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目的：探讨复合手术治疗多节段复杂下肢动脉硬化闭塞症的疗效。方法选择2010年10月至2014年10月运城市中心医院收治的81例多节段腹腔下肢动脉硬化闭塞症患者，将其分为对照组39例与观察组42例，对照组采用常规介入手术治疗，观察组采用复合式手术治疗。比较两组临床疗效、治疗前后疼痛、冷感评分、溃疡分级、治疗前后SF-36生活量表评分、治疗前后PSQI量表各维度评分。结果（1）观察组总有效率为95.24%，显著高于对照组66.67%（P<0.05）；（2）两组治疗后疼痛评分、冷感评分及溃疡分级均显著小于治疗前（P<0.05），且观察组治疗后上述指标水平均显著小于对照组治疗后（P<0.05）；（3）经治疗，两组患者治疗后SF-36生活量表各维度（生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能及精神健康）评分均显著高于治疗前（P<0.05），且观察组患者治疗后上述各维度评分均显著高于对照组患者治疗后（P<0.05）；（4）两组患者治疗后PSQI量表各维度（主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物应用和日间功能障碍）评分均显著低于治疗前（P<0.05），且观察组患者治疗后PSQI量表各维度评分也均显著小于对照组患者治疗后（P<0.05）。结论复合手术治疗多节段复杂下肢动脉硬化闭塞症的疗效显著，患者生活质量及睡眠质量改善显著，应加以推广。“,”ObjectiveTo investigate the efficacy of complex composite surgery arteriosclerosis obliterans treatment of multiple segments.Methods 81 cases of complex multi-segment arteriosclerosis obliterans patients divided into two groups according to surgical (n=39) and observation group (n=42), control group with conventional interventional surgical treatment, observation group complex surgery treatment. Comparison of the clinical efficacy of the two groups, before and after the treatment of pain, cold sensation scores, ulcer grading, before and after treatment of life questionnaire SF-36 scores before and after treatment PSQI score scale dimensions.Results (1)The observation group total effective rate was 95.24%, significantly higher than 66.67% (P<0.05); (2)After treatment, pain scores, apathetic Rating and ulcer grading were significantly lower than before treatment (P<0.05), after and the observation group were significantly lower than the index of water in the control group (P<0.05); (3)After treatment, the two groups of patients after SF-36 Life Scale dimensions (physical function, physical function, bodily pain, general health, vitality, social function, role emotional and mental health) scores were significantly higher than before treatment (P<0.05), and the observation group After treatment, each of the above dimensions scores were significantly higher in patients after treatment (P<0.05); (4)Two groups of patients PSQI scale dimensions (subjective sleep quality, sleep latency, sleep time, sleep efficiency, sleep disorders , hypnotic drug use and daytime dysfunction) scores were significantly lower than before treatment (P<0.05), and the observation group after treatment PSQI scale dimensions scores were significantly lower than the control group patients (P<0.05).Conclusions The efficacy of surgical treatment of complex multi-segment complex arteriosclerosis obliterans significantly, the quality of life of patients and significantly improved sleep quality, should be promoted.