口腔正畸患者牙周疾病的影响因素及OPG、炎症因子、PLI对其的预测价值分析  

The influencing factors of periodontal disease in orthodontic patients and the predictive value of OPG,inflammatory factors and PLI

作　　者：林维龙[1] 吴晓沛 申叶春[1] 安峰[1] LIN Weilong;WU Xiaopei;SHEN Yechun;AN Feng(Department of Stomatology,the First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei,China;Department of Stomatology,School of Medicine,Zhangjiakou University,Zhangjiakou 075000,Hebei,China)

机构地区：[1]河北北方学院附属第一医院口腔科,河北张家口075000 [2]张家口学院医学院口腔医学教研室,河北张家口075000

出　　处：《中南医学科学杂志》2023年第4期595-598,621,共5页Medical Science Journal of Central South China

基　　金：张家口市科学技术与发展计划自筹经费项目(1321051D)。

摘　　要：目的探讨口腔正畸患者牙周疾病的影响因素及骨保护蛋白(OPG)、炎症因子、菌斑指数(PLI)对其的预测价值。方法选择本院行口腔正畸的106例患者,根据患者是否患有牙周病分为牙周病组47例及对照组59例。比较两组患者牙周龈沟液中核因子-κB受体活化因子配体(RANKL)、OPG、RANKL/OPG、炎症因子水平及牙周状况。采用Logistics回归分析患者发生牙周病的影响因素,采用ROC分析各指标对牙周病发生的预测价值。结果治疗后,两组患者较治疗前RANKL、RANKL/OPG、C-反应蛋白(CRP)、白细胞介素(IL)-1β、IL-6、牙龈指数(GI)、出血指数(SBI)及PLI水平均升高,OPG水平下降(P<0.05);但牙周病组RANKL、RANKL/OPG、CRP、IL-1β、IL-6及PLI水平较对照组高,OPG水平较对照组低(P<0.05)。OPG、CRP、IL-1β及PLI为患者发生牙周病的影响因素。OPG、CRP、IL-1β及PLI均对预测患者发生牙周疾病具有较高的灵敏度及特异度,且联合诊断价值最高。结论OPG、CRP、IL-1β及PLI水平为患者牙周病发生的影响因素,且联合诊断价值最高。Aim To explore the influencing factors of periodontal disease in orthodontic patients and the predictive value of osteoprotegerin(OPG),inflammatory factors and plaque index(PLI)on periodontal disease in orthodontic patients.Methods A total of 106 patients undergoing orthodontic treatment in our hospital were divided into periodontal disease group(47 cases)and control group(59 cases).The levels of nuclear factor-KB receptor activating factor ligand(RANKL),OPG,RANKL/OPG,inflammatory factors and periodontal indexes in gingival fluid of the two groups were compared.Logistics regression was used to analyze the related factors affecting the occurrence of periodontal disease in patients,and ROC was used to test the predictive value of each index to the occurrence of periodontal disease.Results After treatment,the levels of RANKL,RANKL/OPG,C-reactive protein(CRP),interleukin(IL)-1β,IL-6,gum index(GI),bleeding index(SBI)and PLI were increased in both groups,while the levels of OPG were decreased;However,the levels of RANKL,RANKL/OPG,CRP,IL-1β,IL-6 and PLI in periodontal disease group were higher than those in control group,and the levels of OPG were lower than those in control group(P<0.05).OPG,CRP,IL-1βand PLI were the factors affecting the occurrence of periodontal disease.OPG,CRP,IL-1βand PLI all had high sensitivity and specificity in predicting the occurrence of periodontal disease in patients,and had the highest combined diagnostic value.Conclusion The levels of OPG,CRP,IL-1βand PLI are the factors affecting the occurrence of periodontal disease,and the combined diagnosis value is the highest.

关 键 词：骨保护蛋白 牙周疾病 口腔正畸 预测价值 影响因素 

分 类 号：R783.5[医药卫生—口腔医学]