主观与客观分析在口腔修复效果评价中的应用价值

The Application Value of Subjective and Objective Analysis in the Evaluation of Oral Restoration Effect

目的:探究口腔科患者修复效果的主观与客观分析,建立一个有效、便捷的评定口腔患者修复效果的方法。方法:选取2016年6月-2016年12月来笔者科室做修复治疗的患者102例,测定修复前后患者的咀嚼效率、并用问卷调查的形式对进食困难指数(IED)、口腔修复程度以及生活质量进行判断,测定咀嚼效率进行客观评价,并分别采用IED和OIDP主观调查问卷让患者对口腔修复疗效进行主观评价。结果:口腔修复前后相互比较,患者实验室咀嚼效率值有明显上升,种植修复前咀嚼效率值为0.78,修复后为1.29;活动修复前值为0.68,修复后为1.98;固定修复前值为0.99,修复后为2.17。修复前后咀嚼效率显著增强,差异有统计学意义(P<0.05)。而IED和OIDP主观调查问卷测出的值相比修复前都有所下降。因此,实验室咀嚼效率测定出的值与IED、OIDP的值显著相关,IED值及OIDP值降低,伴随着实验室咀嚼效率测定值的升高。结论:IED和OIDP主观调查问卷能够客观反映出患者的咀嚼能力和生活质量,因此,可以将IED与OIPD作为测定口腔科患者修复效果的评估。

Objective To investigate the subjective and objective analysis of the repair effect of dental patients, and to establish an effective and convenient method to evaluate the repair effect of oral patients. Methods A total of 102 patients were recruited from June 2016 to December 2016 in our department. The chewing efficiency of the patients before and after the repair was measured, and the form of a questionnaire survey was used to assess the eating difficulty index（IED）, degree of oral restoration, and quality of life. Judgments were made to evaluate the mastication efficiency objectively,and subjective evaluations of oral rehabilitation outcomes were conducted using IED and OIDP subjective questionnaires, respectively. Results Before and after oral prosthesis comparison, the efficiency of chewing in the patient＇s laboratory increased significantly. The chewing efficiency before implant restoration was 0.78, after repair was 1.29, the pre-recovery value was 0.68, post-recovery was 1.98, and prefixation was 0.99,the repaired value is 2.17. The mastication efficiency before and after the repair was significantly increased, and the difference was statistically significant（P〈0.05）. The values measured by subjective questionnaires of IED and OIDP were lower than those before restoration. Therefore, the value of laboratory masticatory efficiency was significantly correlated with the values of IED and OIDP, and the IED value and OIDP value were decreased, which was accompanied by an increase in the laboratory chewing efficiency measurement. Conclusion Subjective questionnaires of IED and OIDP can objectively reflect the patient＇s chewing ability and quality of life. Therefore, IED and OIPD can be used as an assessment of the repair effect of dental patients.