牙颌面畸形患者的口腔相关生活质量研究

Oral health-related quality of life in patients with dentofacial deformity

目的研究牙颌面畸形患者生活质量与正常人有无差异及牙颌面畸形患者正颌术后生活质量的变化。方法纳入2018年6月-2018年9月于北京大学口腔医院正颌外科中心接受手术的牙颌面畸形患者40例,在正颌手术前一周(T0)、正颌手术后一周(T1)、正颌手术后3个月(T2)、正颌手术后6个月(T3)的四个时间点上进行中文版SF-36和OHIP-14问卷调查。纳入健康对照40例,进行中文版SF-36和OHIP-14问卷调查。结果试验组T0期与对照组SF-36各项指标无明显差异(P≥0.05),试验组T0期与对照组OHIP-14总分的得分具有显著差异(P<0.01)。试验组术前一周至术后一周(T0-T1),SF-36各项指标显著下降(P<0.05)。试验组术前一周至术后三个月(T0-T2),SF-36各项指标无显著变化(P≥0.05)。试验组术前一周至术后六个月(T0-T3),SF-36中一些领域的指标显著上升(P<0.05)。试验组术前一周至术后一周(T0-T1),OHIP-14总分显著增加(恶化)(P<0.01)。试验组术前一周至术后三个月(T0-T2),OHIP-14总分无显著变化(P≥0.01)。试验组术前一周至术后六个月(T0-T3),OHIP-14总分显著减少(好转)(P<0.01)。结论牙颌面畸形患者的生活质量低于非牙颌面畸形患者。牙颌面畸形患者正颌术后一周的生活质量较术前显著降低,术后三个月逐渐回升至术前水平,术后六个月时较术前已有明显改善。

Objective To examine the effect of dentofacial deformity onquality of life compared with normal population and after orthodontic surgery. Methods Forty patients from Peking University School of Stomatology Orthodontic Center were evaluated at 1 week presurgical (T1), 1 week postoperatively (T1), and 3 months postoperatively (T2), and 6 months postoperatively (T3), by employing SF-36 and OHIP-14 from June 2018 to September 2018. Forty university students from Peking University School of Stomatology Oral and Maxillofacial Outpatient Clinic attending a dental examination conduct SF-36 and OHIP-14 from June 2018 to September 2018. Results No significant difference in SF-36 scores between case and control groups was observed (P≥0.05). There was significant differences in overall OHIP-14 scores (P<0.001 ). There were significant decrease in all domains of SF-36 (P<0.05), 1 weeks after orthognathic surgery compared with before surgery (T0-T1). There were no significant decrease in all domains of SF-36 (P≥0.05) 3 months after orthognathic surgery compared with before surgery (T0-T2). There were significant increase in some domains of SF-36 (P<0.05) 6 months after orthognathic surgery compared with before surgery (T0-T3 ). There was significant increase (deterioration) in overall OHIP-14 scores (P<0.01) 1 weeks after orthognathic surgery compared with before surgery (T0-T1). No significant difference in overall OHIP-14 scores (P < 0.01) 3 months after orthognathic surgery compared with before surgery (T0 -T2). There was significant decrease (improvement) in overall OHIP-14 scores (P<0.01) 6 months after orthognathic surgery compared with before surgery (T0-T3). Conclusion People with dentofacial deformity have a poorer QOL than those without defoimities in many aspects. At I week after orthognathic surgery there was evidence of a marked deterioration in QOL in many aspects. However, by 3 months, despite the presence of subjects undergoing postsurgical orthodontics, there was a recovery of QOL after orthognathic surgery compared with before surgery, by 6 months, improvement in QOL after orthognathic surgery were evident compared with before surgery.