iRoot BP Plus乳牙活髓切断术患儿精神心理状态调查及影响因素分析

Investigation and analysis of psychological status and influence factors in children underwent iRoot BP Plus pulpotomy for primary teeth

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(2)
作者
作者单位

承德市口腔医院,儿童口腔科

摘要
【摘要】目的 调查iRoot BP Plus乳牙活髓切断术患儿精神心理状态,并分析其相关因素。方法 选取2021年3月至2023年9月本院收治的102例行iRoot BP Plus乳牙活髓切断术的患儿作为研究对象,采用改良牙科焦虑量表(modified dental anxiety scale,MDAS)评估患儿精神心理状态,记录牙科焦虑症发生率。采用Logistic多因素模型分析影响牙科焦虑症的相关因素并建立预测模型,分析其判断价值。结果 102例患儿中98例完成问卷调查,24例发生牙科焦虑症,发生率为24.49%。多因素分析结果显示,家属文化程度(β=-0.263,95%CI=0.628-0.942,P=0.011)、睡眠质量(β=-0.538,95%CI=0.397-0.859,P=0.006)、FES-CV评分(β=-0.354,95%CI=0.515-0.956,P=0.025)是患儿发生牙科焦虑症的保护因素,患牙疼痛(β=0.883,95%CI=1.659-3.521,P<0.001)是患儿发生牙科焦虑症的危险因素。依据多因素分析结果建立预测模型公式logitP=-0.263×(X2)-0.538×(X3)-0.354×(X4)+0.883×(X5)+0.927。ROC分析结果显示,该模型判断患儿发生牙科焦虑症的AUC为0.805(SE=0.086,95%CI=0.637-0.973,P=0.001),敏感度为0.833,特异度为0.760。结论 iRoot BP Plus乳牙活髓切断术患儿存在牙科焦虑症风险,其发生与患儿家属文化程度、睡眠质量、FES-CV评分及患牙疼痛水平相关。
Abstract
[Abstract] Objective To investigate the mental and psychological status of children,who underwent iRoot BP Plus pulpotomy for primary teeth,its related factors were analyzed.Methods 102 children who underwent iRoot BP Plus pulpotomy for primary teeth admitted in our hospital from March 2021 to September 2023 were selected as the research objects,the Modified Dental Anxiety Scale (MDAS) was used to evaluate the mental and psychological status of children,the incidence of dental anxiety was recorded.The logistic multiple factor model was analyzed the relevant factors,which affected the dental anxiety and the predictive model was established and its diagnostic value was analyzed.Results 98 cases were completed the questionnaire survey in the 102 pediatric patients, and 24 developed dental anxiety,the incidence rate was 24.49%.The results of multiple factor analysis show that the cultural level of family members(β=-0.263, 95%CI=0.628-0.942, P=0.011), sleep quality(β=-0.538, 95%CI=0.397-0.859, P=0.006), FES-CV score(β=-0.354, 95%CI=0.515-0.956, P=0.025) were protective factor for dental anxiety in children,the dental pain(β=0.883, 95%CI=1.659-3.521, P<0.001) was risk factor for dental anxiety in pediatric patients.The prediction model formula logitP=-0.263×(X2)-0.538×(X3)-0.354×(X4)+0.883×(X5)+0.927 was establishrd,which based on the results of multiple factor analysis.The ROC analysis results showed that the AUC of the model for detecting dental anxiety in children was 0.805 (SE=0.086, 95%CI=0.637-0.973, P=0.001),the sensitivity was 0.833 and the specificity was 0.760.Conclusion The children underwent iRoot BP Plus pulpotomy for primary teeth are at risk of dental anxiety, which are related to their family's educational level, sleep quality, FES-CV score, and tooth pain level.
关键词
【关键词】iRoot BP Plus乳牙活髓切断术;牙科焦虑症;影响因素
KeyWord
[Keywords] iRoot BP Plus pulpotomy for primary teeth; Dental anxiety disorder; influence factor
基金项目
页码 531-534
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戎凯. iRoot BP Plus乳牙活髓切断术患儿精神心理状态调查及影响因素分析 [J]. 国际精神病学杂志. 2025; 52; (2). 531 - 534.

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