非综合征唇裂伴或不伴腭裂对口腔健康相关生活质量的影响

doi:10.19438/j.cjoms.2020.03.013

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (3): 255-259.doi: 10.19438/j.cjoms.2020.03.013

非综合征唇裂伴或不伴腭裂对口腔健康相关生活质量的影响

张文静¹, 王霞²

1.山东省菏泽市立医院口腔科,山东菏泽 274000;
2.山东省菏泽市立医院国家临床药物试验机构,山东菏泽 274000

收稿日期:2019-09-15 修回日期:2020-01-04 发布日期:2020-06-18
通讯作者: 张文静,E-mail: zhq17394659@163.com
作者简介:张文静（1984-）,女,硕士,主治医师

Effect of non-syndromic cleft lip with or without cleft palate on oral health-related quality of life

ZHANG Wen-jing¹, WANG Xia²

1. Department of Stomatology, Heze Municipal Hospital. Heze 274000;
2. National Clinical Drug Testing Institute of Heze Municipal Hospital. Heze 274000, Shandong Province, China

Received:2019-09-15 Revised:2020-01-04 Published:2020-06-18

摘要/Abstract

摘要： 目的探讨非综合征唇裂伴或不伴腭裂对口腔健康相关生活质量的影响。方法回顾分析2017年1月—2019年6月山东省菏泽市立医院收治的非综合征唇裂伴或不伴腭裂90例患儿的临床资料,其中唇裂不伴腭裂52例（唇裂不伴腭裂组）,唇裂伴腭裂38例（唇裂伴腭裂组）;选择同期我院口腔科常规口腔检查、口腔健康的40例儿童作为对照组,所有入组者均进行口腔健康检查。应用问卷调查法评估口腔健康对日常生活的影响,采用SPSS 22.0软件包对口腔健康与日常生活质量的相关性进行Spearman相关分析。结果唇裂不伴腭裂组与唇裂伴腭裂组在龋失补指数（DMFT）、功能牙数目（TH）、咬合牙对、龋齿牙数、LOA≥6 mm牙数间差异具有统计学意义（P<0.05）;唇裂不伴腭裂组与唇裂伴腭裂组的DMFT、TH、咬合牙对、龋齿牙数、LOA≥6 mm牙数均显著高于对照组（P<0.05）;唇裂伴腭裂组OIDP量表各条目得分、OIDP总分显著高于唇裂不伴腭裂组（P<0.05）;唇裂不伴腭裂组OIDP量表各条目得分、OIDP总分显著高于对照组（P<0.05）。采用Spearman法分析临床口腔健康指数与OIDP分数的相关关系,唇裂不伴腭裂组与唇裂伴腭裂组DMFT、MT与根龋牙数、LOA≥6 mm牙数与OIDP分数呈负相关;咬合牙对与OIDP分数呈正相关（P<0.05）。结论非综合征唇裂伴或不伴腭裂的口腔健康对日常生活质量均有不同程度影响。

关键词: 非综合征唇裂伴或不伴腭裂, 口腔健康, 生活质量

Abstract: PURPOSE: To investigate the effects of non-syndromic cleft lip with or without cleft palate (NSCL/P) on oral health-related quality of life. METHODS: The clinical data of 90 children with non-syndromic cleft lip with or without cleft palate treated from January 2017 to June 2019 were retrospectively analyzed, including 52 cases of cleft lip without cleft palate (cleft lip without cleft palate group) and 38 cases of cleft lip with cleft palate (cleft lip with cleft palate group).Meanwhile, 40 children with oral health who underwent routine oral examination in our hospital in the same period were selected as the control group. Oral health examinations were conducted in all children, questionnaires were used to assess the impact of oral health on daily life. SPSS 22.0 software package was used to analyze the correlation between oral health and quality of daily life. RESULTS: There were significant differences in the number of decay miss fill, tissue health index, caries and LOA ≥6 mm between cleft lip without cleft palate group and cleft lip with cleft palate group (P<0.05), and the scores of those two groups were significantly higher than the control group (P<0.05). The scores of each items and total OIDP scores in cleft lip with cleft palate group were significantly higher than those in cleft lip without cleft palate group (P<0.05), and the sores in cleft lip without cleft palate group was significantly higher than the control group (P<0.05). Spearman correlation analysis showed negative correlation between DMFT, MT and root caries, LOA≥6 mm teeth and OIDP score in cleft lip and palate without cleft palate group and cleft lip with cleft palate group, and a positive correlation between occlusal teethⅠand occlusal teethⅡand OIDP score (P<0.05). CONCLUSIONS: Oral health problems in children with NSCL/P have various impacts on their quality of daily life.

Key words: Non-syndromic cleft lip with or without cleft palate, Oral health, Quality of life

中图分类号:

R782.2

张文静, 王霞. 非综合征唇裂伴或不伴腭裂对口腔健康相关生活质量的影响[J]. 中国口腔颌面外科杂志, 2020, 18(3): 255-259.

ZHANG Wen-jing, WANG Xia. Effect of non-syndromic cleft lip with or without cleft palate on oral health-related quality of life[J]. China J Oral Maxillofac Surg, 2020, 18(3): 255-259.

参考文献

[1] Mostowska A, Gaczkowska A, Zukowski K, et al.Common variants in DLG1 locus are associated with non-syndromic cleft lip with or without cleft palate[J]. Clin Genet, 2017, 93(4): 784-793.
[2] 贾金铃, 贾凝. 同伴支持对中重度牙周病患者口腔保健自我效能和口腔健康生活质量的影响[J]. 中国医药导报, 2017, 14(2): 158-161.
[3] Jara-Palacios MÁ, Cornejo AC, Narváez-Caicedo C, et al.Plasma zinc levels in Ecuadorian mothers of infants with nonsyndromic cleft lip with or without cleft palate: A case series[J]. Birth Defects Res, 2018, 110(6): 495-501.
[4] 钱雅婧, 龚爱秀, 王宇婷. 江苏地区成人和青少年唇腭裂患者口腔健康状况及生活质量的调查比较研究[J]. 口腔医学, 2017, 37(12): 1104-1107.
[5] 世界卫生组织. 口腔健康调查基本方法 [M]. 北京: 人民卫生出版社, 1982.
[6] Saujanya K, Marjaliisa L, Manoj H, et al.Adaptation and validation of a nepali version of the Child-Oral Impacts on Daily Performances Index (C-OIDP)[J]. Community Dental Health, 2018, 35(2): 119-126.
[7] Khoun T, Malden P, Turton B.Oral health-related quality of life in young Cambodian children: a validation study with a focus on children with cleft lip and/or palate[J]. Int J Paediatr Dent , 2018, 28(3): 326-334.
[8] Alves MLM, Scarelli Lopes JF, de Almeida ALPF, et al. Orthognathic surgery or overlay prosthesis: quality of life in bilateral cleft lip and palate patients[J]. Ann Plast Surg , 2017, 7(2): 176-179.
[9] Ajami S, Toraby F, Shavakhi M, et al.The impact of type-D personality on oral health-related quality of life in cleft lip and palate adolescents[J]. J Craniofac Surg, 2018, 29(2): 289-292.
[10] Rando GM, Jorge PK, Vitor LLR, et al.Oral health-related quality of life of children with oral clefts and their families[J]. J Appl Oral Sci, 2018, 26: e20170106.
[11] Sundell AL, Törnhage CJ, Marcusson A.A comparison of health-related quality of life in 5‐ and 10-year-old Swedish children with and without cleft lip and/or palate[J]. Int J Paediatr Dent, 2017, 27(4): 238-246.
[12] Cook AK, Kerins CA, Heppner CE.Dental impacts on health-related quality of life of children with orofacial clefts[J]. Pediatr Dent, 2016, 38(3): 218-220.
[13] Beluci ML, Genaro KF.Quality of life of individuals with cleft lip and palate pre- and post-surgical correction of dentofacial deformity[J]. Rev Esc Enferm USP, 2016, 50(2): 217-223.
[14] Munz SM, Kim RY, Holley TJ, et al.Dental hygiene, dental, and medical students' OMFS/hospital dentistry-related knowledge/skills, attitudes, and behavior: an exploration[J]. Eur J Dent Educ, 2017, 81(2): 149-161.
[15] Kragt L, Tiemeier H, Wolvius E, et al.Measuring oral health-related quality of life in orthodontic patients with a short version of the Child Oral Health Impact Profile (COHIP)[J]. J Public Health Dent, 2016, 76(2): 105-112.
[16] Germec Cakan D, Nur Yilmaz RB, Bulut FN, et al.Dental anomalies in different types of cleft lip and palate: is there any relation?[J]. Int J Oral Maxillofac Surg, 2018, 29(5): 1316-1321.
[17] Nicholls W.Dental anomalies in children with cleft lip and palate in Western Australia[J]. Eur J Dent Educ, 2016, 10(2): 254-258.
[18] Franco A, Vitor L, Jorge P, et al.Evaluation of a new method of oral health education in children with cleft lip and palate[J]. Eur Arch Paediatr Dent, 2018, 19(4): 267-271.
[19] Haque S, Alam M, Khamis M.Factors responsible for unfavorable dental arch relationship in non syndromic unilateral cleft lip and palate children[J]. Int J Paediatr Dent, 2017, 41(3): 236-239.
[20] Broder HL, Crerand CE, Ruff RR, et al.Challenges in conducting multicentre, multidisciplinary, longitudinal studies in children with chronic conditions[J]. Community Dent Oral Epidemiol, 2017, 45(4): 317-322.

非综合征唇裂伴或不伴腭裂对口腔健康相关生活质量的影响

Effect of non-syndromic cleft lip with or without cleft palate on oral health-related quality of life

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 7

编辑推荐

Metrics

本文评价

[1]	何冉, 侯德强. 口腔颌面部肿瘤患者围术期症状群与生活质量相关性研究[J]. 中国口腔颌面外科杂志, 2024, 22(5): 446-454.
[2]	郝亚楠, 石欢, 崔雅萍. 针对性护理用于儿童复发性腮腺炎的效果评价[J]. 中国口腔颌面外科杂志, 2024, 22(5): 455-458.
[3]	吴梓谦, 殷玉兰, 杨文玉, 张贞, 侯黎莉, 王磊. 口腔癌患者术后舌神经功能障碍与生活质量的关系评价[J]. 中国口腔颌面外科杂志, 2022, 20(5): 449-454.
[4]	张鑫睿, 江旖婷, 张晗之, 张美芳, 张海峰, 孙娟, 任国欣. 28例晚期口腔鳞癌患者新辅助化疗围化疗期营养状况及生活质量评估[J]. 中国口腔颌面外科杂志, 2020, 18(6): 516-520.
[5]	袁卫军, 李丽, 杨霞, 刘婷, 单瑛, 朱怡. 牙颌面畸形患者术后留置胃管对口腔健康相关生活质量的影响[J]. 中国口腔颌面外科杂志, 2019, 17(6): 518-521.
[6]	杨易, 周顺成, 何华春, 刘芹, 石玮. 口腔种植修复对牙列缺失患者生活质量及龈沟液AST、OPN水平的影响[J]. 中国口腔颌面外科杂志, 2019, 17(6): 531-534.
[7]	黄卓珊，张大明，王友元，肖灵君，陈伟良. 早期吞咽训练对舌癌术后吞咽障碍及生活质量的影响[J]. 中国口腔颌面外科杂志, 2017, 15(3): 249-253.