广州市城郊社区中老年人牙周健康状况调查分析  

Investigation and analysis of the periodontal health of the middle aged and elder people in Guangzhou suburban community

作　　者：陈翠婷[1] 王萍[1] 肖峰[1] 梁焕友[1] 吴坚[1] 

机构地区：[1]中山大学附属第三医院口腔科,广州510630

出　　处：《中华口腔医学研究杂志（电子版）》2014年第1期38-42,共5页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：广东省科技计划(2009B030801134)

摘　　要：目的 了解社区中老年人牙周保健知识及存在问题,并探讨城郊社区中老年人牙周健康状况差异,分析影响受检人群进行牙周保健的相关因素。方法 采用多阶段等容量随机方法,抽取广州市目标人群年龄介于35 - 74岁的城郊常住人口600人,男女比例接近1 ∶ 1。对受检人群进行问卷调查,使用社区牙周指数（CPI）探针检查指数牙,得出CPI。结果 本次流行病学调查受检人群刷牙次数不少于2次/天者占68.1%,牙线、间隙刷或冲牙器使用率仅为2.4%。受检人群牙龈出血（自发、刷牙或咀嚼）率为53.0%。城区组中接受过龈上洁治者占50.3%,高于郊区组的29.1%（ X^2 = 26.026,P 〈 0.001）。CPI检查结果显示,城区组CPI 均数为（3.35 ± 1.54）,郊区组CPI均数为（3.70 ± 1.71）,两组比较差异具有统计学意义（t = -2.533,P = 0.012）。受检总人群CPI得分为3的人群占50.5%,CPI得分为4的人群占22.0%。非条件Logistic回归分析结果显示,性别、年龄、受教育程度、牙龈出血（自发、刷牙或咀嚼）与牙周炎的严重程度具有相关性。结论 本研究中流行病学调查结果提示,广州市城郊社区中老年人牙周病患病率较高,口腔保健意识淡薄,对正确的牙周保健方法较为陌生。性别、年龄、受教育程度、牙龈出血（自发、刷牙或咀嚼）与广州市城郊社区中老年人的牙周炎严重程度具有相关性。Objective The situation of oral health knowledge as well as the main oral hygiene problems of the middle aged and elder people in Guangzhou urban and suburb communities was evaluated utilizing questionnaire tests. The differences in periodontal health between urban and suburb communities were compared by community periodontal index （CPI）. Furthermore, the related factors affect tested people on periodontal health were analyzed. Methods Six hundred middle aged and elder people （ages ranged from 35 to 74） were randomly selected from Guangzhou urban and suburb communities as the subjects utilizing the multi-stage capacity stochastic method, gender ratio approximate 1 ∶ 1. Questionnaire survey was conducted, and CPI code was got using CPI probe. Results According to questionnaire results, 68.1% subjects in urban and suburb groups brushed no less than twice per day with an incidence of gingival bleeding （Spontaneous, brush or chew） of 53.0%, and only 2.4% of the subjects used floss, interdental brush or water pick. Comparing the results between urban and suburb groups, 50.4% of the urban subjects were submitted to scaling, while the percentage dropped to 29.1% for suburb group （X2 = 26.026, P 〈 0.001）. The results show that the CPI code X （S） of urban groups is 3.35（1.54）, and the suburb groups is 3.70（1.71）. It shows statistical significant difference between the two groups （t = -2.533, P = 0.012）. 50.5% of the subjects demonstrated a CPI code 3, 22.0% subjects showed a CPI code 4. Based on logistic regression analysis, the gender, age, education degree and state of gingival bleeding （Spontaneous, brush or chew） were significantly associated with the severity of periodontal disease. Conclusions Middle aged and elder people in Guangzhou urban and suburb communities demonstrate a high incidence of periodontal disease with relatively weak oral hygiene awareness. Gender, age, education degree and state of gingival bleeding （Spontaneous, brush or chew） are relative with the seve

关 键 词：牙周疾病 牙周状况调查 社区牙周指数 

分 类 号：R781.4[医药卫生—口腔医学]