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作 者:黄习雯[1] 杨庆芬[1] 范穗光[1] 陈敏聪[1] 陈观连 王全军[1] HUANG Xi-wen;YANG Qing-fen;FAN Sui-guang;CHEN Min-cong;CHEN Guan-lian;WANG Quan-jun(Department of Stomatology,Hospital of South China Agricultural University,Guangdong Guangzhou 510642,China.)
机构地区:[1]华南农业大学医院口腔科,广东广州510642
出 处:《临床口腔医学杂志》2020年第6期342-344,共3页Journal of Clinical Stomatology
基 金:广州市卫生和计划生育科技项目(20181A010074)。
摘 要:目的:探讨冠周炎反复复发大学生的心理学特征,为反复复发冠周炎的预防、治疗提供依据。方法:采用病例对照研究的方法对大学生进行问卷调查。随机选取冠周炎反复复发学生(复发组)和正常学生(对照组)各71例,填写症状自评量表(symptom checklist 90,SCL-90)。结果:复发组男生在躯体化和恐怖2个因子得分的中位数高于对照组(P<0.05);复发组女生在躯体化、人际敏感、抑郁、焦虑和恐怖5个因子得分中位数均高于对照组(P<0.01)。复发组中,女生在抑郁这个因子得分中位数高于男生(P<0.05)。复发组中检出阳性症状16例,阳性率为22.5%;对照组检出6例,阳性率为8.5%(χ2=5.379,P<0.05),OR=0.317,95%CI(0.116~0.867)。将9个因子作为自变量,以是否发生冠周炎反复复发作为因变量进行多因素分析,对9种因子进行条件Logistic回归模型配合,筛出冠周炎反复复发危险因子有躯体化、抑郁、敌对和精神病性。结论:冠周炎反复复发学生可能存在更多心理问题,临床诊疗中应多加关注和干预。Objective:To explore the psychological characteristics of college students with recurrent pericoronitis and provide evidence for prevention and treatment of recurrent pericoronitis.Methods:By using the method of case-control study,college students were asked to fill in the questionnaire.Seventy-one students with recurrent pericoronitis(recurrent group)and 71 normal students(control group)were randomly selected to fill in the symptom checklist 90(SCL-90).Results:The median scores of somatization and phobia in males in relapse group were higher than those in control group(P<0.05).The median scores of somatization,interpersonal sensitivity,depression,anxiety and phobia in females in the recurrent group were higher than those in the control group(P<0.01).In the relapse group,the median score of depression factor in females was higher than that in males(P<0.05).Positive symptoms were detected in 16 cases of relapse group(22.5%)and 6 cases of control group(8.5%)(χ2=5.379,P<0.05),OR=0.317 and 95%CI(0.116~0.867).Nine factors were taken as independent variables,and the recurrence of pericoronitis was taken as dependent variable.Conditional Logistic regression model was used to analyze nine factors.The risk factors of recurrence of pericoronitis were somatization,depression,hostility and psychiatry.Conclusion:Students with recurrent pericoronitis may have more psychological problems.More attention and intervention should be paid in clinical diagnosis and treatment.
关 键 词:冠周炎 大学生 症状自评量表(SCL-90)
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