Chang Chun-Shin, Wallace Christopher Glenn, Hsiao Yen-Chang, Lu Ting-Chen, Chen Sue-Huei, Chan Fuan-Chiang, Chen Philip Kuo-Ting, Chen Jyh-Ping, Chang Chee-Jen, Noordhoff M Samuel
Department of Chemical and Materials Engineering, College of Engineering, Chang Gung University Craniofacial Research Center, Department of Medical Research, Department of Plastic & Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan Department of Psychology, National Taiwan University, Taipei Graduate Institute of Clinical Medical Sciences, School of Medicine, Chang Gung University, Taoyuan, Taiwan.
Medicine (Baltimore). 2017 Dec;96(52):e9541. doi: 10.1097/MD.0000000000009541.
European and Northern American healthcare authorities increasingly encourage the use of Patient Reported Outcome Measures (PROMs) that complement clinical and laboratory assessments to help holistically evaluate reconstructive outcomes. This is the first study to evaluate PROMs in cleft lip/palate patients who have, or have not, undergone secondary alveolar bone grafting (SABG).A PROMs study was conducted; 40 consecutive consenting cleft lip/palate children between 8 and 14 years old were included. Twenty patients did, and 20 patients did not, have SABG. PROMs scores from children and parents in the 2 groups were compared.Forty patients completed the trial. No significant differences in total score from the Chang Gung Short Form-15 (CGSF-15) were found between children and their parents. Children with SABG reported no more oral-nasal regurgitation than children without SABG, but tended to report more nasal obstruction. There were no statistically significant differences in parent reported outcomes between the 2 groups.Cleft lip/palate patients who underwent SABG reported significantly less nasal regurgitation and more nasal obstruction compared to those patients who did not undergo SABG.
欧洲和北美的医疗保健机构越来越鼓励使用患者报告结局测量指标（PROMs），这些指标可补充临床和实验室评估，以帮助全面评估重建效果。这是第一项评估唇腭裂患者（无论是否接受过二次牙槽骨移植术（SABG））PROMs的研究。开展了一项PROMs研究；纳入了40名年龄在8至14岁之间、连续且同意参与的唇腭裂儿童。其中20名患者接受了SABG，20名患者未接受SABG。比较了两组儿童及其父母的PROMs评分。40名患者完成了试验。儿童及其父母在长庚简表-15（CGSF-15）总分上未发现显著差异。接受SABG的儿童报告的口鼻反流情况并不比未接受SABG的儿童多，但报告鼻塞的情况往往更多。两组父母报告的结局在统计学上无显著差异。与未接受SABG的唇腭裂患者相比，接受SABG的患者报告的鼻反流明显更少，鼻塞更多。
