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唾液乳酸脱氢酶及其同工酶对牙周病的诊断效能
引用本文:杨冬梅,黄波,邢晋苓. 唾液乳酸脱氢酶及其同工酶对牙周病的诊断效能[J]. 四川医学, 2010, 31(2): 243-245
作者姓名:杨冬梅  黄波  邢晋苓
作者单位:1. 自贡市第三人民医院检验科,四川,自贡,643020
2. 凉山州第二人民医院,四川,西昌,615000
摘    要:目的探讨唾液乳酸脱氢酶(LD)活性及其同工酶在诊断牙周病中的意义。方法牙周病患者52例(其中牙龈炎18例、中度牙周炎23例和重度牙周炎11例)和健康对照20例被纳入研究。测定所有受试者总LD活性其及同工酶含量,并比较同工酶的相对含量和绝对含量的诊断性能。结果LD酶在所观察的疾病组间差异均有统计学意义(F=14.297,P=0.000)。ROC曲线分析显示:对诊断牙周病总LD活性与同工酶绝对含量较佳,其特异性在90.0%~100.0%,敏感度在69.2%~76.2%,Youden指数在0.592~0.731,阳性预测值在95.1%~100.0%,阴性预测值在56.3%-76.2%60.0,曲线下的面积在0.836~0.896。相对含量检测无统计学意义。结论唾液LD及其同工酶活性可能反映牙周组织损伤,提示LD及其同工酶可能是易于诊断牙周病的有用指标。但同工酶的相对含量测定对诊断牙周病的意义不大。

关 键 词:牙周病  乳酸脱氢酶  同工酶  唾液

Diagnostic efficacy of salivary lactate dehydrogenase and its isoenzymes for distinguishing periodontal disease
Affiliation:YANG Dong-mei , HUANG Bo ,XING Jin-ling.( 1. No. 3 People's Hospital of Zigong, Zigong, Sichuan 643020 ;2. Liangshan No. 2 People's Hospital, Xichang , Sichuaa 615000, china )
Abstract:Objective To determine total lactate dehydrogenase(LD) activity and isoenzyme profile in saliva and to investigate their usefulness for diagnosing periodontal disease.Methods 52 patients with periodontal diseases,including 18 gingivitis patients,23 moderate periodontitis patients and 11 severe periodontitis patients,and 20 healthy subjects were studied.LD and its isoenzymes activities were measured in all subjects,and compare the diagnostic performance of relative content and absolute concentration of the i...
Keywords:periodontal disease  lactate dehydrogenase  isoenzyme  saliva  
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