中国医学装备2026，Vol.23Issue(9)：33-36,43,5.DOI:10.3969/j.issn.1672-8270.2026.09.006
基于COM-B模型的口腔微环境管理在颈动脉内膜剥脱术的颈动脉狭窄合并牙周炎患者中的应用
Application of oral microenvironment management based on COM-B model in patients with carotid stenosis complicated with periodontitis undergoing carotid endarterectomy
摘要
Abstract
Objective:To evaluate application effects of management based on the capability,opportunity,motivation-behavior(COM-B)model for oral microenvironment in patients with periodontitis,who underwent carotid endarterectomy(CEA).Methods:The prospective randomized controlled study was adopted,and a total of 138 patients with carotid stenosis and periodontitis,who underwent CEA at the Department of Vascular Surgery of The Affiliated Drum Tower Hospital between January 2024 and May 2025,were selected.All patients were judged as unstable carotid plaques through intelligent assessment workflow of hospital,and this result only was used to define population of study.Patients were divided into an intervention group and a control group by using random number table,with 69 patients in each group.The control group received routine oral health education and follow-up care,while the intervention group additionally received COM-B model-based management for oral microenvironment on the basis of the method of control group.The scores of oral health literacy scale of two groups were compared at admission,discharge,and at the 3rd and 6th month after surgery.In addition,the dental plaque index,gingival index,and gingival bleeding index of two groups were also compared at admission and at the 6th month after surgery.Results:At the 6th month after surgery,the score(165.29±23.63)of oral health literacy scale of intervention group was higher than that(150.97±21.86)of control group,and the difference was significant(t=3.694,P<0.001).The difference of the scores of intervention group was significant among admission,discharge,at the 3rd month,and at 6th month after surgery(F=54.561,P<0.001),but there was no significant difference at the scores of control group among the above four time points(P>0.05).At the 6th month after surgery,the dental plaque index,gingival index,and gingival bleeding index of intervention group were lower than those of control group,and the differences were significant(t=-3.510,-3.510,-4.789,P<0.05).Conclusion:COM-B model-based management for oral microenvironment can improve oral health literacy of patients with periodontitis who undergo CEA,and can improve the situation of dental plaque,gingiva,and gingival bleeding.关键词
能力-机会-动机-行为(COM-B)模型/口腔微环境管理/颈动脉内膜剥脱术(CEA)/牙周炎/口腔健康素养Key words
Capability,opportunity,motivation-behavior model(COM-B)/Management for oral microenvironment/Carotid endarterectomy(CEA)/Periodontitis/Oral health literacy分类
医药卫生引用本文复制引用
周艳,乔彤,翁艳敏,赵梦扬..基于COM-B模型的口腔微环境管理在颈动脉内膜剥脱术的颈动脉狭窄合并牙周炎患者中的应用[J].中国医学装备,2026,23(9):33-36,43,5.基金项目
南京中医药大学自然科学基金项目(XZR2023016) （XZR2023016）
南京大学中国医院改革发展研究院项目(NDYGN2024073) This work was supported by the Natural Science Foundation of Nanjing University of Chinese Medicine(XZR2023016) （NDYGN2024073）
The China Hospital Reform and Development Research Institute,Nanjing University(NDYGN2024073) （NDYGN2024073）
