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

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。

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

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.