腰痛(low back pain,LBP)是以腰骶部疼痛为主要症状,可伴有臀部、下肢的放射痛 [1],LBP病因复杂,主要为椎间盘、腰椎小关节、肌肉、韧带等退变 [2].其中腰椎间盘突出症(lumbar disc herniation,LDH)和腰椎管狭窄症(lumbar spinal stenosis,LSS)是导致LBP的主要原因,目前治疗的方法主要分为非手术治疗和手术治疗.传统开放手术创伤大、风险高、并发症多 [3],对高龄人群具有一定局限性,虽然脊柱内镜下腰椎间盘切除术治疗腰椎间盘突出症具有创伤小、恢复快等特点,但是仍会引起一定程度的组织损伤 [4],病人术后可能仍会伴有不同程度的疼痛.

Objective: To investigate the quality of life in patients who were going to take a minimal invasive surgery of lumbar and explore the associated factors.Methods: Convenient sampling was used to collect data of 91 patients suffered by low back pain. All the patients were going to take a minimal invasive surgery of lumbar and were willing to join the study. The quality of life, dysfunctions and pain level were evaluated through Short-form 36 (SF-36), Japanese Orthopaedic Association Scores 29 (JOA29) and Numerical rating scale (NRS). SPSS 19.0 was used to analyze the data. Results:The quality of life of these patients was lower than normal people (P < 0.01); quality of life on each domain (except role-emotional domain) was lower in patients with sleep disor-der than patients without sleep disorder; quality of life on physical functioning domain was associated with the patient' s dysfunction, leg pain level and age, and the correlation coefficients were 0.72、-0.34 and -0.44, respec-tively; quality of life on bodily pain domain was associated with the patient' s dysfunction, leg pain level and age, and the correlation coefficients were 0.54、-0.30 and-0.31, respectively; quality of life on vitality domain was associated with the patient' s dysfunction, and the correlation coefficients was 0.46; quality of life on social func-tioning domain was associated with the patient' s dysfunction, and the correlation coefficients was 0.48; quality of life on mental health domain was associated with the patient' s dysfunction and age, and the correlation coef-ficients were 0.40 and -0.33, respectively.Conclusion:The preoperative quality of life of the patients was lower than normal people. In these patients, the quality of life was related to sleep disorder, dysfunction, leg pain level and age. It is possible to raise these patients' quality of life through improving sleep disorder, doing physical ex-ercises, providing a supporting environment and building patient' s suitable cognitions.

Objective:To explore anxiety and depression status of patients who were diagnosed with lumbar disc herniation and/or lumbar spinal stenosis and its influence on pain evaluation.Methods:Data were collected from 128 hospitalized patients who suffered chronic low back pain caused by lumbar disc herniation and/or lumbar spinal stenosis, and the implied consents were achieved. The assessment of anxiety and depression and the measurement of pain level were conducted by self-rating anxiety scale (SAS), self-rating depression scale (SDS) and visual analogue scale (VAS) respectively.Results: There were 40.60%of the patients experienced anxiety or depression, while both symptoms of depression and anxiety occurred in 22.70% of the patients . Correlation analysis showed a high correlation between the anxiety and the depression with correlation coefficient r = 0.60 (P< 0.01). The VAS score of the patients with the symptoms of depression and anxiety and that of the patients without these symptoms were 7.69±2.00 and 6.89±1.69 respectively, witht = -2.43 (P< 0.05).Conclusion:The anxiety and depression status may increase pain level of these patients. Psychological assessment and interventions toward anxiety and depression were important for the control and management of chronic pain.