上海口腔医学

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (2): 185-189.doi: 10.19439/j.sjos.2018.02.014

• 论著 • 上一篇    下一篇

固定矫治中青少年及成人患者口腔健康生活质量的比较

王英姿1, 王旭霞1,2, 郑德华1, 汪倩倩1, 杨盼盼1, 张君1,2   

  1. 1.山东大学 口腔医学院,山东 济南 250012;
    2.山东省口腔生物组织医学重点实验室,山东 济南 250012
  • 收稿日期:2017-06-23 修回日期:2017-09-08 出版日期:2018-04-25 发布日期:2018-05-14
  • 通讯作者: 张君,E-mail: zhangj@sdu.edu.cn
  • 作者简介:王英姿（1991-）,女,硕士研究生,E-mail: 995713535@qq.com

Influence of fixed orthodontic treatment on oral health-related quality of life in adolescent and adult: a comparative study

WANG Ying-zi1, WANG Xu-xia1,2, ZHENG De-hua1, WANG Qian-qian1, YANG Pan-pan1, ZHANG Jun1,2   

  1. 1.School of Stomatology, Shandong University. Jinan 250012;
    2.Shandong Provincial Key Laboratory of Oral Biomedicine. Jinan 250012, Shandong Province, China
  • Received:2017-06-23 Revised:2017-09-08 Online:2018-04-25 Published:2018-05-14

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摘要： 目的:比较青少年及成人患者在固定矫治过程中口腔健康生活质量的不同变化特点。方法:选择81例于2013年9月—2015年8月就诊于山东大学口腔医院正畸科的患者,年龄15~25岁,分为青少年组（43例）和成人组（38例）。在矫治前及矫治中3个阶段完成填写口腔健康影响程度量表（OHIP-14）。采用SPSS 20.0软件包对数据进行Friedman双向方差分析、Wilcoxon秩和检验和Bonferroni校正检验。结果:矫治过程中,青少年及成人患者的总得分及除社交障碍、社会功能障碍外5个维度得分均呈下降趋势,差异具有显著性。社交障碍维度仅成人患者得分差异显著。社会功能障碍维度2组得分无显著差异。结论:口腔正畸医师应重视青少年及成人患者矫治中生活质量的变化特点,并根据其特点加强与患者的交流。

关键词: 口腔健康生活质量, 固定正畸, 患者评估

Abstract: PROPOSE: To compare the changes in oral health-related quality of life(OHRQoL) among adolescent patients and adult patients during orthodontic treatment. METHODS: The clinical data were collected from 81 patients (aged 15 to 25 years old) who underwent comprehensive orthodontic treatment. The participants were divided into 2 groups: adolescent patients (n=43) and adult patients (n=38) by age. OHRQoL was assessed using the Oral Health Impact Profile (OHIP-14). All subjects were examined and interviewed at baseline and the end of 3 stages during orthodontics treatment. Friedman 2-way analysis of variance (ANOVA) and Wilcoxon signed rank tests were used to compare the relative changes of OHRQoL among different time points with SPSS 20.0 software package. RESULTS: The scores of OHIP-14 and all domains except communication disorder and social disability domain in adolescent and adult patients showed significant changes as well as a decrease trend. Only adults showed significant changes in communication disorder.Both groups had no significant difference. CONCLUSIONS: The impact of comprehensive orthodontic treatment on patients' OHRQoL is quite different. Orthodontists should pay attention to the differences and guide the patients accordingly.

Key words: Oral health-related quality of life, Fixed orthodontic treatment, Patient assessment

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