[摘要]目的 探讨一侧全肺切除术后病人生命质量(QOL)状况及影响因素。方法 对一侧全肺切除术后 6～ 18个月的病人，采用SF-36量表辅以自制量表进行随访，采用多元逐步回归分析法对随访结果进行统计分析。结果 生命质量的各维度领域受疾病的良恶性(包括肺癌分期及类型)、术后咳嗽、疼痛等症状及术后放化疗等因素的影响最大。结论 一侧全肺切除术后病人生命质量下降。术后进行呼吸功能锻炼，对术后症状和放、化疗副作用进行治疗及心理干预可以提高病人的生命质量。

    [关键词] 生活质量;肺切除术;影响因素

    ANALYSIS OF THE QUALITY OF LIFE AND ITS INFLUENTIAL FACTORS OF PATIENTS AFTER PNEUMONECTOMY

    HOU QING-BAO， ZHANG XIU-FANG， HOU JING-CHAO， et al

    (Department of Chest Surgery， Thoracic Hospital of Shandong， Ji′nan 250013， China)

    [ABSTRACT]ObjectiveTo study the quality of life (QOL) and influential factors of patients after total pneumonectomy. MethodsSF-36 formula and self-made questionnaire were used to investigate the patients who underwent total pneumonectomy 6- 18 months before. The data were analyzed by stepwise regression analysis. ResultsThe analysis showed that the important factors that influenced the quality of life of the patients were degree of malignancy of the disease ......