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目的探讨研究强直性脊柱炎患者腰椎骨化程度和后凸程度对患者生活质量的影响。方法 97例强直性脊柱炎患者,依据Stoke脊柱病变评分(SASSS)分为研究组(SASSS>36分,41例)与对照组(SASSS≤36分,56例),比较两组患者Bath AS功能指数(BASFI)、Bath AS疾病活动性指数(BASDAI)以及全脊柱最大后凸角(GK)与Oswestry功能障碍指数(ODI)的差异。结果研究组患者SASSS、GK、BASFI以及ODI分别为(56.3±4.8)分、(69.5±6.4)°、(3.5±1.1)分、(31.5±4.3)%,均显著高于对照组的(19.6±5.2)分、(53.4±3.7)°、(2.5±0.9)分、(25.3±4.6)%(P<0.05)。结论腰椎骨化程度较高的强直性脊柱炎患者其后凸程度较重,对患者生活质量影响程度较大。
Objective To investigate the effect of lumbar ossification and kyphosis on the quality of life in patients with ankylosing spondylitis. Methods Ninety-seven patients with ankylosing spondylitis were divided into study group (SASSS> 36 points, 41 cases) and control group (SASSS≤36 points, 56 cases) according to Stoke’s spine disease score (SASSS) BASFI, Bath AS disease activity index (BASDAI), and the difference between the maximal kyphotic kyphosis (GK) and Oswestry Disability Index (ODI). Results The SASSS, GK, BASFI and ODI in the study group were (56.3 ± 4.8), (69.5 ± 6.4) °, (3.5 ± 1.1) and (31.5 ± 4.3)%, respectively, which were significantly higher than those in the control group ± 5.2), (53.4 ± 3.7) °, (2.5 ± 0.9), (25.3 ± 4.6)%, respectively (P <0.05). Conclusions Patients with ankylosing spondylitis with a high degree of lumbar ossification have a higher degree of kyphosis and a greater impact on the quality of life of the patients.