手术优先正颌治疗方法术后口腔健康相关生活质量及满意度的变化：一项纵向前瞻性研究
The changes of oral health-related quality of life and satisfaction after surgery-first orthognathic approach: a longitudinal prospective study.
作者信息
Huang Shengbin, Chen Weiting, Ni Zhenyu, Zhou Yu
机构信息
Department of Prosthodontics, Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Department of Orthodontics, Hospital of Stomatology, Wenzhou Medical University, 113 West College Road, 325000, Wenzhou, China.
出版信息
Head Face Med. 2016 Jan 5;12:2. doi: 10.1186/s13005-015-0098-1.
BACKGROUND
To our best knowledge, there was little research to assess the changes of quality of life and satisfaction after orthognathic in one trial. The aim of this study was to evaluate the changes of oral health related quality of life and satisfaction between surgery-first and orthodontic-first orthognathic surgery.
METHODS
Fifty Chinese orthognathic adluts patients completed two questionnaires: the Dental Impact on Daily Living questionnaire for assessment of his/her satisfaction and 14-item Oral Health Impact Profile for assessment of patient's quality of life. The subjects completed six sets of interviews and clinical evaluations at before treatment; 1 month after surgery (surgery-first); 6 months after treatment; 12 months after treatment ; and 18 month after treatment ; the finished treatment. The pre and post surgical orthodontic period was also recorded. Chi square tests and repeated-measures analysis of variance (ANOVA) were used to compare categorical variables and measure results. All analyses were carried out used Stata software.
RESULTS
The quality of life was significant improved when finished treatment and the amounts of change did not show any significant difference in each domain and at 1, 6, 12 month after orthognathic surgery between two groups. However, in orthodontic-first group, the quality of life was deteriorated before orthognathic surgery. In surgery-first group, the quality of life was immediately improved which lead to better satisfaction.
CONCLUSIONS
Although the quality of life scores was no significant difference between two groups, surgery-first treatment could significant reduce treatment during and no deterioration stage of quality of life score which lead to better satisfactory compare to orthodontic-first group. However, some of limitations we need take caution. In future we still need conduct more study to assess the influence of surgery-first method on quality of life.
背景
据我们所知，在一项试验中，很少有研究评估正颌治疗后生活质量和满意度的变化。本研究的目的是评估手术优先和正畸优先正颌手术之间口腔健康相关生活质量和满意度的变化。
方法
50名中国正颌成年患者完成了两份问卷：用于评估其满意度的《日常生活中的牙科影响问卷》和用于评估患者生活质量的14项《口腔健康影响量表》。受试者在治疗前、手术后1个月（手术优先组）、治疗后6个月、治疗后12个月、治疗后18个月以及完成治疗时完成了六组访谈和临床评估。还记录了术前和术后正畸阶段。采用卡方检验和重复测量方差分析（ANOVA）来比较分类变量并测量结果。所有分析均使用Stata软件进行。
结果
完成治疗时生活质量显著改善，两组在正颌手术后1个月、6个月、12个月时各领域的变化量均无显著差异。然而，在正畸优先组中，正颌手术前生活质量有所下降。在手术优先组中，生活质量立即得到改善，从而带来更高的满意度。
结论
虽然两组之间生活质量得分无显著差异，但手术优先治疗可显著缩短治疗时间，且生活质量得分在无恶化阶段，与正畸优先组相比，满意度更高。然而，我们需要注意一些局限性。未来我们仍需进行更多研究来评估手术优先方法对生活质量的影响。
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