Non-surgical And Surgical Treatment Of Quality Of Life In Elderly Patients With Degenerative Lumbar Spinal Stenosis

Objective:Through a follow-up survey of elderly patients with clear surgical treatment indication who suffer from degenerative lumbar spinal stenosis disease,this paper aims to study the influences of non-surgical treatment and surgical treatment on patients’ life quality,providing new methods for clinic treatment.Methods:According to the choices of clinical patients and their families,58 cases,which meet the criteria of degenerative lumbar spinal stenosis disease,are equally divided into non-surgical group and surgical group,31 cases in non-surgical group,27 cases in surgical group.Non-surgical group are treated with the combination of traditional Chinese medicine and western medicine without any surgery.Surgical group are treated with surgery.Follow-up survey of life quality is conducted before treatment and after treatment for one year.Results:1.After one year of treatment,the life quality of non-surgical group and surgical group is improved in all respects.The differences are statistically significant(p<0.05).2.After one year of treatment,non-surgical group and surgical group highly score in physiological function,physical function,body pain and general health,which belong to physical health(score>70points),while in vitality,social function,emotional function,and psychology health,which belong to mental health,it is lower(score<60points).3.After one year of treatment,comparing life quality of each dimension between non-surgical group and surgical group,surgical group is higher than non-surgical group in physiological function,physical function,body pain and general health,which belong to physical health.The differences are statistically significant(P<0.05).Non-surgical group is higher than surgical group in vitality,social function,emotional function,and psychology health,which belong to mental health.The differences are not statistically significant(P>0.05).Conclusion:1.After one year of treatment,both non-surgical treatment and surgical treatment can improve life quality of patients.Surgical group is better than non-surgical group,mainly reflected in the physical health of the patients.2.Non-surgical treatment and surgical treatment can obviously improve physiological function,physical function,body pain and general health,while the effect is weak in vitality,social function,emotional function,and psychology health.This suggests that when we improve the physical function of patients,we should also pay more attention to improving mental health during the whole treatment.