海岛地区牙周病渔民患者的生命质量考察及影响因素分析
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摘要
目的考察海岛地区患牙周病的渔民生命质量,并分析影响牙周病的相关因素。方法选取2014年至2018年于我院首次确诊为牙周病且从事渔业工作的渔民患者547例为牙周病组,同期选取非牙周病且从事渔业工作的渔民97例为非牙周病组。所有研究对象均接受《主观口腔健康状况指数》(SOHSI)问卷调查,统计各维度发生例数或出现频次,考察研究对象生命质量情况。回顾性统计研究对象临床资料,二分类回归分析影响渔民患者牙周病的相关因素。结果牙周病组在咀嚼功能受限、语言功能受限、口腔和面部疼痛症状、其他口腔症状、影响饮食、日常生活活动受限、担忧/焦虑情绪7个维度的发生率高于非牙周病组,差别有统计学意义(P<0.05)。牙周病组与非牙周病组相比,在性别、吸烟、刷牙频率、糖尿病史、心脑血管疾病史方面2组差别有统计学意义(P<0.05)。二分类回归分析结果显示男性、吸烟、有糖尿病史是牙周病危险因素,刷牙频率每周大于3次是牙周病保护因素(P<0.05)。结论海岛地区渔民所患牙周病影响患者生命质量,男性、吸烟、有糖尿病史是牙周病危险因素,刷牙频率每周大于3次是牙周病保护因素,需加强该地区渔民口腔保健意识和增加预防保健措施的宣传。
Objective To investigate the life quality and study the related influencing factors of fisherman patients with periodontal disease in the island area.Methods Totally 547 cases of fishermen who were first diagnosed as periodontal disease were selected as the periodontal disease group and 97 cases of non-periodontal disease as the non-periodontal disease group in our hospital from 2014 to 2018. All subjects received the subjective oral health status index(SOHSI) for investigation. The number of cases and frequency of occurrence were collecte to investigate the quality of life of the subjects. The clinical data of the subjects were analyzed retrospectively, and the factors affecting periodontal disease in fishermen were analyzed with binary regression.Results Compared with the non-periodontal disease group, the periodontal disease group were significantly different in ability to chew, ability to speak, oral and facial pain symptoms, other oral symptoms, eating impact scale, activities of daily living impact scale and worry/concern impact scale(P<0.05). Compared with the periodontal disease group, the non-periodontal disease group were significantly different in gender, smoking, brushing frequency, diabetes, and cardiovascular disease(P<0.05). Binary logistic regression analysis showed that male, smoking, and with a history of diabetes were risk factors for periodontal disease, and brushing frequency more than 3 times a week was the protective factor for periodontal diseases(P<0.05).Conclusion The periodontal disease affects the life quality of the fisherman patients in the island. Male, smoking, and with a history of diabetes were risk factors for periodontal disease, and brushing frequency more than 3 times a week was the protective factor for periodontal disease. It is necessary to strengthen the publicity of oral health knowledge and preventive health measures for fishermen in the island.
Objective To investigate the life quality and study the related influencing factors of fisherman patients with periodontal disease in the island area.Methods Totally 547 cases of fishermen who were first diagnosed as periodontal disease were selected as the periodontal disease group and 97 cases of non-periodontal disease as the non-periodontal disease group in our hospital from 2014 to 2018. All subjects received the subjective oral health status index(SOHSI) for investigation. The number of cases and frequency of occurrence were collecte to investigate the quality of life of the subjects. The clinical data of the subjects were analyzed retrospectively, and the factors affecting periodontal disease in fishermen were analyzed with binary regression.Results Compared with the non-periodontal disease group, the periodontal disease group were significantly different in ability to chew, ability to speak, oral and facial pain symptoms, other oral symptoms, eating impact scale, activities of daily living impact scale and worry/concern impact scale(P<0.05). Compared with the periodontal disease group, the non-periodontal disease group were significantly different in gender, smoking, brushing frequency, diabetes, and cardiovascular disease(P<0.05). Binary logistic regression analysis showed that male, smoking, and with a history of diabetes were risk factors for periodontal disease, and brushing frequency more than 3 times a week was the protective factor for periodontal diseases(P<0.05).Conclusion The periodontal disease affects the life quality of the fisherman patients in the island. Male, smoking, and with a history of diabetes were risk factors for periodontal disease, and brushing frequency more than 3 times a week was the protective factor for periodontal disease. It is necessary to strengthen the publicity of oral health knowledge and preventive health measures for fishermen in the island.
引文
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[13]郑岩兵,游奕杨,李猛,等.玉环县城镇与农村老年人口腔患病状况及保健习惯比较性研究[J].中国医院统计,2015,22(4):294-295.
[14]DE MIGUEL-INFANTE A,MARTINEZ-HUEDO MA,MORA-ZAMO-RADO E,et al.Periodontal disease in adults with diabetes,prevalence and risk factors.Results of an observational study[J].Int J Clin Pract,2018,16(1):13294-13305.
[15]韩君畴,蒙亚娇.口腔扁平苔藓与牙周炎关系的研究进展[J].心理医生,2015,21(23):2-3.
[2]李超伦,刘大力,谢玉峰,等.医学院学生牙周健康状态的流行病学研究[J].上海交通大学学报(医学版),2017,37(4):545-550.
[3]KIM YS,KIM HN,LEE JH,et al.Association of stress,depression,and suicidal ideation with subjective oral health status and oral functions in Korean adults aged 35 years or more[J].Bmc Oral Health,2017,17(1):101-107.
[4]DISEASE GBD,INJURY I,PREVALENCE C.Global,regional,and national incidence,prevalence,and years lived with disability for310 diseases and injuries,1990-2015:a systematic analysis for the Global Burden of Disease Study 2015[J].Lancet,2016,388(10053):1545-1602.
[5]陈宇.牙周病性口臭应用局部与全身药物综合治疗的效果观察[J].全科口腔医学电子杂志,2018,15(1):21-22.
[6]王怡卓.口腔不良固定修复体产生原因分析及再治疗[D].大连:大连医科大学,2016.
[7]吴毓聪,王彬娉,杨宾,等.牙周序列治疗在成人牙周炎患者正畸过程中的作用及疗效[J].实用临床医药杂志,2016,20(19):199-200.
[8]刘引,高涵,夏小雪,等.牙周炎与全身炎症的病因机制相关性研究进展[J].饮食保健,2016,3(8):15-17.
[9]张彦红,李欣,刘凤丽,等.牙周炎患者高血压和颈动脉粥样硬化发病情况及其关系研究[J].实用心脑肺血管病杂志,2016,24(9):12-15.
[10]康健,李新月.牙周炎与糖尿病关系的研究进展[J].医学综述,2017,23(18):3670-3674.
[11]PHD DL,BA YM.Evaluation of Subjective Oral Health Status Indicators[J].J Public Health Dent,2010,54(3):167-176.
[12]孙静华,李仪红,侯本祥.龋病和牙周病主要致病菌分布的影响因素[J].北京口腔医学,2017,25(3):156-165.
[13]郑岩兵,游奕杨,李猛,等.玉环县城镇与农村老年人口腔患病状况及保健习惯比较性研究[J].中国医院统计,2015,22(4):294-295.
[14]DE MIGUEL-INFANTE A,MARTINEZ-HUEDO MA,MORA-ZAMO-RADO E,et al.Periodontal disease in adults with diabetes,prevalence and risk factors.Results of an observational study[J].Int J Clin Pract,2018,16(1):13294-13305.
[15]韩君畴,蒙亚娇.口腔扁平苔藓与牙周炎关系的研究进展[J].心理医生,2015,21(23):2-3.