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首页> 外文期刊>Neurosurgery >Quality of life assessment with the medical outcomes study short form-36 among patients with cervical spondylotic myelopathy.
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Quality of life assessment with the medical outcomes study short form-36 among patients with cervical spondylotic myelopathy.

机译：颈椎病型脊髓病患者的医疗质量研究（36型简写）生活质量评估。

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OBJECTIVE: Cervical spondylotic myelopathy (CSM) is a chronic degenerative condition of the cervical spine that produces narrowing of the spinal canal and disruption of spinal cord function. We used Medical Outcomes Study Short Form-36 (SF-36), a generic quality of life outcome-assessment instrument, to assess the quality of life among patients with CSM. METHODS: A cohort of 88 Veterans Administration neurosurgery clinic patients with CSM underwent structured interviews for collection of data on demographic features, symptoms, operations, and comorbid diseases. Patients also completed the SF-36. Symptoms and examination findings were used to assign each patient scores on the Nurick, Cooper, and Harsh myelopathy scales and a Western modification of the Japanese Orthopaedic Association scale. SF-36 scores were compared with age-adjusted Veterans Administration population normative values by using Student's t test with unequal variances. Cuzick's nonparametric test for trend was used to explore the relationship between the SF-36 physical component summary scores and the myelopathy scale scores. RESULTS: Patients with CSM exhibited decreased quality of life in all eight SF-36 domains, as well as with the physical and mental component summary scores, compared with Veterans Administration population normative values (for all, P
机译：目的：颈椎病性脊髓病（CSM）是颈椎的一种慢性退行性疾病，会导致椎管狭窄和脊髓功能破坏。我们使用医学成果研究简表36（SF-36）（一种通用的生活质量结果评估工具）来评估CSM患者的生活质量。方法：队列的88名退伍军人管理局神经外科诊所的CSM患者接受了结构化访谈，以收集有关人口统计学特征，症状，手术和合并症的数据。患者还完成了SF-36。症状和检查结果用于根据Nurick，Cooper和Harsh脊髓病量表以及日本骨科协会量表的Western修改为每个患者评分。使用不等方差的学生t检验，将SF-36得分与经过年龄调整的退伍军人管理局人口规范值进行比较。使用库兹克的趋势非参数检验来探究SF-36物理成分总分与脊髓病量表分之间的关​​系。结果：与退伍军人管理局人口标准值相比，CSM患者在所有八个SF-36域中的生活质量均下降，并且在身体和精神方面的总得分均降低（所有P均= 0.003）。在Nurick量表（P <0.001），Cooper腿子量表（P = 0.012）和Harsh量表（P <0.001）上，较低的身体成分综合评分与较差的脊髓病评分相关。结论：使用通用健康结果测量工具SF-36评估的所有CSM患者的生活质量均下降。 CSM患者的损伤范围超出了用脊髓病等级记录的运动，感觉和膀胱功能障碍，并涉及到情绪和心理健康领域。

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