焦虑与腰椎间盘突出症术后疗效的关系

目的 :探讨焦虑与腰椎间盘突出症手术疗效的关系。方法 :记录 2 14例行手术治疗的腰椎间盘突出症患者的术前疼痛时间、腰腿痛程度和术前症状、体征评分。术前完成焦虑自评量表 (SAS) ,并按SAS评分分为焦虑组和非焦虑组。术后随访患者症状、体征、生活能力及恢复工作情况。结果 :焦虑组和非焦虑组之间术前病程、总评分无统计学差异。焦虑组比非焦虑组术后有更频更重的疼痛 ,术后症状改善率和症状体症改善率差 (P <0 0 1) ,术后恢复工作能力差 (P <0 0 5 )。结论 :术前焦虑影响术后改善率 ,术前对患者进行焦虑评定是有意义的

Correlation of post-operative prognosis and body mass index in patients with lumbar disc herniation

Objective:To determine the prognostic correlation of post-operative outcomes and anxiety in patients with lumbar disc herniation.Method:The study population was a consecutive series of 214 patients who underwent the operative therapy of lumbar disc herniation.Preoperative anxiety was evaluated by SAS (Self-Rating Anxiety Scale).According to SAS,the score was less than 50 in the normal group and more than 50 in the anxiety group.The same one was used in addition to the evaluation of life ability and work ability after surgery at the follow-up.Result:No statistical difference was observed in the preoperative pain degree,pain time,preoperative course and total scoring between the anxiety and non-anxiety group.There was a notable difference in postoperative pain frequency,degree and symptom improving rate postoperative symptom-sign improving rate between the anxiety and non-anxiety group(P<0.05).More often and severe postoperative pain as well as poorer symptom improving rate were observed in patients of anxiety group.The work ability after surgery of the patients in the non-anxiety group recovered well (P<0.05).Conclusion:Anxiety exerts negative influence on the results of operative treatment for lumbar disc herniation.It is significant to evaluate the anxiety of patients in the pre and post operative (assessment. )