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不同体质指数女性纤维肌痛综合征生活质量现状及影响因素分析

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目的:探究不同体质指数(BMI)女性纤维肌痛综合征(FMS)生活质量的差异及影响其生活质量的因素,为更精准的治疗和管理 FMS 患者,改善其生活质量提供依据。方法:选取我院收治的FMS女性患者120 例,根据BMI分A、B两组,其中A组BMI≤24(n=66)、B 组BMI>24(n=54)。比较两组FMS患者生存质量、疼痛、疲劳、焦虑抑郁情况,多元线性回归分析影响FMS 患者生活质量的危险因素,Pearson相关性分析危险因素与 SF-36 各维度评分的相关性。结果:两组患者社会功能、身体功能、身体疼痛、活力、总体健康、情感职能、精神健康及心理健康评分差异有统计学意义(P<0。05),A 组评分显著高于B组(P<0。05)。两组患者VAS、FSS及HADS评分均差异有统计学意义(P<0。05),A组患者VAS、FSS及HADS评分均显著低于B组(P<0。05)。Pearson 相关性分析结果显示 BMI 与社会功能、身体功能、身体疼痛、活力、总体健康呈负相关(P<0。05),FSS 评分与社会功能、总体健康、情感职能负相关(P<0。05),HADS与社会功能、身体功能、身体疼痛、精神健康、心理健康呈负相关(P<0。05)。多元线性回归分析结果显示BMI、FSS及HADS评分是影响FMS患者生活质量的危险因素。结论:不同BMI女性FMS患者的生活质量存在显著差异,高 BMI 会降低 FMS 患者的生活质量,加重 FMS 患者疼痛、疲劳、焦虑和抑郁程度,且BMI、FSS及HADS评分是影响FMS患者生活质量的危险因素。
Quality of Life and Influencing Factors of Female Fibromyalgia Syndrome with Different BMI
Objective:To investigate the differences in quality of life(QoL)of female fibromyalgia syn-drome(FMS)patients with different body mass index(BMI)and the factors influencing their QoL,so as to provide a basis for more precise treatment and management of FMS patients and improve their QoL.Methods:A total of 120 female FMS patients admitted to our hospital were selected and divided into groups A and B ac-cording to BMI.Group A had BMI≤24(n=66)and Group B had BMI>24(n=54).The QoL,pain,fa-tigue,anxiety and depression of FMS patients in the two groups were compared.Multivariate linear regression analysis was used to analyze the risk factors affecting the QoL of FMS patients,and Pearson correlation analy-sis was used to analyze the correlation between the risk factors and the scores of each dimension of SF-36.Re-sults:There were statistically significant differences in the scores of social function,physical function,physi-cal pain,vitality,general health,emotional function,mental health and psychological health between the two groups(P<0.05),and the scores in Group A were significantly higher than those in Group B(P<0.05).There were statistically significant differences in VAS,FSS and HADS scores between the two groups(P<0.05),and VAS,FSS and HADS scores in Group A were significantly lower than those in Group B(P<0.05).Pearson correlation analysis showed that BMI was negatively correlated with social function,physical function,physical pain,vitality and general health(P<0.05),FSS score was negatively correlated with social func-tion,general health and emotional function(P<0.05),and HADS was negatively correlated with social func-tion,physical function,physical pain,mental health and psychological health(P<0.05).Multivariate linear regression analysis showed that BMI,FSS and HADS scores were risk factors affecting the QoL of FMS pa-tients.Conclusion:There are significant differences in the QoL of female FMS patients with different BMI.High BMI can reduce the QoL of FMS patients,aggravate the pain,fatigue,anxiety and depression of FMS patients,and BMI,FSS and HADS scores are risk factors affecting the QoL of FMS patients.

Fibromyalgia syndromeBody mass indexQuality of life

周志安、边树伟、李洋、李明、高庆玲、张晓红、董晔、孟爱霞

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河北省承德市中心医院全科医学科, 河北 承德 067000

纤维肌痛综合征 体质指数 生活质量

河北省承德市科学技术研究与发展项目

202109A017

2024

河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
年,卷(期):2024.30(4)
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