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山东大学学报(医学版)

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乙肝肝硬化患者生活质量相关因素分析

李雯雯1,2,3,李强2,王晶波2,李晓迎2张立新,安勇,张琴冈   

  1. 1.山东大学医学院, 山东 济南 250012; 2.济南市传染病医院二科, 山东 济南 250021
  • 收稿日期:2006-02-10 修回日期:1900-01-01 出版日期:2006-09-24 发布日期:2006-09-24
  • 通讯作者: 李雯雯

LI Wen-wen,LI Qiang,WANG Jing-bo,LI Xiao-ying,ZHANG Li-xin,AN Yong,ZHANG Qin-gang2   

  1. 1.School of Medicine, Shandong University, Jinan 250012, Shandong, China;
  • Received:2006-02-10 Revised:1900-01-01 Online:2006-09-24 Published:2006-09-24
  • Contact: LI Wen-wen

摘要: 目的:探讨乙型病毒性肝炎肝硬化患者健康相关生活质量,并分析其影响因素。方法:采用简明生命质量测定量表(SF36)中文版对120例乙肝肝硬化患者的生活质量进行测量,对其影响因素进行单因素分析和多因素logistic回归分析,并与正常人群进行对比。结果:除心理功能维度外,肝硬化患者生活质量各维度均低于对照组(P<0.001);Child分级主要影响生理健康方面的评分,而性别对生理及心理健康方面评分均有影响。结论:肝硬化患者生活质量普遍下降,其主要影响因素为性别与Child分级。

Abstract: To explore factors associated with healthrelated quality of life (HRQOL) in patients with HBVrelated liver cirrhosis. Methods: A crosssectional study in which 120 patients′ demographic and clinical characteristics were documented and their HRQOL was conducted by using the Chinese version of Short Form36. The association of HRQOL impairment with clinical parameters was compared between patients and normal persons by univariate analysis and multiple logistic stepwise regression. Results: In all except one domains (mental health) of SF36, HRQOL scores were significantly lower in the patient group than in the control group (P<0.001);Child class was mainly associated with score in Physical Component Summary (PCS) while gender affected both PCS and Mental Component Summary(MCS) score. Conclusion: HRQOL of patients with liver cirrhosis is impaired obviously. The score is further affected by gender and Child class.

Key words: Liver cirrhosis, Hepatitis B virus, Quality of life, SF36

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