单侧唇裂患者二期整复需求规律的初步研究

A preliminary study on the rule of secondary correction demand for unilateral cleft lip patients

目的了解单侧唇裂患者对二期整复的需求特点,掌握单侧唇裂患者二期整复的需求规律。方法采用普查法对河南省部分地区的人群进行调查,对唇裂一期术后患者进行术区照相,随机抽取100例单侧唇裂患者,由专业组(唇腭裂专科医生组)、非专业组(医院行政人员组)、患者家属组分别对患者的面部外形进行满意度评价,对各组主观评价满意度一致的患者照片进行面部对称率测量。结果面部对称率与主观评价无趋同性;专业组和非专业组对患者面部外形的不满意率较患者家属组更高(P<0.05)。结论测量器官非对称率不是评价单侧唇裂二期整复需求最适宜的方法;专业组和非专业组的不满意率均高于患者家属的不满意率。

Objective To explore the secondary correction demand rule for unilateral cleft lip patients. Methods The population in parts of Henan province were investigated by census method. The unilateral cleft lip patients under- went the primary correction were selected and be photographed, and 1130 patients were selected randomly into study. The subjective satisfaction for the patients＇ facial appearance was evaluated by three groups： Professional group（cleft lip and palate specialist）, non-professional group （the hospital administrative staff）, and family members of patients group. The facial symmetry rate was measured for the patients with consistent subjective evaluation. Results The rate of facial symmetry and subjective evaluation was not convergence. The subjective evaluation disaffect rates of profes- sional and non-professional groups were higher than that in family members of patients group 60〈0.05）. Conclusion The rate of facial symmetry is not the most suitable method to evaluate the demand of the secondary correction for unilateral cleft lip patients.