先天性心脏病叙利亚儿童的口腔健康相关生活质量和口腔表现：病例对照研究。
Oral health-related quality of life and oral manifestations of Syrian children with congenital heart disease: a case-control study.
机构信息
Department of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria.
Department of Pediatric Cardiology, The University Pediatric Hospital of Damascus, Damascus, Syria.
出版信息
BMC Oral Health. 2023 May 23;23(1):316. doi: 10.1186/s12903-023-03017-8.
BACKGROUND
There was an immense need for studies evaluating the oral health status of Syrian children with congenital heart disease (CHD) and its impact on their quality of life. No contemporary data are available. The objective of this study was to investigate oral manifestations and oral health-related quality of life (OHRQoL) of children with CHD and compare them with healthy controls aged 4-12 years.
METHODS
A case-control study was undertaken. A total of 200 patients with CHD and 100 healthy children belonging to the same patient's family were included. Decayed, missed, and filled permanent teeth index (DMFT) and decayed, missed, and filled primary teeth index (dmft), Oral Hygiene Index (OHI), Papillary Marginal Gingivitis Index (PMGI), and dental abnormalities were recorded. The Arabic version of the Child Oral Health-Related Quality of Life Questionnaire (COHRQoL, 36-item) which was divided into 4 different domains (Oral Symptoms, Functional Limitations, Emotional Well-Being, Social Well-Being) were studied. Chi-square test and independent- t-test were used to perform statistical analysis.
RESULTS
CHD patients experienced more periodontitis, dental caries, poor oral health, and enamel defects. The dmft mean was significantly higher in CHD patients than in healthy children (5.245 vs. 2.660, P < 0.05). No significant difference was found between patients and controls in the DMFT Mean (P = 0.731). There was a significant difference between CHD patients and healthy children in the mean of the OHI (5.954 vs. 1.871, P < 0.05), and PMGI (1.689 vs. 1.170, P < 0.05). CHD patients have significantly higher enamel opacities (8% vs. 2%) and hypocalcification (10.5% vs. 2%) than controls. Also, the 4 COHRQoL domains, showed significant differences between CHD children and controls.
CONCLUSIONS
Evidence about the oral health and COHRQoL of children with CHD was provided. Further preventive measures are still required to improve the health and quality of life of this vulnerable group of children.
背景
非常需要研究评估叙利亚患有先天性心脏病 (CHD) 的儿童的口腔健康状况及其对生活质量的影响。目前尚无当代数据。本研究的目的是调查 CHD 儿童的口腔表现和口腔健康相关生活质量 (OHRQoL)，并将其与年龄在 4-12 岁的健康对照组进行比较。
方法
进行了病例对照研究。共纳入 200 例 CHD 患儿和 100 名来自同一患者家庭的健康儿童。记录了恒牙龋失补指数 (DMFT) 和乳牙龋失补指数 (dmft)、口腔卫生指数 (OHI)、乳头边缘龈炎指数 (PMGI) 和牙齿异常。研究了阿拉伯语版儿童口腔健康相关生活质量问卷 (COHRQoL，36 项)，该问卷分为 4 个不同的领域 (口腔症状、功能受限、情绪健康、社会健康)。使用卡方检验和独立 t 检验进行统计分析。
结果
CHD 患者牙周炎、龋齿、口腔卫生状况差和釉质缺陷更多。CHD 患儿的 dmft 均值明显高于健康儿童 (5.245 比 2.660，P<0.05)。患者与对照组的 DMFT 均值无显著差异 (P=0.731)。CHD 患儿与健康儿童的 OHI 均值 (5.954 比 1.871，P<0.05) 和 PMGI 均值 (1.689 比 1.170，P<0.05) 存在显著差异。CHD 患儿的釉质混浊率 (8%比 2%)和釉质钙化不全率 (10.5%比 2%)明显高于对照组。此外，COHRQoL 的 4 个领域在 CHD 患儿和对照组之间也存在显著差异。
结论
提供了关于 CHD 儿童口腔健康和 COHRQoL 的证据。仍需要进一步的预防措施来改善这一弱势群体儿童的健康和生活质量。
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