Özdemir E, Paker N, Bugdayci D, Tekdos Demircioglu D
Istanbul Physical Treatment and Rehabilitation Training and Research Hospital, Istanbul, Turkey.
Istanbul Memorial Hizmet Hospital, Istanbul, Turkey.
J Back Musculoskelet Rehabil. 2015;28(4):749-53. doi: 10.3233/BMR-140578.
The purpose of this study was to compare the quality of life of patients with lumbar spinal stenosis (LSS) with that of the controls' and to investigate the factors related with the quality of life in LSS.
Fifty-four patients with LSS were included in the study whose diagnosis were made by clinically and magnetic resonance imaging (MRI). Control group consisted of age and sex matched 54 individuals. Both of the patient and control groups were evaluated with the Short Form-36 (SF-36) health survey and Hospital Anxiety Depression Scale (HADS). The Oswestry Pain and Disability Index (ODI) was used for the assessment of the disability.
SF-36 scores in the LSS group was lower than that of the controls'. There was a significantly positive correlation between the SF-36 scores and walking distance in LSS group. A moderately negative correlation was found between the SF-36 and the ODI, HADS anxiety and depression scores. There was a significantly positive correlation between the ODI and the HADS anxiety and depression scores. HADS anxiety and depression scores in the patient group were significantly higher than that of the controls'.
As a result, quality of life was decreased in subjects with LSS. The factors related with the quality of life were the walking distance, severity of the disability and emotional status in LSS.
本研究旨在比较腰椎管狭窄症（LSS）患者与对照组的生活质量，并调查与LSS患者生活质量相关的因素。
本研究纳入了54例经临床及磁共振成像（MRI）确诊的LSS患者。对照组由54名年龄和性别匹配的个体组成。患者组和对照组均采用简短健康调查问卷36项版本（SF-36）和医院焦虑抑郁量表（HADS）进行评估。采用奥斯维斯特里疼痛与功能障碍指数（ODI）评估功能障碍情况。
LSS组的SF-36评分低于对照组。LSS组的SF-36评分与步行距离之间存在显著正相关。SF-36与ODI、HADS焦虑和抑郁评分之间存在中度负相关。ODI与HADS焦虑和抑郁评分之间存在显著正相关。患者组的HADS焦虑和抑郁评分显著高于对照组。
结果显示，LSS患者的生活质量下降。与生活质量相关的因素包括LSS患者的步行距离、功能障碍严重程度和情绪状态。
