江苏省12~15岁中学生牙周健康状况抽样调查  

An epidemiological investigation of periodontal status in students aged 12 to 15 years old in Jiangsu Province

作　　者：肖滢 刘怡然[1] 沈红[1] 仇颖莹 沈家平[1] XIAO Ying;LIU Yiran;SHEN Hong;QIU Yingying;SHEN Jiaping(Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Department of Pediatric and Preventive Dentistry,Affiliated Hospital of Stomatology,Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学口腔疾病研究江苏省重点实验室,南京医科大学附属口腔医院儿童口腔预防科,江苏南京210029 [2]苏州科技城医院口腔科,江苏苏州215153

出　　处：《口腔医学》2020年第3期249-254,共6页Stomatology

基　　金：公益性行业科研专项(201502002);江苏高校优势学科建设工程(2018-87)。

摘　　要：目的通过调查江苏省中学生牙龈出血、牙石指数等牙周临床指标,了解该地区中学生牙周健康状况,为制定江苏省中学生口腔卫生保健工作提供一定的理论依据。方法采用分层多阶段等容量随机抽样的方法抽取12~15岁4个年龄段中学生共3914人。检查其牙龈出血、牙石、牙周袋深度及15岁中学生附着丧失情况,采取非参数检验分析均数,采取卡方检验分析率。结果江苏省12~15岁中学生牙龈出血检出率为89.68%,男女间无明显差异,乡村显著低于城市(P<0.001);牙石检出率为84.59%,男性明显高于女性(P<0.05),乡村显著低于城市(P<0.001)。其中12岁、13岁、14岁、15岁牙龈出血检出率分别为89.16%、89.05%、89.06%、91.46%,年龄组间无明显统计学差异;牙石检出率分别为79.75%、83.16%、85.48%、90.02%,其中12与14岁、12与15岁、13与15岁、14与15岁之间有统计学差异(P<0.05)。结论江苏省12~15岁中学生牙龈出血和牙石检出率较高,牙龈炎症控制情况不良,明显低于全国平均水平,应加强中学生的口腔健康教育工作。Objective To understand the oral health status of middle school students in Jiangsu Province by investigating clinical periodontal indexes such as gingival bleeding and dental calculus number among middle school students,and to provide a reliable theoretical evidence for formulating oral health care for middle school students in Jiangsu Province.Methods A total of 3914 middle school students aged 12-15 years old were selected by the method of multistage,stratification,equal capacity and simple random.The gingival bleeding,dental calculus,periodontal pocket depth and the attachment loss of the 15-year-old students were examined.Then the mean was analyzed by Kruskal-Wallis H Test,and the rates were analyzed by Chi-squared Test.Results The prevalence rate of gingival bleeding among middle school students aged 12-15 in Jiangsu Province was 89.68%.There was no significant difference in gender,but the prevalence rate of gingival bleeding in rural areas was significantly lower than that in urban areas(P<0.001).The prevalence rate of dental calculus was 84.59%and the prevalence rate of dental calculus in males was significantly higher than that in females(P<0.05),and that in rural areas was significantly lower than that in urban areas.The prevalence rates of gingival bleeding at 12,13,14 and 15 years old were 89.16%,89.05%,89.06%and 91.46%respectively,without significant statistical difference.The prevalence rates of dental calculus were 79.75%,83.16%,85.48%and 90.02%respectively.There were statistical differences between 12 and 14 years old,12 and 15 years old,13 and 15 years old,14 and 15 years old(P<0.05).Conclusion The prevalence rates of gingival bleeding and calculus of middle school students aged 12-15 in Jiangsu Province is high,but the control of gingival inflammation is poor,which is significantly lower than the national average.Therefore,it is necessary for middle school students to strengthen oral health education.

关 键 词：牙周炎 口腔流行病学 江苏省 

分 类 号：R780.1[医药卫生—口腔医学]