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术前支具治疗对手术治疗的青少年特发性脊柱侧凸患者SRS-22和SF-36问卷心理健康评分的影响。

Effect of Preoperative Brace Treatment on the Mental Health Scores of SRS-22 and SF-36 Questionnaire in Surgically Treated Adolescent Idiopathic Scoliosis Patients.

作者信息

Yu Bin, Wang Yipeng, Qiu Guixing, Shen Jianxiong, Zhang Jianguo

机构信息

Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

出版信息

Clin Spine Surg. 2016 Jun;29(5):E233-9. doi: 10.1097/BSD.0000000000000057.

DOI:10.1097/BSD.0000000000000057
PMID:24281188
Abstract

STUDY DESIGN

Retrospective study.

OBJECTIVES

The aim of this study was to analyze whether there were differences in mental health scores of Scoliosis Research Society-22 (SRS-22) questionnaire and Short Form-36 (SF-36) questionnaire between adolescent idiopathic scoliosis (AIS) patients with/without preoperative brace treatment.

SUMMARY OF BACKGROUND DATA

Mental health is an important domain of SRS-22 and SF-36 questionnaire. There are few studies focused on the effect of preoperative brace treatment on mental health in surgically treated AIS patients.

MATERIALS AND METHODS

The SRS-22 and SF-36 questionnaires of 211 AIS patients who underwent posterior correction surgery were retrospectively reviewed. The average age of the patients was 14.4 years (range, 11-18 y), and the patients were classified into 2 groups: with preoperative brace treatment (group BS-32 cases, 5 male and 27 female) and without preoperative brace treatment (group S-179 cases, 23 male and 156 female). The radiographic data and mental health scores of SRS-22 and SF-36 questionnaires were compared between the 2 groups.

RESULTS

There was no significant difference in terms of height, rib hump, the mean preoperative coronal Cobb angle or apical vertebral translation of the major curve, sagittal thoracic kyphosis, or coronal trunk balance between group BS and group S (all P>0.05). The average and total mental health scores of SRS-22 between group BS and group S were 3.6±0.7 and 3.7±0.5, and 18.1±3.5 and 18.3±2.6, respectively. The total mental health scores of SF-36 between group BS and group S were 71.1±8.7 and 68.7±11.5, respectively. There was no significant difference with regard to the mental health scores of SRS-22 and SF-36 questionnaires between group BS and group S (all P>0.05).

CONCLUSIONS

Preoperative brace treatment did not have obvious influence on the mental health scores of SRS-22 and SF-36 questionnaires in surgically treated AIS patients.

摘要

研究设计

回顾性研究。

目的

本研究旨在分析接受/未接受术前支具治疗的青少年特发性脊柱侧凸(AIS)患者在脊柱侧凸研究学会22项问卷(SRS - 22)和简短健康调查问卷36项(SF - 36)中的心理健康评分是否存在差异。

背景数据总结

心理健康是SRS - 22和SF - 36问卷的一个重要领域。很少有研究关注术前支具治疗对接受手术治疗的AIS患者心理健康的影响。

材料与方法

回顾性分析211例行后路矫正手术的AIS患者的SRS - 22和SF - 36问卷。患者平均年龄14.4岁(范围11 - 18岁),分为两组:接受术前支具治疗组(BS组,32例,男5例,女27例)和未接受术前支具治疗组(S组,179例,男23例,女156例)。比较两组的影像学数据以及SRS - 22和SF - 36问卷的心理健康评分。

结果

BS组和S组在身高、肋骨隆起、术前主弯平均冠状面Cobb角或顶椎平移、矢状面胸椎后凸或冠状面躯干平衡方面无显著差异(所有P>0.05)。BS组和S组SRS -

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