本文選題：唇裂 + 手術(shù)修復(fù)��； 參考：《皖南醫(yī)學(xué)院》2016年碩士論文

【摘要】：目的:了解單側(cè)唇裂手術(shù)方式及效果;了解單側(cè)唇裂患兒家屬因唇裂患兒唇裂畸形及撫養(yǎng)過程中造成的軀體及心理健康情況;了解單側(cè)唇裂患兒家屬對疾病的認(rèn)知、手術(shù)修復(fù)的滿意度;了解單側(cè)唇裂術(shù)后合并鼻唇畸形Ⅱ期手術(shù)修復(fù)方式及效果;了解單側(cè)唇裂術(shù)后合并鼻唇畸形Ⅱ期手術(shù)患者的性格狀態(tài)及對疾病的認(rèn)知、手術(shù)修復(fù)的滿意度。這項研究的目的是對單側(cè)唇裂Ⅰ期手術(shù)家屬及Ⅱ期手術(shù)患者及家屬進行全面的評價,為臨床單側(cè)唇裂乃至其他類型的唇裂及腭裂的治療提供指導(dǎo)意見。方法:本研究病例均采集于皖南醫(yī)學(xué)院第一附屬醫(yī)院整形科病房,時間自2005年至2015年十年間的單側(cè)唇裂患者及單側(cè)唇裂繼發(fā)鼻唇畸形行二次修復(fù)的患者。篩選Ⅰ期單側(cè)唇裂患兒16人,Ⅰ期患兒家屬29人,對照組于社區(qū)選取健康兒童20名,家屬37人;單側(cè)唇裂術(shù)后合并鼻唇畸形Ⅱ期手術(shù)選取患者35人,對照組于社區(qū)選取健康男女青少年各20人。對于單側(cè)唇裂患兒Ⅰ期手術(shù)采用自設(shè)問卷了解患者家屬面對唇裂患兒時心理反應(yīng)及術(shù)后滿意度,采用焦慮自評量表(self rating anxiety scale,SAS)、90項癥狀清單(Symptom Checklist 90,SCL-90)問卷了解患兒家長心理狀況及是否對身體產(chǎn)生相應(yīng)影響;單側(cè)唇裂術(shù)后合并鼻唇畸形Ⅱ期手術(shù)采用艾森克個性問卷(EPQ)評估患者個性,SCL-90問卷了解患者心理狀況是否對身體產(chǎn)生相應(yīng)影響,采用自設(shè)問卷了解患者術(shù)后滿意度及生活質(zhì)量。結(jié)果:Ⅰ期患兒采用恢復(fù)口輪匝肌解剖關(guān)系的術(shù)式均取得較好的效果,但Ⅰ期患兒家屬在自設(shè)問卷、焦慮自評量表、90項癥狀清單都顯示出異常,提示患兒家屬存在明顯的負(fù)性心理狀態(tài);Ⅱ期手術(shù)患者根據(jù)其繼發(fā)畸形的不同情況選取不同的手術(shù)方式均能取得較好的效果,唇裂術(shù)后的患者在自設(shè)問卷、焦慮自評量表、90項癥狀清單及艾森克個性問卷中均顯示出了異常,提示大多患者存在較明顯的負(fù)性心理,此外Ⅱ期手術(shù)能部分改善患者的負(fù)性心理狀態(tài)。結(jié)論:Ⅰ期患兒根據(jù)唇裂的嚴(yán)重程度選擇恢復(fù)口輪匝肌解剖關(guān)系的術(shù)式,Ⅰ期患兒家屬存在比較明顯的負(fù)性心理,需要在患兒治療時及后期持續(xù)的為家屬提供社會支持及心理疏導(dǎo);Ⅱ期手術(shù)根據(jù)畸形的不同手術(shù)方式可取得較好效果,唇裂患者往往存在較嚴(yán)重的負(fù)性心理狀態(tài),雖然手術(shù)可以緩解,但是持續(xù)的心理疏導(dǎo)與心理支持必不可少。
[Abstract]:Objective: to understand the operation mode and effect of unilateral cleft lip, to understand the physical and mental health of the family of the child with unilateral cleft lip caused by the cleft lip malformation and the process of upbringing, and to understand the cognition of the disease among the family members of the child with unilateral cleft lip. The satisfaction degree of surgical repair, the mode and effect of the second stage operation of unilateral cleft lip with nasolabial deformity, the personality state, the cognition of disease, the satisfaction of operation and repair of the patients with nasolabial deformity after unilateral cleft lip surgery were investigated. The purpose of this study is to evaluate the clinical treatment of unilateral cleft lip and other types of cleft lip and cleft palate. Methods: all the cases were collected from the Department of plastic surgery of the first affiliated Hospital of Southern Anhui Medical College. The patients with unilateral cleft lip and secondary nasolabial deformity of unilateral cleft lip were repaired from 2005 to 2015. A total of 16 children with unilateral cleft lip in stage I, 29 family members with stage I, 20 healthy children and 37 family members in the control group were selected from the community, 35 patients were selected for stage 鈪，

本文編號：1905157