海口市65～74岁老年人口腔健康现况调查
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摘要
目的调查海口市65~74岁老年人群口腔健康现状,为海口市老年人口腔疾病防治提供基础资料。方法采用分层随机抽样的方法,在海口市4个区抽取65~74岁老年人共875名,于2015年6月13日开始为期半年的口腔健康检查。结果 (1)海口市老年人口腔黏膜异常率为8.5%。(2)海口市老年人口冠龋检出率为71.1%,根龋检出率为56.7%,龋病检出率79.1%;男性龋病检出率(78.0%)与女性(79.9%)比较,差异无统计学意义(χ~2=0.462,P=0.497)。(3)海口市老年人牙龈出血、牙结石、牙周袋检出率分别为57.8%、83.5%、24.0%;牙龈出血、牙结石、牙周袋检出牙均数为9.15、16.57、1.71颗;至少有1个牙位附着丧失≥4 mm检出率为55.7%,至少有1个牙位附着丧失≥6 mm检出率为17.6%。(4)海口市老年人缺失牙检出率为58.6%,老年人缺失牙均数为4.56颗。结论海口市老年人一半以上有龋病、牙龈出血和牙结石,缺失牙达五成,接近两成人有重度牙周炎,应采取针对性措施,提高老年人口腔健康状况。
Objective To study the oral health epidemic situation among the elderly people in Haikou aged 65-74, in order to provide the basic data for the diseases prevention. Methods Totally 875 residents aged 65-74 were selected by using stratified sampling in four areas of Haikou, and given oral health check from June 13, 2015 lasted for half a year.Results(1)The abnormal rate of oral mucosa was 8.5%.(2)The prevalence rate of dental caries, such as crown caries,root caries, total caries was respectively 71.1%, 56.7%, 79.1%. The caries detection rate of men and women, was respectively 78.0%, 79.9%, and there was no significant difference between men and women(χ2=0.462, P=0.497).(3)The prevalence rate of periodontal disorders, such as gingival bleeding, dental calculus, periodontal pockets was respectively57.8%, 83.5%, 24.0%; on average, 9.15(gingival bleeding), 16.57(dental calculus) and 1.71(periodontal pockets) teeth per person exhibited. Prevalence of LOA≥4 mm(at least 1 teeth) was 55.7%, while the prevalence of LOA≥6 mm(at least 1 teeth) declined to 17.6%.(4)Missing teeth detection rate was 58.6%, the mean of missing teeth was 4.56. Conclusion More than half of the surveyed people have dental caries, bleeding gums, dental calculus; over half of the elderly people in Haikou have missing teeth, close to 20% of people have severe periodontitis. The appropriate measures should be used to strengthen the periodontal disease prevention and to improve the oral health status of elderly people.
Objective To study the oral health epidemic situation among the elderly people in Haikou aged 65-74, in order to provide the basic data for the diseases prevention. Methods Totally 875 residents aged 65-74 were selected by using stratified sampling in four areas of Haikou, and given oral health check from June 13, 2015 lasted for half a year.Results(1)The abnormal rate of oral mucosa was 8.5%.(2)The prevalence rate of dental caries, such as crown caries,root caries, total caries was respectively 71.1%, 56.7%, 79.1%. The caries detection rate of men and women, was respectively 78.0%, 79.9%, and there was no significant difference between men and women(χ2=0.462, P=0.497).(3)The prevalence rate of periodontal disorders, such as gingival bleeding, dental calculus, periodontal pockets was respectively57.8%, 83.5%, 24.0%; on average, 9.15(gingival bleeding), 16.57(dental calculus) and 1.71(periodontal pockets) teeth per person exhibited. Prevalence of LOA≥4 mm(at least 1 teeth) was 55.7%, while the prevalence of LOA≥6 mm(at least 1 teeth) declined to 17.6%.(4)Missing teeth detection rate was 58.6%, the mean of missing teeth was 4.56. Conclusion More than half of the surveyed people have dental caries, bleeding gums, dental calculus; over half of the elderly people in Haikou have missing teeth, close to 20% of people have severe periodontitis. The appropriate measures should be used to strengthen the periodontal disease prevention and to improve the oral health status of elderly people.
引文
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[10]黄晓刚.福建省老年人牙周健康状况及对口腔健康生活质量的影响[D].福州:福建医科大学,2007.
[11]吴仲恺,尹元正.从附着水平高度评估牙周膜面积[J].上海口腔医学,2010,19(2):178-182.
[12]孟焕新.牙周病学[M].3版.北京:人民卫生出版社,2008:156.
[13]陈超,林挺,冯岩,等.福建省中老年人群牙周附着丧失的抽样调查[J].福建医科大学学报,2010,44(5):353-355.
[14]蒋琳,林居红,王金华,等.重庆市城乡居民牙周疾病状况抽样调查报告[J].重庆医科大学学报,2008,33(7):839-842
[15]邓瑞冰.系统化口腔健康教育对种植牙患者的应用价值分析[J].中国医药科学,2016,6(8):160-163.
[16]赵雪,潘亚萍.辽宁省中老年人口腔卫生及牙周健康状况调查分析[J].口腔医学研究,2014,30(3):266-268.
[17]汪黎明,甄蕾,周春飞,等.上海地区成年人群牙周健康状况调查结果及分析[J].口腔医学,2014,34(4):294-296.
[18]肖伦旺.口腔健康宣教对社区老年居民口腔健康的影响[J].中国医药科学,2016,6(14):162-165.
[19]李斌,温玉兰,陈建霖,等.宁夏灵武市居民牙周健康状况抽样调查报告[J].宁夏医学杂志,2016,38(10):930-932.
[20]李阳,曹雅婷,邓嘉胤,等.社区老年人牙周状况的认知调查及需求分析[J].中华老年口腔医学杂志,2016,14(4):203-207.
[21]程睿波,张颖,程敏,等.东北地区中老年人群牙缺失状况抽样调查分析[J].上海口腔医学,2009,18(1):29-34.
[22]Zhang Q,Dick JW,Nico HJC.Dental and prosthodontic status of an over 40 year old population in Shandong Province,China[J].BMC Public Health,2011,11(1):420.
[2]裴培,苗丽,张旻,等.老年人失牙的相关因素研究[J].牙体牙髓牙周病学杂志,2012,22(5):292-294.
[3]中华人民共和国卫生部办公厅.中国居民口腔健康指南[J].口腔颌面修复学杂志,2013,14(4):251-256.
[4]危由春,江毅,文冰,等.社区老年人口腔疾病流行病学特征[J].中国老年学杂志,2013,33(13):3243-3244.
[5]赵树娟,熊均平,杨旭,等.河南省漯河市65-74岁老年人口腔健康状况调查[J].现代预防医学,2014,41(3):500-504.
[6]孙林琳,刘建伟.816例老年糖尿病患者的口腔疾病调查[J].口腔医学,2009,29(7):385-386.
[7]张颖,程敏,李岩,等.东北地区65-74岁老年人群口腔健康状况的抽样调查[J].上海口腔医学,2008,17(6):582-585.
[8]江汉,杜民权,黄薇,等.湖北省人群牙周健康状况的抽样调查报告[J].口腔医学研究,2007,23(3):338-340.
[9]林挺,卢友光,陈超.福建省中老年人群重度牙周炎相关因素抽样调查分析[J].中国老年学杂志,2006,26(2):168-169.
[10]黄晓刚.福建省老年人牙周健康状况及对口腔健康生活质量的影响[D].福州:福建医科大学,2007.
[11]吴仲恺,尹元正.从附着水平高度评估牙周膜面积[J].上海口腔医学,2010,19(2):178-182.
[12]孟焕新.牙周病学[M].3版.北京:人民卫生出版社,2008:156.
[13]陈超,林挺,冯岩,等.福建省中老年人群牙周附着丧失的抽样调查[J].福建医科大学学报,2010,44(5):353-355.
[14]蒋琳,林居红,王金华,等.重庆市城乡居民牙周疾病状况抽样调查报告[J].重庆医科大学学报,2008,33(7):839-842
[15]邓瑞冰.系统化口腔健康教育对种植牙患者的应用价值分析[J].中国医药科学,2016,6(8):160-163.
[16]赵雪,潘亚萍.辽宁省中老年人口腔卫生及牙周健康状况调查分析[J].口腔医学研究,2014,30(3):266-268.
[17]汪黎明,甄蕾,周春飞,等.上海地区成年人群牙周健康状况调查结果及分析[J].口腔医学,2014,34(4):294-296.
[18]肖伦旺.口腔健康宣教对社区老年居民口腔健康的影响[J].中国医药科学,2016,6(14):162-165.
[19]李斌,温玉兰,陈建霖,等.宁夏灵武市居民牙周健康状况抽样调查报告[J].宁夏医学杂志,2016,38(10):930-932.
[20]李阳,曹雅婷,邓嘉胤,等.社区老年人牙周状况的认知调查及需求分析[J].中华老年口腔医学杂志,2016,14(4):203-207.
[21]程睿波,张颖,程敏,等.东北地区中老年人群牙缺失状况抽样调查分析[J].上海口腔医学,2009,18(1):29-34.
[22]Zhang Q,Dick JW,Nico HJC.Dental and prosthodontic status of an over 40 year old population in Shandong Province,China[J].BMC Public Health,2011,11(1):420.