牙周健康自我评估在牙周炎流行病学调查中的应用  

Self-reported periodontal health for epidemiological survey of periodontitis

作　　者：宋佳[1] 包穆蓉[1] 潘亚萍[1] 

机构地区：[1]中国医科大学口腔医学院牙周科·辽宁省口腔医学研究所,沈阳110002

出　　处：《中华口腔医学杂志》2014年第1期27-31,共5页Chinese Journal of Stomatology

基　　金：“十一五”国家科技支撑计划（2007BA118802）;辽宁省科学技术计划（2009412001-8）

摘　　要：目的通过分析牙周健康自我评估对中、重度慢性牙周炎流行的预测作用,探讨牙周健康自我评估用于我国中、重度慢性牙周炎大型流行病学调查的可行性.方法选择沈阳市5个城区的330名受试者,进行牙周健康自我评估及牙周炎危险因素评估的问卷调查,随后进行牙周检查.采用Logistic回归分析,绘制受试者工作特征（receiveroperatorcharacteristic,ROC）曲线并计算曲线下面积（areaundercurve,AUC）、敏感度和特异度,对调查结果进行分析.结果牙周健康自我评估对中、重度慢性牙周炎的预测呈中度有效,AUC为0.837,敏感度为74.8％,特异度为71.3％.牙周健康自我评估联合牙周炎危险因素评估对中、重度慢性牙周炎的预测呈高度有效,AUC为0.912,敏感度为82.1％,特异度为85.4％.结论牙周健康自我评估可用于我国中、重度慢性牙周炎的大型流行病学调查,牙周健康自我评估联合牙周炎危险因素评估可提高调查结果的准确度.Objective To investigate the prediction effect of the self-reported periodontal health on moderate and severe chronic periodontitis and its feasibility.Methods A total of 330 subjects from five districts of Shenyang city attended the survey.Each subject answered questions about self-reported periodontal health and risk factors of periodontitis and was given a periodontal examination.The predictiveness was assessed by logistic regression modeling measuring receiver operator characteristic （ROC） curve and area under curve（AUC）,sensitivity and specificity.Results Self-reported periodontal health for the prediction of moderate and severe chronic periodontitis was moderately effective,with AUC of 0.837,sensitivity of 74.8%,specificity of 71.3%.Self-reported periodontal health combined with risk factors of periodontitis was highly effective in prediction of moderate and severe chronic periodontitis,with AUC of 0.912,sensitivity of 82.1%,specificity of 85.4%.Conclusions Self-reported periodontal health can be used for epidemiological investigation of moderate and severe chronic periodontitis.Self-reported periodontal health combined with risk factors of periodontitis can improve the accuracy of the results of the survey.

关 键 词：危险性评估 慢性牙周炎 ROC曲线 自我评估 

分 类 号：R781.42[医药卫生—口腔医学]