老年女性骨质疏松性椎体压缩骨折患者术后生存现状调查

Postoperative survival status of elderly female patients with osteoporotic vertebral compression fractures

【摘要】目的 探讨老年女性骨质疏松性椎体压缩骨折(OVCF)患者术后生活质量水平及其影响因素。方法 选取2020年12月至2023年6月安徽医科大学安庆医学中心收治的173例老年女性OVCF术后患者开展横断面研究,向入组患者发放调查问卷并指导患者填写,内容包括一般资料、骨折和治疗情况及生活质量三个部分。采用SPSS 23.0统计软件进行数据处理。根据数据类型,分别采用t检验或χ²检验进行组间比较。采用多元线性回归分析影响老年女性OVCF患者术后生活质量的相关因素。结果 老年女性OVCF患者术后简明健康状况调查问卷(SF-36)量表中躯体功能、疼痛、生理职能、总体健康状况、精力、心理状态和社会功能评分均低于国内常模,差异有统计学意义(P<0.05)。婚姻状况(β=-0.168,P=0.036)、家庭月均收入(β=0.273,P=0.019)、骨密度(β=0.152,P<0.001)及抗骨质疏松治疗(β=0.367,P=0.004)为老年女性OVCF患者术后生活质量的影响因素。结论 老年女性OVCF患者术后生活质量较差,婚姻状况、家庭月均收入、骨密度及抗骨质疏松治疗均影响其生活质量。

基金项目:安徽省自然科学基金(2208085MH284)；安庆市科技局科技计划项目(2021Z2011)

【Abstract】Objective To explore the postoperative quality of life and its influencing factors in elderly female patients with osteoporotic vertebral compression fractures (OVCF). Methods A cross-sectional study was conducted on 173 elderly female OVCF patients undergoing surgical treatment in our medical center from December 2020 to June 2023. The enrolled patients were given questionnaires and instructed to fill them out, which included three parts, that is, general data, fracture and treatment, and quality of life. SPSS statistics 23.0 was used for data processing, and student′s t test or Chi-square test was performed depending on data type. Multivariate linear regression analysis was employed to identify the related factors of postoperative quality of life in elderly female patients with OVCF. Results The scores of physical function, pain, role physical, general health status, energy, psychological state and social function of 36-item short-form health survey (SF-36) were significantly lower in elderly female OVCF patients after surgery than the domestic norms (P<0.05). Marital status (β=-0.168, P=0.036), average monthly family income (β=0.273, P=0.019), bone mineral density (β=0.152, P<0.001) and anti-osteoporosis therapy (β=0.367, P=0.004) were the influencing factors of postopera-tive quality of life in elderly female patients with OVCF (P<0.05). Conclusion The quality of life is quite poor in elderly female patients with OVCF after surgery, and marital status, average monthly family income, bone mineral density and anti-osteoporosis therapy are related factors affecting their quality of life.

This work was supported by the Natural Science Foundation of Anhui Province (2208085MH284) and the Project of Science and Technology Plan of Anqing Science and Technology Bureau (2021Z2011).