正畸医生与正畸患者对面部美学的评价及其差别

目的 通过Q分类法来调查正畸医生与正畸患者对面部美学的评价及其差别,同时调查男性与女性对面部美学的评价及其差别。 方法 将96例正畸完成后的患者（男、女各48例）临床照片由20名经验丰富的正畸医生（男7名，女13名）和25例正畸患者（男13例，女12例）用Q分类法进行评价。Kappa检验和McNemar检验用来评估正畸医生和正畸患者之间，以及男女之间对面部美学评价是否一致和其差别。 结果 在对男性面部美观调查中，正畸医师与正畸患者的评价具有较高的一致性，男性与女性的评价具有较高的一致性。在对女性面部美观调查中，正畸医师与正畸患者的评价的一致性较差，男性与女性评价的一致性也较差。 结论 正畸医师与正畸患者对面部美观的评价基本一致；男性与女性对面部美学的评价基本不一致。

Comparison of facial aesthetic assessment of orthodontic treatment between orthodontists and patients

Objective To compare the facial aesthetic assessment of orthodontic treatment between orthodontists and orthodontic patients,and between men and women,via Q-sort method subjective evaluation of the facial aesthetics. Methods Q-sort method was used to evaluate the facial aesthetic assessment of 20 experienced orthodontists (7 men,13 women) and 25 patients (13 men and 12 women),through rating clinical photographs of 96 post-orthodontic patients（48 men and 48 women）; Kappa agreement and McNemar test were used to analyze similarities and differences between orthodontists and patients,and between men and women. Results The survey on male facial appearance indicated more similarities shared by orthodontists and orthodontic patients,and higher agreement between men and women; while the survey of female facial appearance,showed more differences between orthodontists and orthodontic patients,with a lower conformity between men and women raters.Men tend to be more satisfied with the facial appearance than women,but the tendency is not obvious. Conclusions Orthodontists and orthodontic patients have a higher conformity in facial appearance assessment; while men and women have lower conformity in facial aesthetic assessment.