拟评分（VAS），患者术前SCL-90结果与2010年1890人常模作对比。结果　对比常模，肘关节僵硬患者术前SCL-90多个因子分数升高，差异具有统计学意义 P<0.05)；肘关节僵硬松解术后关节活动改善效果明显，但SCL-90总分、躯体化、人际关系敏感及焦虑三项因子较术前升高，差异具有统计学意义P<0.05)。30例患者肘关节僵硬松解术前VAS评分为（2.4±0.73）分，术后2周VAS评分为（5.83±0.36）分，术前与术后VAS评分差异具有统计学意义P<0.05)。结论　肘关节僵硬松解术尽管在改善肘关节活动方面疗效显著，但术后的疼痛问题较明显，对患者术后的心理造成负面影响，降低患者术后生活质量。

Abstract:

Objective To compare the preoperative and postoperative life quality in patients with elbow arthrolysis, and analyze the influence of postoperative life quality by pain. Methods Data of 30 patients with traumatic elbow stiffness, who were treated in the Department of Hand Injury Rehabilitation from January 2013 to June 2016, were retrospective analyzed. All patients were tested by Symptom Checklist 90 (SCL-90) and Visual Analogue Scale (VAS) before and 2 weeks after elbow arthrolysis. The preoperative SCL-90 results were compared with the normal control (1980 persons in 2010). Results Compared to the normal control, some SCL-90 factors in patients with traumatic elbow stiffness were significantly higher before elbow arthrolysis (P<0.05). The postoperative ROM of elbow was better than preoperative. But the postoperative total score of SCL-90, Summarization, Interpersonal sensitivity and Anxiety factors were higher than preoperative, the difference was statistically significant (P<0.05). The patients’ preoperative and postoperative VAS were （2.4±0.73） and (5.83±0.36), respectively. The difference between preoperative and postoperative VAS was statistically significant (P<0.05). Conclusion Elbow arthrolysis has good effect, making ROM of elbow better. However, postoperative pain can’t be ignored and has negative effect on psychological health, which reduces quality of life.