上海市不同职业成人牙周健康状况抽样调查  

A study on the state of periodontal health of 400 professional adults by random sampling in Shanghai

作　　者：金鸿莱[1] 束蓉[1] 尹元正[1] 谢云峰[1] 顾晶晶[1] 葛琳华[1] 程岚[1] 王恒松[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔内科,上海市口腔医学研究所,上海市口腔医学重点实验室,上海200011

出　　处：《上海口腔医学》2006年第6期585-590,共6页Shanghai Journal of Stomatology

基　　金：国家十五攻关项目(2004BA720A26);上海市科学技术委员会科研基金(0352nm126);上海市医学领先专业重点学科建设项目(94-III-008)

摘　　要：目的抽样调查和分析400例上海市常住在职成年人牙周健康情况及相关因素。方法采用分层、整群、随机抽样方法,在郊区抽取农民200例,市区抽取职员和工人各100例,年龄25～59岁,男249例,女151例,进行问卷调查,并检查全口余留牙的牙龈指数(GI)、牙周探诊深度(PD)、临床附着丧失(CAL)、牙龈探诊出血(BOP)和松动度(mobility)情况。指数牙16、11、26、31、36和46,每个指数牙检查6个位点。采用SAS6.12软件包进行统计学分析。结果上海市成年人人群简化口腔卫生指数OHI-S=2.16±0.99,口腔卫生状况中等;人群牙龈指数GI=1.2227,牙龈炎为中度流行。上海市不同职业成年人牙周破坏程度有显著差异,其中职员的牙周破坏程度最轻;不同年龄组间也有极显著差异,高年龄组的牙周破坏重于低年龄组。轻、中度牙周炎146例,占36.5%,重度牙周炎140例,占35%。受检者中,接受过高中教育者317例,占79.25%;受过大学教育者79例,占19.75%;研究生文化程度者4例,占1%。患者受教育程度与牙周破坏的严重程度无显著相关性。400例被调查者中,330例从未接受过治疗,占82.5%;曾洁牙者70例,占12.5%;接受过正规的牙周治疗者仅13例,占3.25%。结论上海地区人群口腔卫生教育及牙周防病、治病意识还须加强。PURPOSE： To investigate and analyze the state of periodontal health of 400 adults at their post and risk factors in Shanghai. METHODS： 400 subjects （249male, 151female）, aged from 25 to 59, were requested to fill a questionnaire. The probing depth （PD）, clinical attachment level （CAL）, tooth mobility （TM） and bleeding on probing （BOP） on 6 sites of each indicated tooth were measured and recorded. SAS 6.12 software package was used for statistical analysis. RESULTS： OHI-S of Shanghai adults at their post was 2.16±0.99 and GI=1.2227, indicating moderate gingivitis. The difference of periodontal disease among the adults at varied occupations in Shanghai municipality was significant. Periodontal destruction of the clerk group was the lightest The difference of periodontal disease among the adults at varied age groups in Shanghai municipality was also significant. Periodontal destruction of the elder group was heavier than of the lower age group. 146 subjects suffered from initial to moderate periodontitis. 140 subjects suffered from advanced periodontitis. 79, 317 and 4 subjects had received college education, high school education and postgraduate school education respectively. There was no relationship between the severity of periodontitis and educational level. 330 out of 400 （82.5%） subjects had never been treated, 70 out of 400 （12.5%） had scaling, and only 3.25% of subjects had received regular periodontal treatment. CONCLUSION： It is very important to develop an education program on oral health for people in Shanghai. Supported by National ＂Tenth Five-Year＂ Key Project （Grant No.2004BA720A26）, Research Fund of the Science and Technology Committee of Shanghai Municipality （Grant No.0352nm126） and Shanghai Leading Academic Discipline Project（Grant No.94-Ⅲ-008）.

关 键 词：上海市 牙周炎 牙周探诊深度 临床附着丧失 抽样调查 

分 类 号：R781.4[医药卫生—口腔医学]