葛飞飞 朱栩栋

摘要：目的：通过对脊髓损伤患者生活质量的调查，分析生活质量中心理与生理、社会关系、环境等其他因子之间关系，以及颈椎损伤与胸腰椎损伤患者在心理对生理影响的差异的研究，以便能在日后的治疗工作中更加注意，找到能改善脊髓损伤患者心理、生理状态的有效方向，从而能改善提高患者的生活质量。方法：选择宁波市康复医院自愿参加本研究的符合条件的患者80人，其中颈椎损伤34人，胸腰椎损伤46人，采用世界卫生组织生活质量测定量表WHO/QOL-26对患者进行问卷调查。结果：总的来看在此次研究中生理状态、社会关系与心理有显著相关性;将颈椎损伤者与胸腰椎损伤者分开对比研究，两组的年龄、四个领域的得分及总分的对比没有统计学意义，发现颈椎损伤者心理与生理相关性较低，而胸腰椎损伤者心理与生理的相关性显著。结论：面对脊髓损伤患者，要注意心理状态对其生理功能的影响，对于许多患者要给予心理疏导、帮助其正确的面对自身的疾病及由此产生的障碍，改善其心理状态。

关键词：脊髓损伤;生活质量;WHO/QOL-26;心理因子

[Abstract]  Objective： Through the research of the quality of life in patients with spinal cord injury， analyse the relationship between psychological and physical， social relations， the environment in the quality of life， as well as the differences in psychological effects on the physiological on the patients with cervical spine injury and thoracolumbar spine injury， in order to be able to pay more attention on normal treatment in the future， finding an effective direction to improve psychological and physiological state of the spinal cord injury patients， which can improve the patient's quality of life. Methods： choose 80 eligible spinal cord injury patients from Ningbo rehabilitation hospital who are voluntarily participate in this study， of whom 34 were cervical spine injury， and 46 people were thoracic and lumbar injuries，use the World Health Organization Quality of Life Scale measured WHO/QOL-26 patient questionnaire. Results： Overall in this study physiological state， social relations were significant correlation with psychologically; separate the cervical and thoracolumbar spine injury for a comparative study， two groups of age， four field score and total score was not statistically significant ， found cervical spine injury psychological and physiological relevance is low， and thoracolumbar injuries psychological and physiological significant correlation. Conclusion： In the face of spinal cord injury patients should pay attention to the psychological state of the impact of their physiological functions， for many patients to be given psychological counseling to help them right in the face of the disease itself and the resulting obstacles to improve their mental state .

Keywords： spinal cord injury; quality of life; WHO/QOL-26; psychological factor

隨着近年来现代化交通和工业的发展，因交通意外、高处坠落等事故产生的脊髓损伤患者不断增加，在发达国家，外伤性SCI的发病率为每年20～60例/l00万人口。在我国，根据国家生产安全委员会的初步统计，每年由于生产事故所造成的SCI患者就达5～6万人，因交通事故造成的SCI患者多达7～8万人。据估计，我国SCI患者已达数百万人[1]。……