妊娠期妇女牙周炎症状况的多因素分析  

Multi-factor analysis on the periodontal status of pregnant women

作　　者：黄慧[1] 姚本栈[1] 凌厉[1] 蒋霞[2] 王士艳[2] 刘静[2] 

机构地区：[1]无锡市精神卫生中心口腔科,江苏无锡214000 [2]无锡市妇幼保健院妇保科,江苏无锡214000

出　　处：《临床口腔医学杂志》2014年第6期359-362,共4页Journal of Clinical Stomatology

基　　金：无锡市科技计划指导性项目(CSZ00N1121)

摘　　要：目的：调查孕妇的牙周健康认知情况和牙周状况，对妊娠期妇女牙周炎症状况进行多因素分析。方法：选择2012年1～12月在无锡市妇幼保健院就诊孕妇906名，调查方法包括问卷调查和临床牙周检查，应用SPSS 12．0软件进行t检验、x2检验和Logistic回归分析。结果：①受教育程度较低和月收入为中低水平的孕妇牙周健康知识认知情况较差。②无锡市孕妇的牙周疾病患病率为81．2％，其中牙龈炎和牙周炎患病率分别为55．7％和25．5％。选用非药物牙膏（OR值＝1．33）、受教育程度较低（OR值＝1．32）、每天刷牙1次（OR值＝4．62）、刷牙时间＜1 min（OR值＝1．71）、BMI＞25．0（OR值＝1．23）、孕前1年无就诊（OR值＝3．42）、无洁牙习惯（OR值＝2．16）、不知道刷牙3．3．3．规则（OR值＝1．85）、不使用漱口水（OR值＝1．15），月收入较低（OR值＝1．65）为牙龈炎的危险因素（P＜0．05）；年龄＞30岁（OR值＝2．79）、孕前或孕期患有全身性疾病（OR值＝2．31）、每天刷牙1次（OR值＝1．68）、BMI＞25．0（OR值＝1．19）、孕前1年无就诊（OR值＝4．16）、无洁牙习惯（OR值＝2．31）、不知道刷牙3．3．3．规则（OR值＝1．56）、月收入较低（OR值＝1．41）为牙周炎的危险因素（P＜0．05）。结论：孕妇牙周疾病的发病率受年龄、受教育情况、收入、刷牙次数、刷牙时间、孕前或孕期患有全身性疾病、洁牙等多种因素影响，需要加强孕妇牙周健康知识教育，其中低学历、低收入者为重点教育人群。Objective：To survey on knowledge of periodontal health and periodontal status of pregnant women by an analysis of the multi-factors. Method：906 pregnant women were selected in Wuxi Maternal and Child Health-Care Hospital during 2012 January-December. The in-formation related to pregnancy was collected through a questionnaire. Women were given periodontal examination. The result was analyzed with t-test,chi-square test and Logistic regression analysis. Result：①The knowledge on periodontal health was poor in pregnant women with low educational levels and low income levels.②The result showed that the gingivitis and periodontitis were diagnosed in 55.7%and 25.5%separately of these women. Use non-drug toothpaste（OR=1.33）,low educational levels（OR=1.32）,one time of daily brushing（OR=4.62）,brushing time less than a minute（OR=1.71）,BMI〉25（OR=1.23）,before 1 years without treatment（OR=3.42）,no toothwash habits（OR=2.16）, unknown the rules of brush 3.3.3.（OR=1.85）,do not use mouthwash slobber（OR=1.15）,low income level（OR=1.65） were risk factors of gingivitis（P 〈0.05）. Over 30 years of age（OR=2.79）,before or during pregnancy with systemic disease（OR=2.31）,one time of daily brushing（OR=1.68）,BMI〉25（OR=1.19）,before 1 years without treatment（OR=4.16）,no toothwash habits（OR=2.31）,unknown the rule of brush 3.3.3.（OR=1.56）,low income level（OR=1.41） were risk factors of periodon-titis （P 〈0.05）. Conclusion：The prevalence of pregnant women periodontal disease is affected by age ,education,income, frequency of brushing,brushing time,before or during pregnancy with systemic disease,and other factors. We need to strengthen the periodontal health education of pregnant women,The pregnant women with low educational level and low in-come level is the focus of education.

关 键 词：妊娠 牙周疾病 多因素分析 

分 类 号：R781.4[医药卫生—口腔医学]