[1]赵 越,康 娜,阮氏秋水. 成人正颌手术前后EPQ心理特征变化研究[J].中国美容医学,2019,(02):144-146.
　ZHAO Yue,KANG Na,RUAN Qiu-shui. Changes of EPQ Psychological Characteristics in Adults before and after Orthognathic Surgery[J].Medical Aesthetics and Beauty,2019,(02):144-146.
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 成人正颌手术前后EPQ心理特征变化研究
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年02期
页码:
144-146
栏目:
出版日期:
2019-02-15

文章信息/Info

Title:
 Changes of EPQ Psychological Characteristics in Adults before and after Orthognathic Surgery
文章编号:
1008-6455（2019）02-0144-03
作者:
赵 越; 康 娜; 阮氏秋水
Author(s):
ZHAO Yue; KANG Na; RUAN Qiu-shui
关键词:
[关键词]颌面部畸形; 正颌外科; 艾森克人格问卷; 心理特征
Keywords:
Key words: maxillofacial deformity;  orthognathic surgery;  eysenck personality questionnaire(EPQ);  psychological characteristics
分类号:
R783.5
文献标志码:
B
摘要:
[摘要]目的：通过采用艾森克人格问卷（Eysenck personality questionnaire, EPQ）评估分析正颌患者手术治疗前后
的性格特征变化，并与无颌面畸形的健康人群比较分析，为正颌患者的心理干预提供参考。方法：选取2014年6月-2015年
12月笔者医院就诊行正颌手术的严重颌面部畸形患者，在其正颌手术前、后心理状态进行EPQ问卷调查，分析其心理特征
变化情况，并与正常对照组（同期医院职工及学生）比较。结果：本研究共纳入30例正颌患者和100例正常对照人群。研
究组术前P维度（精神质）评分高于对照组，差异有统计学意义（P =0.007）；其余E、N、L等维度两组间比较差异无统计
学意义（P ＞0.05）。研究组术前和术后P、E、N维度评分比较，差异均有统计学意义（P ＜0.05）；L维度（掩饰性）评分
组间比较差异无统计学意义（P ＞0.05）。研究组术后与对照组的E、N维度评分比较，差异有统计学意义（P ＜0.05）；P、L
维度两组间比较差异均无统计学意义（P ＞0.05）。结论：颌面部畸形患者对比正常对照组人格特征多为焦虑，忧郁，不友
好的人格倾向，术后患者人格特征得到明显改善，建议正颌医生关注患者手术前后心理特征变化，做好心理评估及干预。

Abstract:
Abstract: Objective Through the method of the EPQ questionnaire to evaluate the personality characteristics before and
after surgical treatment of orthognathic patients, and compared with healthy people without maxillofacial deformity. Provides
reference for the psychological care of orthodontic patients. Methods Selected patients with severe maxillofacial deformities
who underwent orthognathic surgery in our hospital from June 2014 to December 2015. EPQ questionnaires were conducted
before and after orthognathic surgery to analyze the changes of psychological characteristics, and compared with the normal
control group (hospital staff and students in the same period). Results A total of 30 patients with orthognathic and 100 normal
controls were included in this study. The preoperative P dimension (psychoticism) score of the study group before operation
was higher than that of the control group, the difference was statistically significant(P=0.007). The other E, N, L dimensions
showed no significant difference between the two groups(P＞0.05). There were significant differences in P, E and N scores
before and after operation in the study group (P ＜0.05). There was no significant difference in L dimension (concealment)
scores between the study group (P ＞0.05). There were significant differences in E and N scores between the study group after
operation and the control group (P ＜0.05), and there was no significant difference in P and L scores between the two groups
(P ＞0.05). Conclusion The personality characteristics of patients with maxillofacial deformities compared with normal
controls were mostly anxiety, depression, and unfriendly personality. After the surgery, the patient’s personality characteristics
were significantly improved. It is suggested that doctors in orthodontists should pay attention to the change of psychological
characteristics before and after the operation of the patient and do psychological assessment.

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[1]蒙 歌 综述,杨 斌 审校. 手术优先模式在治疗下颌前突畸形中的应用[J].中国美容医学,2018,(04):144.
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[2]徐 佳,刘剑锋,归 来,等. 数字化技术在下颌骨骨牵引后所致牙颌畸形行正颌术前设计中的应用[J].中国美容医学,2019,(10):89.
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[3] 沈末伦 胡沈辰 综述,郝新河 审校. 手术优先正颌模式治疗牙颌面畸形的研究进展[J].中国美容医学,2020,(7):172.
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更新日期/Last Update: 2019-03-12