中国实用口腔科杂志

中国实用口腔科杂志 ›› 2021, Vol. 14 ›› Issue (5): 596-598.DOI: 10.19538/j.kq.2021.05.017

• 论著 • 上一篇    下一篇

牙颌面畸形患者手术前后生活质量变化研究

张维倩1，徐铭浛1，谢媛媛1，窦莎莎1，白晓峰2   

  1. 1. 中国医科大学，辽宁 沈阳 110122；2.中国医科大学口腔医学院·附属口腔医院口腔颌面外科学教研室，辽宁省口腔疾病重点实验室，辽宁  沈阳  110002
  • 出版日期:2021-09-30 发布日期:2021-09-30
  • 基金资助:
    中国医科大学大学生创新创业训练计划资助项目（201910159018）

  • Online:2021-09-30 Published:2021-09-30

摘要： 目的    评估牙颌面畸形患者正颌手术前后口腔健康相关生活质量的变化，为临床方案制定和医患沟通提供参考。方法    选择2019年6—12月于中国医科大学附属口腔医院口腔颌面外科接受正颌手术的牙颌面畸形患者35例作为研究组，100名健康正常人作为对照组，以正颌手术生活质量问卷（OQLQ）对患者手术前后口腔健康相关生活质量进行评估。结果    牙颌面畸形患者的口腔功能、面部美学、牙颌面美学感知以及社会因素的术后评分均低于术前（P < 0.001），术前评分均高于对照组（P < 0.001）；术后牙颌面美学感知和社会功能的评分高于对照组（P < 0.05）。结论    牙颌面畸形患者正颌手术术前的口腔健康相关生活质量低于正常群体，术后各维度比术前均明显改善，但术后牙颌面美学感知和社会功能方面的生活质量仍低于正常人群。

关键词: 牙颌面畸形, 正颌外科, 生活质量

Abstract: Objective    To evaluate the effect of orthodontic surgery on oral health-related quality of life of patients with dentomaxillofacial deformities，so as to provide information for clinical program development and doctor-patient communication. Methods    Thirty-five patients with dentomaxillofacial deformities who underwent orthognathic surgery in Stomatology Hospital of China Medical University from June to December of 2019 were included in this study. All patients were investigated before and after surgery by orthognathic quality of life questionnaire. One hundred healthy people were included as the control group. Results    Patients′scores in all fields after surgery were significantly lower than those before surgery（P < 0.001），and the scores before surgery were all higher than those in control group（P < 0.001）. Scores in dentomaxillofacial aesthetic perception and social function after surgery were significantly higher than those in control group（P < 0.05）. Conclusion　Patients with dentomaxillofacial deformities have a poorer oral health-related quality of life than normal population. There is a significant improvement in many aspects of life after orthognathic surgery；however， the quality of life in dentomaxillofacial aesthetic perception and social function after surgery is still poorer than that of normal people.

Key words: dentomaxillofacial deformities, orthognathic surgery, quality of life