重庆市老年人口腔健康现状及影响因素分析  

Analysis on oral health status and its influencing factors among elderly people in Chongqing City

作　　者：李雅冬[1] 李奕 彭方毅[3] 姜海蓉[3] 

机构地区：[1]重庆医科大学附属第一医院口腔颌面外科,400016 [2]重庆市潼南县人民医院口腔科,402660 [3]重庆理工大学药学与生物工程学院,重庆400054

出　　处：《重庆医学》2016年第31期4399-4401,共3页Chongqing medicine

基　　金：重庆市教育委员会人文社会科学研究基金资助项目(15SKG032)

摘　　要：目的 了解重庆市老年人口腔健康现状及其影响因素,分析口腔健康现状对老年人生活的影响.方法 抽取重庆市部分区（县）432名65～74岁的老年人,应用老年口腔健康评价指数、口腔健康调查表和自制的口腔健康行为调查表进行调查.结果 收回有效问卷共428份,根龋209例,牙龈出血297例,牙周袋大于或等于4 mm共178例,人均存留牙数（20.69士3.02）颗.良好行为组和不良行为组根龋、牙龈出血和牙周袋大于或等于4 mm的发病率和人均存留牙数差异均有统计学意义（P＜0.05）.有根龋的老年人的生理功能和疼痛与不适评分明显下降,与未患根龋的老年人比较,差异有统计学意义（P＜0.05）;牙周袋大于或等于4 mm的老年人的生理功能、心理社会功能和疼痛与不适评分明显下降,与无牙周袋或牙周袋小于4 mm的老年人比较,差异有统计学意义（P＜0.05）.结论 良好的口腔健康行为可保障老年人的口腔健康,应促进老年人的良好口腔健康行为的形成.Objective To understand the oral health status and its influencing factors among elderly people in Chongqing City and to analyze the effect of oral health status on the life of elderly people. Methods A total of 432 elderly people aged 65-74 years old were extracted from the various districts of Chongqing City. The geriatric oral health assessment index（GOHAI）, oral health questionnaire and self-made oral health behaviors questionnaire were applied to conduct the survey. Results There were 428 valid questionnaires,209 cases were root caries,297 cases were bleeding gums and 178 cases were＂ the periodontal pocket depth ≥4 mm, the number of remaining teeth per person was 20.69 ± 3.02. The incidences of root caries, bleeding gums and periodontal pocket depth≥4 mm and the number of remaining teeth per person had statistical difference between the good oral health behaviors group and poor oral health behaviors group（P〈0.05）. The physiological function, pain and discomfort scores of elderly people with root caries were significantly decreased, there were statistically significant differences compared with the elderly people without root caries （P〈0.05）;the physiological function, psychosocial function, pain and discomfort scores of elderly people with periodontal pocket depth≥4 mm were significantly decreased,there were statistically significant differences compared with the elderly people without periodontal pocket depth or periodontal pocket depth〈4 mm（P〈0.05）. Conclusion Good oral health behaviors can protect the oral health of the elderly people. The formation of good oral health behavior in elderly people should be promoted.

关 键 词：龋齿 口腔健康 牙周疾病 

分 类 号：R787[医药卫生—口腔医学]