【摘要】 目的分析重症心脏瓣膜病手术治疗对患者术后生活质量影响。方法回顾性分析2012年4月~2016年4月于延安大学附属医院接受心脏瓣膜手术治疗的60例患者病例资料,男性25例,女性35例,年龄35~72岁,平均(52.95±7.41)岁,体重43~85 kg,病史6~48个月。所有患者均行瓣膜置换手术,SF-36健康测量量表对患者的生活质量进行分析。结果所有患者体外循环时间48~516(125.5±61.6)min,主动脉阻断时间27~137(81±33.97)min,住院天数20~95(32±5.3)d。手术治疗后患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分为(83.56±8.25)分、(68.42±9.64)分、(80.43±11.32)分、(67.31±9.52)分、(63.12±10.07)分、(79.26±14.34)分、(64.53±20.58)分、(60.73±11.39)分,均高于治疗前评分,差异有统计学意义(P均<0.01)。结论重症瓣膜病手术治疗可以改善患者术后生活质量。更多还原

【Abstract】 Objective To analyze the influence of surgical treatment on quality of life(QOL) in patients with severe valvular disease. Methods The medical data of patients received valvular surgery(n=60, male 25, female 35, aged from 35 to 72, average age=52.95±7.41, and with body weight from 43 kg to 85 kg and medical history from 6 months to 48 months) in the Affiliated Hospital of Yan’an University were retrospectively analyzed from Apr. 2012 to Apr. 2016. All patients were undergone valve replacement surgery, and their QOL was analyzed by suing the MOS 36-item Short Form Health Survey(SF-36). Results The time of cardiopulmonary bypass(CPB) was from 48 min to 516 min(125.5±61.6), time of aortic occlusion was from 27 min to 137 min(81±33.97) and hospitalization day were from 20 d to 95 d(32±5.3) in all patients. The scores of physical function were(83.56±8.25), role physical,(68.42±9.64), body pain,(80.43±11.32), general health,(67.31±9.52), vitality,(63.12±10.07), social function,(79.26±14.34), role emotional,(64.53±20.58), and mental health,(60.73±11.39) in all patients after surgical treatment, which were all higher than those before treatment(all P<0.01). Conclusion The surgical treatment can improve the post-operative QOL in patients with severe valvular disease.更多还原