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内镜下球囊扩张术对贲门失弛缓症患者生活质量的影响(重投)
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DOI:
作者:
周洪,叶博,张海燕
Zhou Hong,Ye Bo, Zhang Hai Yan
作者单位:
北京电力医院消化内科 长海医院消化内科 长海医院保健科
Gastroenterology Department of Beijing Electric Power Hospital Gastroenterology Department of Changhai Hospital Health Care Department of Changhai Hospital
关键词:
贲门失弛缓症;内镜下球囊扩张术;生活质量;SF-36
achalasia; pneumatic balloon dilatation; quality of life; 36-item short-form health survey
摘要:
【摘要】目的 探讨内镜下球囊扩张术对贲门失弛缓症患者生活质量的影响。方法 采用自身前后对照的研究,选取我院2009年1月至2011年1月因贲门失弛缓症行内镜下球囊扩张术的患者,采用自制的患者一般状况调查表对患者的一般状况和临床症状进行调查,采用国际上通用的普适性生活质量量表-医学结局简短量表(SF-36)对患者的生活质量进行评估。术后定期随访症状积分、食管钡餐检查、并发症等。当随访大于1年时,采用SF-36生活量表再次对患者生活质量进行评估。结果 贲门失弛缓症患者的生活质量与正常人相比显著下降(p<0.05),内镜下球囊扩张术后,77.3%(58/75)的患者症状获得了缓解;SF-36量表生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康八个维度上的得分较前显著改善(P<0.05)。贲门失弛缓症患者生活质量评分与症状评分呈负相关。结论 贲门失驰缓症患者的生活质量与正常人相比显著下降,通过内镜下球囊扩张术治疗后,患者的症状和生活质量可以获得显著提高。
[Abstract] Objective To evaluate the effect of pneumatic balloon dilatation in quality of life on achalasia patients. Methods From January 2009 to January 2011, patients who were diagnosed with achalasia and received pneumatic balloon dilatation in our hospital were selected. All patients were investigated in health condition and clinical symptoms through the 36-Item Short Form Health Survey (SF-36) which was used to evaluate their quality of life. Symptoms, barium meal examination, complications were followed up after the endoscopic procedure. For those patients with over 1-year follow up, their quality of life was evaluated again by SF-36. Results The quality of life in patients with achalasia was lower than that of normal people(p<0.05). But after the pneumatic balloon dilatation, 77.3%(58/75)of the patients were relieved. The scores of SF-36 in physiological function, physical function, pain, general health, vitality, social ability, emotion and mental health were improved(P<0.05). Significant negative correlation was existed between the scores in quality of life and in symptoms for the patients with achalasia. Conclusion The quality of life in patients with achalasia was lower than that of normal people. But after the pneumatic balloon dilatation, their quality of life and symptoms were significantly improved.
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