Objective To assess the quality of life and measure oral health and function of cleft lip and/or palate population and to determine if there is a difference in these prospects between younger and older age groups and to support the evidence for making policy to improve the cleft patients quality of life. Methods 40 individuals with repaired cleft lip and palate from two age groups of 19?28 years old(G1)and 10?18 years old(G2)identified from Nanjing Medical University Affiliated Stomatological Hospital and Childrens Hospital Affiliated to Nanjing Medical University were selected as experimental groups,and 20 normal adults and 20 normal teenagers were selected as control groups(G3 and G4).Four groups were investigated by oral health?related quality of life(OHRQOL)question?naires. Statistical tool(t?tests)was used to compare relevant data obtained from the four groups in this study with SPSS 19.0 software package. Results 1)G1 had significant difference with G3 in terms of the scores of OHIP14 and aesthetics,and no significant differ?ence in the scores of function and masticatory ability,treatment satisfaction and perceived treatment need. 2)G1 had significant differ?ence with G2 in terms of the scores of OHIP14 and aesthetic. No significant difference with G2 was observed in terms of the scores of function,masticatory ability,treatment satisfaction and perceived treatment need. Conclusion Quality of life and oral health status of adults with repaired CLP are relatively low.%目的 调查成人和青少年唇腭裂患者口腔健康、功能及生活质量状况,比较两组年龄段人群在此的差异,为提高唇腭裂患者生活质量而制定相关政策时提供依据.方法 选取20例成人唇腭裂患者(19~28岁,G1)和20例唇腭裂青少年患者(10~18岁,G2)纳入实验组;对照组为20例健康成年人(19~28岁,G3)和20例健康青少年(10~18岁,G4).运用口腔健康相关生活质量调查表(Oral health?related quality of life,OHRQOL)对研究对象进行问卷调查.采用SPSS 19.0软件包对四组数据进行独立样本t检验,比较不同年龄段唇腭裂患者的口腔健康状况和生活质量.结果 1.成人唇腭裂组在口腔健康影响量表(Oral health impact profile 14,OHIP14)和美学评价方面得分显著高于成人对照组(P=0.002);在口耳鼻功能、咬合功能和治疗满意度方面得分与成人对照组差异无显著性;2.成人唇腭裂组在OHIP14(P=0.024)和美学评价(P=0.008)方面得分显著高于青少年唇腭裂患者;在口耳鼻功能、咬合功能和治疗满意度方面得分与青少年唇腭裂患者无显著性差异(P>0.05).结论成人唇腭裂患者生活质量和口腔健康状况偏低.
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