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目的:探讨口腔正畸固定矫治对患者日常生活质量的影响。方法:对410名门诊口腔正畸复诊患者,采用“口腔治疗影响日常行为量表”(OIDP)进行问卷调查,比较在不同日常行为方面影响程度的大小,并按不同疗程、不同年龄、不同性别对患者进行分组比较。所得数据采用秩和检验和x2检验进行统计处理。结果:正畸固定矫治对患者各项日常行为活动的影响程度大小不一致(P<0.01),其中对口腔清洁影响最大,体育运动影响最小。疗程在19~30个月者相比疗程在7~18个月者(P=0.046)以及疗程大于31个月者(P=0.027),更能感觉正畸固定矫治对日常生活的影响。青少年组患者感受影响的程度是成年组的1.815倍,两者间有显著性差异(P=0.014)。不同性别之间患者的感受程度无显著性差异(P=0.751)。结论:口腔正畸医师要关注患者,尤其是关注影响相对较重的患者,在正畸治疗过程中的心理变化,加强心理疏导,保证临床治疗顺利进行。
Objective: To investigate the effect of orthodontic fixation on the quality of daily life of patients. Methods: A total of 410 outpatients with oral orthodontic referral were enrolled in this study. Questionnaires were conducted using OIDP to compare the effects of different daily activities. The patients’ Patients were grouped by gender. The data obtained using rank sum test and x2 test for statistical processing. Results: The effect of orthodontic fixation treatment on daily activities was inconsistent (P <0.01), which had the greatest impact on oral hygiene and had the least impact on physical exercise. The effect of orthodontic fixation on daily life was more pronounced in patients who were treated for 19 to 30 months compared with those who were treated for 7-18 months (P = 0.046) and patients older than 31 months (P = 0.027). Adolescent group affected degree of 1.815 times that of adult group, there was a significant difference (P = 0.014). There was no significant difference in patients’ feelings between different genders (P = 0.751). Conclusion: Orthodontists should pay attention to the patients, especially the patients with relatively heavy effects, and should pay more attention to the psychological changes in the process of orthodontic treatment and strengthen the psychological counseling to ensure the smooth progress of clinical treatment.