成人慢性扁桃体炎扁桃体切除术后的生活质量预测因素分析

【】2016-05-16 点击次数次

李媛媛张火林严共刚：深圳市宝安区福永人民医院广东深圳 518000

成人慢性扁桃体炎扁桃体切除术后的生活质量预测因素分析

李媛媛张火林严共刚
PREDICTIVE FACTORS OF LIFE QUALITY OF ADULT PATIENTS WITH CHRONIC TONSILLITIS AFTER TONSILLECTOMY
LI yuanyuan, ZHANG Huolin, YAN Gonggang

  【摘要】目的探讨成人慢性扁桃体炎扁桃体切除术后的生活质量预测因素。方法选取2013年1月~2014年6月期间我院收治经扁桃体切除术治疗的成人慢性扁桃体炎患者68例,根据患者术后1周SF-36评分得分分为观察组（SF-36得分<50分，n=38）和对照组（SF-36得分>50分，n=30）。统计分析两组治疗前后生活质量（SF-36）评分并采用单因素和Logistic多因素分析成人慢性扁桃体炎扁桃体切除术后的生活质量预测因素。结果两组术前生理机能、生理职能、躯体疼痛等8个维度的生活质量评分得分差异比较无统计学意义（p>0.05）。两组术后1周、2周和4周的生活质量评分得分均较术前提高，且观察组生活质量评分得分均较同期对照组降低（p<0.05）。单因素分析结果显示，成人慢性扁桃体炎扁桃体切除术后的生活质量相关因素为性别、年龄、汉密尔顿抑郁量表（HAMD）评分和汉密尔顿焦虑量表评分（HAMA）等。Logistic多因素分析结果显示年龄、汉密尔顿抑郁量表评分和汉密尔顿焦虑量表评分为生活质量的独立预测因素。结论成人慢性扁桃体炎扁桃体切除术后的生活质量独立预测因素包括年龄、汉密尔顿抑郁量表评分和汉密尔顿焦虑量表评分等，通过饮食、运动等提高高年龄患者的抵抗力，调节患者心理状态亦有助于患者的生活质量的提高。
  【关键词】成人,慢性扁桃体炎,扁桃体切除,术后,生活质量,预测因素

  【Abstract】 Objective To explore the predictive factors of life quality of adult patients with chronic tonsillitis after tonsillectomy. Methods 68 adult patients with chronic tonsillitis treated with tonsillectomy admitted to our hospital from January, 2013 to June, 2014 were divided into the observation group (SF-36 score<50 points, n=38) and the control group (SF-36 score>50 points, n=30) according to SF - 36 scale scores 1 week after operation. Life quality (SF-36) score of the 2 groups before and after treatment were statistically analyzed. The predictive factors of life quality of adult patients with chronic tonsillitis after tonsillectomy were analyzed by single factor analysis and logistic factors analysis. Results Life quality scores of preoperative eight dimensions in the 2 groups including physiological functions, physiological roles, physical pain had no statistically significant difference (p>0.05). Life quality scores of the two groups at weeks 1, 2 and 4 after surgery were higher than those before surgery. Life quality scores of the observation group after treatment were lower than those of the control group in the same period (p<005). The results of single factor analysis showed that relative factors of life quality of adult chronic tonsillitis after tonsillectomy were gender, age, Hamilton depression rating scale (HAMD) scores and Hamilton anxiety rating scale (HAMA) scores, etc.. The results of logistic multifactor analysis showed that age, HAMD scores and HAMA scores were independent predictors of life quality of adult chronic tonsillitis after tonsillectomy. Conclusion Independent predictive factors of life quality of adult chronic tonsillitis after tonsillectomy includw age, HAMD scores and HAMA scores. Therefore, diets and sports can improve disease resistance ability of aged patients. And psychological condition regulation can also effectively improve patient's life quality.
     【Key words】 Adult, Chronic tonsillitis, Tonsil excision, Postoperative, Life quality, Predictors
     【Author′s address】 Fuyong People's Hospital, Bao'an District, Shenzhen City, Shenzhen 518000, Guangdong Province

作者	李媛媛 (深圳市宝安区福永人民医院广东深圳518000)；张火林 (深圳市宝安区福永人民医院广东深圳518000)；严共刚 (深圳市宝安区福永人民医院广东深圳518000)；
刊名	现代医院 2015年07期 46-48,51页
英文期刊名	Modern Hospital
关键词	成人慢性扁桃体炎扁桃体切除术后生活质量预测因素 Adult Chronic tonsillitis Tonsil excisionPostoperative Life quality Predictors
DOI号