先天性上睑下垂患者治疗意愿及与其美观感知度的相关性研究  

Study on the Relationship Between Treatment Intention and Aesthetic Perception in Patients with Congenital Ptosis

作　　者：谢书萍 代兴辉 岳晓丽 周琦 XIE Shuping;DAI Xingyue;YUE Xiaoli;ZHOU Qi(Department of Ophthalmology,the First Affiliated Hospital of Bengbu Medical University,Bengbu 233000,Anhui,China)

机构地区：[1]蚌埠医科大学第一附属医院眼科,安徽蚌埠233000

出　　处：《中国美容医学》2024年第3期26-29,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究上睑下垂患者治疗意愿及其与美观感知度的相关性。方法:选取2018年8月-2022年10月于笔者医院确诊上睑下垂的87例患者作为研究对象,通过调查问卷的方式了解患者的治疗意愿,根据治疗意愿将其分为意愿组和无意愿组,通过黄金美人任务(Golden Beauty Task,GBT)对患者的审美感知能力进行评估,采用Logistic回归分析上睑下垂患者治疗意愿的影响因素。结果:87例上睑下垂患者中具有治疗意愿的有51例,占总人数的58.62%,客观审美判断(Objective aesthetic judgement,OAJ)和主观审美判断(Subjective aesthetic judgement,SAJ)评分分别为(15.23±4.15)分、(14.88±3.76)分,Pearson相关系数分析显示,OAJ(r=0.452,P<0.05)和SAJ(r=0.483,P<0.05)评分与治疗意愿呈正相关;多因素Logistic回归分析显示,OAJ(OR=1.575)、SAJ(OR=1.739)、年龄(OR=0.142)、性别(OR=0.194)、家庭人均年收入(OR=1.100)均是影响治疗意愿的相关因素(P<0.05);ROC曲线分析显示,OAJ、SAJ、年龄、性别、家庭人均年收入的AUC分别为0.743、0.783、0.625、0.606和0.721(均P<0.05)。结论:上睑下垂患者的美观感知度越好,治疗意愿越强,同时家庭收入、年龄、性别等因素影响着上睑下垂患者的治疗意愿。Objective To study the therapeutic willingness of patients with ptosis and its correlation with aesthetic perception.Methods A total of 87 patients with ptosis diagnosed in the author's hospital from August 2018 to October 2022 were selected as the research object. The patients' willingness to treat was understood through questionnaires, and they were divided into willing group and unwilling group according to their willingness to treat. The patients' aesthetic perception ability was evaluated by (Golden Beauty Task,GBT), and the influencing factors of ptosis patients' willingness to treat were analyzed by Logistic regression. Results Among the 87 patients with ptosis, 51 had the treatment intention, accounting for 58.62% of the total number. The OAJ and SAJ scores were(15.23±4.15) and(14.88±3.76) respectively. Pearson correlation coefficient analysis showed that the OAJ(r=0.452, P<0.05) and SAJ(r=0.483, P<0.05) scores were positively correlated with the treatment intention. Multivariate Logistic regression analysis showed that OAJ(OR=1.575), SAJ(OR=1.739), age(OR=0.142), gender(OR=0.194), and family annual per capita income(OR=1.100) were all the related factors affecting the treatment willingness(P<0.05). The ROC curve analysis showed that the AUCs of OAJ, SAJ, age, gender, and annual household income per capita were 0.743, 0.783, 0.625, 0.606, and 0.721, respectively(all P<0.05). Conclusion The better the aesthetic perception ability of patients with ptosis, the stronger their willingness to treat. At the same time, family income, age, gender and other factors affect the willingness to treat patients with ptosis.

关 键 词：上睑下垂 治疗意愿 美观感知度 问卷调查 影响因素 

分 类 号：R777.1[医药卫生—眼科]