广西中老年人牙周健康状况及相关危险因素分析
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摘要
目的:了解广西35～74岁人群的牙周健康状况,并探讨影响牙周炎的危险因素。方法:采用多阶段分层随机抽样的方法,抽取广西城乡35～44岁、55～64岁、65～74岁常住人口。按照《第四次全国口腔健康流行病学调查》检查标准,采用CPI探针检查全口牙的牙龈出血、牙石、牙周袋和附着丧失状况。采用Epidata 3.1软件进行资料录入和SPSS 22.0软件进行统计学分析。结果:本次调查人数651人,平均年龄(55.78±12.54)岁,女性占50%。总人群的牙龈出血检出率为92.5%,牙石检出率为95.9%,浅牙周袋检出率为37.9%,深牙周袋检出率为5.7%,牙周附着丧失检出率为48.7%。牙周炎的患病率为38.2%,在单因素分析中显示牙周炎与年龄、性别和吸烟有统计学意义(P<0.01),在多因素logistic回归分析中,近1年未定期进行口腔检查是牙周炎的独立危险因素(P=0.043)。结论:牙周炎的发生发展影响着中老年人的口腔健康和全身健康,提供相关的口腔干预措施有助于改善他们的口腔健康状况。
Objective: To describe the periodontal health status among people aged 35-74 and explore the risk factors for periodontitis. Methods: A stratified multistage randomly sampling design was applied to obtain 3 age groups samples. Gingival bleeding, dental calculus, periodontal pocket, and attachment loss were checked by using CPI probe according to the Guideline for the fourth National Oral Health Survey. Data entry was performed using Epidata 3.1 software and statistical analysis was performed using SPSS 22.0 software. Results: A total of 651 samples were participated in this study, and mean age were 55.78 year old(SD 12.54), and 50% were females. The prevalence of gingival bleeding was 92.5% and 95.9% for dental calculus, the prevalence of shallow periodontal pocket, deep periodontal pocket, and attachment loss were 37.9%, 5.7%, and 48.7%, respectively. The prevalence of periodontitis was 38.2%, and the univariate analysis showed that the periodontitis was associated with age, gender, and smoking(P<0.01). In the multivariate logistic regression analysis, the risk factor of periodontitis was who did not have regular oral examination for nearly 1 year(P=0.043). Conclusion: Periodontitis has the potential to impact the oral health and general well-being of middle aged and elderly people. Preventive dental care made available to adults will improve their oral health status.
Objective: To describe the periodontal health status among people aged 35-74 and explore the risk factors for periodontitis. Methods: A stratified multistage randomly sampling design was applied to obtain 3 age groups samples. Gingival bleeding, dental calculus, periodontal pocket, and attachment loss were checked by using CPI probe according to the Guideline for the fourth National Oral Health Survey. Data entry was performed using Epidata 3.1 software and statistical analysis was performed using SPSS 22.0 software. Results: A total of 651 samples were participated in this study, and mean age were 55.78 year old(SD 12.54), and 50% were females. The prevalence of gingival bleeding was 92.5% and 95.9% for dental calculus, the prevalence of shallow periodontal pocket, deep periodontal pocket, and attachment loss were 37.9%, 5.7%, and 48.7%, respectively. The prevalence of periodontitis was 38.2%, and the univariate analysis showed that the periodontitis was associated with age, gender, and smoking(P<0.01). In the multivariate logistic regression analysis, the risk factor of periodontitis was who did not have regular oral examination for nearly 1 year(P=0.043). Conclusion: Periodontitis has the potential to impact the oral health and general well-being of middle aged and elderly people. Preventive dental care made available to adults will improve their oral health status.
引文
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[11] 廖梓廷.引起牙周病相关影响因素logistic回归分析[J].中国继续医学教育,2017,9(9):118-119.
[12] 乔秀秀,胡朋飞,周玉双,等.慢性牙周炎的多因素分析[J].实用预防医学,2015,22(6):752-756.
[13] Jogezai U, Maxood A, Khan NA. Comparison of periodontal health status of smokers versus non-smokers [J]. J Ayub Med Coll Abbottabad, 2013, 25(1-2):183-186.
[14] 李理,杨介平,刘伟,等.影响慢性牙周炎患者病情严重程度的危险因素Logistics回归分析[J].解放军预防医学杂志,2018,36(1):110-112.
[15] 张俊健.老年重度牙周炎危险因素的相关性分析[J].实用口腔医学杂志,2015,31(6):841-843.
[16] 王卫东,董苁蓉,李蒙.体检人群中牙周炎危险因素的分析[J].中国热带医学,2014,14(5):571-573.
[17] 周兵全.老年人牙周炎相关危险因素[J].中国老年学杂志,2015,35(19):5594-5595.
[18] 赵瑞玲.引起牙周病相关影响因素的临床分析[J].医学理论与实践,2014,27(4):499-500.
[19] Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013 [J]. Lancet, 2015, 386(9995):743-800.
[20] 续彩霞,王丙娜,陈青,等.冠心病患者牙齿缺失数目与颈动脉病变相关性的临床研究[J].口腔医学研究,2016,32(6):592-595.
[21] 王辉,刘东旭.老年人牙周病患病情况及其影响因素分析[J].山东医药,2016,56(12):94-95.
[2] 齐小秋.第三次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社,2008.34.
[3] 第四次全国口腔健康流行病学调查技术组,中华口腔医学会.公益性行业科研专项(201502002)第四次全国口腔健康流行病学调查(2015-2018)工作手册[R].北京:中华口腔医学会,2015.31-34.
[4] Eke PI, Page RC, Wei L, et al. Update of the case definitions for population-based surveillance of periodontitis [J]. J Periodontol, 2012, 83(12):1449-1454.
[5] 范卫华,李剑波,赵望泓,等.广东省12～74岁人群牙龈出血、牙石情况抽样调查报告(2015-2016年)[J].口腔疾病防治, 2018,26(3):151-157.
[6] 钟声,张桂荣,丛芳.沈阳市65～74岁老年人牙龈出血及牙石检出情况抽样分析[J].中国实用口腔科杂志, 2013, 6(1):47-48.
[7] 刘聪,王红茹.北京地区体检人群牙石分布状况研究[J].中国医刊, 2011, 46(4):75-77.
[8] 尹志英,曾木秀,冯铁军,等.粤西北连南瑶族成人牙周病流行病学调查[J].临床口腔医学杂志, 2016, 32(6):329-332.
[9] Eke PI, Wei L, Borgnakke WS, et al. Periodontitis prevalence in adults ≥ 65 years of age, in the USA [J]. Periodontology, 2016, 72(1):76-95.
[10] 范卫华,李剑波,赵望泓,等.广东省15～74岁人群牙周健康状况抽样调查报告(2015-2016年)[J].口腔疾病防治,2017,25(12):767-773.
[11] 廖梓廷.引起牙周病相关影响因素logistic回归分析[J].中国继续医学教育,2017,9(9):118-119.
[12] 乔秀秀,胡朋飞,周玉双,等.慢性牙周炎的多因素分析[J].实用预防医学,2015,22(6):752-756.
[13] Jogezai U, Maxood A, Khan NA. Comparison of periodontal health status of smokers versus non-smokers [J]. J Ayub Med Coll Abbottabad, 2013, 25(1-2):183-186.
[14] 李理,杨介平,刘伟,等.影响慢性牙周炎患者病情严重程度的危险因素Logistics回归分析[J].解放军预防医学杂志,2018,36(1):110-112.
[15] 张俊健.老年重度牙周炎危险因素的相关性分析[J].实用口腔医学杂志,2015,31(6):841-843.
[16] 王卫东,董苁蓉,李蒙.体检人群中牙周炎危险因素的分析[J].中国热带医学,2014,14(5):571-573.
[17] 周兵全.老年人牙周炎相关危险因素[J].中国老年学杂志,2015,35(19):5594-5595.
[18] 赵瑞玲.引起牙周病相关影响因素的临床分析[J].医学理论与实践,2014,27(4):499-500.
[19] Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013 [J]. Lancet, 2015, 386(9995):743-800.
[20] 续彩霞,王丙娜,陈青,等.冠心病患者牙齿缺失数目与颈动脉病变相关性的临床研究[J].口腔医学研究,2016,32(6):592-595.
[21] 王辉,刘东旭.老年人牙周病患病情况及其影响因素分析[J].山东医药,2016,56(12):94-95.