Mou Yi-ping, Chen Qi-long, Xu Xiao-wu, Xing Ren-wei, Zhu Yi-ping, Sun Xiao-dong, Zhu Ling-hua, Chen Ding-wei, Peng Shu-you
Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University and Institution of Minimal Invasive Surgery, Hangzhou 310016, China.
Zhonghua Wai Ke Za Zhi. 2007 Jan 1;45(1):17-20.
To evaluate the quality of life (QOL) of the patients who received pancreaticoduodenectomy (PD) and work out their long term therapy agents.
QOL of 18 cases 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.
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.
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.
评估接受胰十二指肠切除术（PD）患者的生活质量（QOL），并制定其长期治疗方案。
2002年1月至2003年12月期间，在浙江大学医学院附属邵逸夫医院，采用症状问卷和中文版SF-36生活质量问卷，对18例接受PD手术的患者（PD组）和同期18例接受腹腔镜胆囊切除术（LC）的患者（LC组）的生活质量进行测评。
与LC组相比，PD组的生活质量总分及生理健康评分无显著下降。但PD组的心理健康评分低于LC组（P<0.05）。SF-36问卷的8个不同维度显示，PD组在生理功能、躯体角色功能、躯体疼痛、总体健康、社会功能方面的评分低于LC组。PD组在活力、情感角色功能和心理健康方面的评分与LC组相同。根据症状问卷，患者腹泻和复发对生理健康评分有明显影响。患者体重减轻和失业对心理健康评分有明显影响。
接受PD手术患者的生活质量未下降。其SF-36生活质量总分与接受LC手术的患者相近。但PD组的心理健康评分低于LC组。体重减轻、失业、复发和慢性胰源性腹泻可能影响PD术后的生活质量。
