修复前后患者咀嚼能力和生活质量主客观评价的相关性研究

Association between objective and subjective evaluations on masticatory efficiency and quality of life in patients with prostheses

目的探讨修复前后患者咀嚼能力和生活质量客观与主观评价方法之间的关系,建立一个简便而有效的评价义齿修复患者的咀嚼能力和生活质量的方法。方法对2012年7月到2013年7月到广西医科大学附属口腔医院修复科就诊的93例患者进行研究,修复前、修复后3个月对纳入的患者进行实验室咀嚼效率测定、门腔检查,进食困难指数(IED)和日常生活口腔影响量表(OIDP)问卷调查。采用SPSS16.0进行统计学分析。结果修复后3个月与修复前相比,患者实验室咀嚼效率测定值升高,而IED值和OIDP值降低。修复前后实验室咀嚼效率测定值与IED值、OIDP值有显著负相关,随着实验室咀嚼效率测定值的升高,IED值及OIDP值降低。结论 IED和OIDP主观评价能够客观反映患者的咀嚼能力和生活质量,是评价义齿修复效果一个简便而有效的方法。

Objective This study explores the association between objective and subjective evaluations of different types of prostheses and to establish a simple and effective method to evaluate masticatory efficiency and quality of life in patients with prostheses. Methods The sample consisted of 93 patients who received removable partial dentures and fixed dentures during July 2012 to July 2013 from Hospital of Stamotology, Guangxi Medical University. Clinical data were collected by oral examination and subjective data were obtained by face-to-face interviews with index of eating difficulty（IED） and oral impact daily performance（OIDP）. Masticatory efficiency test was conducted at the laboratory. All data were collected before and 3 months after restoration surgery. Data were analyzed with SPSS 16.0. Results Masticatory efficiency increased after restoration surgery. IED and OIDP scores decreased after restoration surgery. There were significant negative relationships between masticatory efficiency and IED and OIDP scores before and after restoration surgery. Masticatory efficiency increased whereas IED and OIDP scores decreased. Conclusion IED and OIDP are simple and effective methods to evaluate quality of life and masticatory efficiency in patients with prostheses.