上海市老年人义齿修复状况抽样调查及影响因素分析  

The sampling survey of denture restoration situation and its influence factors of the elders in Shanghai

作　　者：程竑[1,2] 曾晓莉 曹素华[4] 李存荣 徐玮 冯希平 

机构地区：[1]上海市口腔病防治院口腔修复科,上海200001 [2]上海交通大学医学院,上海200025 [3]上海市口腔病防治院口腔预防科,上海200001 [4]复旦大学公共卫生学院卫生统计教研室,上海200032 [5]上海交通大学医学院附属第九人民医院·口腔医学院口腔预防儿童科.上海市口腔医学研究所,上海200011

出　　处：《上海口腔医学》2009年第5期467-471,共5页Shanghai Journal of Stomatology

基　　金：上海市卫生局科研课题(2007009)~~

摘　　要：目的:评估上海市老年人的义齿修复情况及其影响因素,为政府有关部门制定相关政策提供依据。方法:采用多阶段分层等容量随机抽样方法,调查上海市788名65～74岁老年人的口腔及义齿修复情况,对其中325人的社会经济信息和生活健康信息进行问卷调查,应用Logistic回归模型分析影响缺牙老人是否进行义齿修复的相关因素。结果:该样本组缺牙患者义齿修复率仅为61.37%,牙列缺损患者义齿修复率显著低于牙列缺失患者(P<0.01)。固定义齿、活动义齿、固定+活动义齿、全口义齿和非正规固定桥分别为21.94%、41.58%、5.87%、20.92%和9.69%。郊区老人全口义齿、固定义齿及非正规固定桥的比例显著高于城区(P<0.01)。Logistic回归分析显示,缺牙位置、性别和缺牙数量是影响缺牙老人是否进行义齿修复的主要因素。结论:上海老年人缺牙患者义齿修复率普遍较低,提示政府有关部门应采取积极措施,强化居民口腔保健意识,提高老年患者义齿修复的及时性和有效性。PURPOSE： The prosthetic status and associated factors of the elders in Shanghai were evaluated to provide references for the government to issue related policies. METHODS： The multi-stage stratified and isometric random sampling was used.The information of tooth loss and prosthodontic restoration was collected by oral examination in 788 elder residents aged between 65 to 74 years in Shanghai, and 325 subjects was randomly drawn from the given group to collect the information concerning socioeconomic factors and life health situation by means of interviewer administered questionnaire. A Logistic regression model（Stata.7.0） was used to analyze the related factors that have effects on whether or not those elders would choose to do the restoration. RESULTS： The restoration rate of the patient was 61.73%. The restoration rate of the patients with the defect of dentition was significantly lower than that of the edentulous （P〈0.01）.The constituent ratio of the denture restoration with fixed denture, the removable denture, the fixed denture and removable denture, the full denture, the informal fixed bridge was 21.94%, 41.58%, 5.87%, 20.92%, 9.69%, respectively. The ratio of full denture, fixed denture and informal fixed bridge of the suburb elders was significantly higher than that of the urban ones（P〈0.01）. Logistic regression analysis revealed that the position of teeth defect, the gender and the number of missing teeth were significant predictors of denture or non-denture wearers. CONCLUSIONS： Ratio of denture wearers is low in the older individuals with missing teeth in Shanghai. It is suggested that the government should take effective efforts to strengthen the people＇s oral health consciousness so that the elder patients could restore their lost teeth in time and more effectively. Supported by Research Project of Shanghai Municipal Health Bureau （Grant No.2007009）.

关 键 词：老年人 义齿 修复 流行病学调查 上海 

分 类 号：R783.6[医药卫生—口腔医学]