脊柱退行性病变患者的心理状况及医学干预

目的探讨脊柱退行性病变患者治疗前和治疗3个月后的心理状况差异。方法采用症状自评量表(SCL-90)对683例脊柱退行性病变患者治疗前后的心理状况进行评定。采用SPSS 16.0软件进行统计学分析。结果治疗前683例脊柱退行性病变患者SCL-90的躯体化、强迫、抑郁、焦虑评分均高于常模,差异有统计学意义(P0.01)。609例3个月后获得回访,其中手术治疗组261例,非手术治疗组348例。手术治疗组3个月后的躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性、附加因子评分均低于治疗前,差异有统计学意义(P0.05)。非手术治疗组3个月后的躯体化、强迫、抑郁、焦虑、敌对、恐怖、偏执和精神病性评分均低于治疗前,差异有统计学意义(P0.05)。手术治疗组躯体化、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性和附加因子评分均低于非手术治疗组,差异有统计学意义(P0.05)。结论脊柱退行性病变患者心理状况总体较差,治疗后患者的心理状况得到改善,手术治疗者术后早期心理状况好于非手术治疗者。

The investigation analysis for the psychological status in the patients with spinal degenerative disorder and medical intervention

Objective To investigate the psychological status of the patients with spinal degenerative disorder before treatment and 3 months after treatment. Methods The psychological status of 683 patients with spinal degenerative disorder were evaluated by the symptom checklist (SCL-90). Statistical analysis was performed by using SPSS 16. 0 software. Results Before treatment, the SCL-90 of 683 patients with spinal degenerative disorder were higher than normal in the physical, obsessive-compulsive, depression, anxiety, and the difference was statistically significant (P<0. 01). Six hundred and nine patients got follow-up in 3 months,and non operative treatment group was 348 ca-ses,the surgical treatment group was 261 cases. The somatization, compulsion, interpersonal relationship, depres-sion, anxiety,hostility, phobia,depression, anxiety, hostility, phobia, paranoia, psychosis, additional factor scores of the surgical treatment group after 3 months were lower than that before treatment, the difference was statistically significant (P<0. 05). The somatization, compulsion, depression, anxiety, hostility, phobia, paranoia and psycho-sis scores of non operative treatment group after 3 months were lower than that before treatment, the difference was statistically significant (P<0. 05). Surgical treatment of somatization, interpersonal relationship, depression, anxie-ty, hostility, phobia, paranoia, psychosis and additional factor scores were lower than those of the non operative treat-ment group, the difference was statistically significant (P<0. 05). Conclusions The psychological status of patients with spinal degenerative disorder is poor, the psychological status of the patients after treatment is improved, and the early psychological condition of the patients after operation is better than that of the non operative treatment.