深圳福田社区老年人根面龋干预模式研究  

Research on Cement Caries Intervention Model for Elderly People in Shenzhen Futian Community

作　　者：杨玉慧[1] 赵云鹏[1] 向莹君[1] 

机构地区：[1]深圳市福田区慢性病防治院口腔科,广东深圳518040

出　　处：《口腔医学研究》2017年第3期328-330,共3页Journal of Oral Science Research

基　　金：深圳市福田区卫生公益性科研项目资助;项目编号:FTWS2015071

摘　　要：目的:探究分析深圳市福田区益田社区老年人根面龋的干预效果。方法:2013年1月~2015年1月从福田区益田社区随机选取65岁以上老年人100例,分为干预组(n=50)和对照组(n=50),利用社康中心每年为65岁以上老年人进行一次健康体检,开展基线调查,掌握老年人根面龋情况,并进行风险评估。干预组采用健康教育联合根面涂玻璃离子保护膜为核心的综合干预,对照组不采取任何干预,随访18个月,观察两组老年人的根面龋防治效果。结果:嗜好甜食、睡前刷牙习惯以及刷牙频率等因素是影响老年人根面龋发生的关键因素,干预组老年人根面龋防治成功率(92.0%)显著高于对照组(64.0%),两组比较具有显著性统计学意义(P<0.05)。结论:健康教育联合根面涂玻璃离子保护膜干预能够有效提高社区老年人根面龋的防治效果,针对老年人根面龋发生的影响因素,应指导老年人注意日常生活习惯的改善,加强健康教育指导,同时采取根面涂玻璃离子保护膜的防护措施,最大程度上降低老年根面龋发生率。Objective：To study the intervention effect of cement caries in the elders of Yitian community in Shenzhen,Futian District.Methods：From January 2013 to January 2015,100 elders with aged 65 in Yitian community of Futian district were randomly divided into intervention group（n=50）and the control group（n=50）.A baseline survey was conducted to understand the root caries in older adults and to assess the risk during the process of social health center physical examination for 65-year-old or older each year.The intervention group was given comprehensive intervention with health education combined with the glass ion diaphragm,while the control group received no intervention.The effect of root caries prevention in two groups after 18months＇ followed up was observed.Results：The main factors affecting the incidence of root caries in the elderly were the factors such as eating sweets,brushing teeth before going to bed and brushing frequency,the success rate of root surface caries prevention in the elderly of intervention group（92.0%）was significantly higher than that of control group（64.0%）,which was significant statistical difference（P〈0.05）.Conclusion：Health education combined root surface coated glass ion diaphragm intervention can effectively improve the community elderly root caries prevention effect.For the influence factors of root surface caries in the elderly,the elderly should be instructed to pay attention to the improvement of daily habits,strengthened health education guidance,and taken root surface coated glass ion coating protective measures at the same time,with aim to maximally reduce the incidence of senile cement caries.

关 键 词：根面龋 老年人 健康教育 玻璃离子保护膜 

分 类 号：R781.1[医药卫生—口腔医学]