江苏省中老年人群牙齿缺失及义齿修复情况抽样调查报告  

Analysis of periodontal health status and influencing factors of middle-aged and elderly people in Jiangsu Province: A sample survey report

作　　者：郭岩 刘怡然[1] 黄鑫 沈家平[1] GUO Yan;LIU Yiran;HUANG Xin;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

出　　处：《口腔医学》2020年第5期453-456,470,共5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资助项目(2018-87);江苏省预防医学科研课题(Y2018103,Y2018104)。

摘　　要：目的了解江苏省中老年人牙齿缺失和义齿修复情况,分析其变化趋势,为制定口腔卫生政策提供依据。方法根据第四次全国口腔健康流行病学调查方法,采用分层、多阶段、等容量随机抽样的方法,抽取江苏省35~74岁城乡居民450人,其中35~44岁146人,55~64岁153人,65~74岁151人。对其进行牙齿缺失及修复情况的调查。结果在被调查的450名成年人中,牙列完整占38.22%,牙列缺损占61.11%,牙列缺失占0.67%。随着年龄增长,牙列完整率降低,牙列缺损率上升,缺失牙数上升(P<0.05)。江苏省中老年人缺失牙均数为(3.16±5.17)颗,城镇居民缺失牙数少于农村居民(P<0.05)。中老年人义齿修复率50.36%,城镇居民固定义齿检出率高于农村居民(P<0.05),城镇居民义齿修复率高于农村居民(P<0.05),随着年龄增长,固定义齿检出率、可摘局部义齿检出率、非正规义齿检出率上升(P<0.05)。结论江苏省中老年人牙齿缺失和义齿修复状况依然不容乐观。建议进一步完善口腔保健措施,提高居民口腔保健意识,改善中老年人的缺牙修复水平。Objective To understand the status of tooth loss and denture restoration of middle-aged and elderly people in Jiangsu, and analyze the trend of change, so as to provide a basis for making oral health policies. Methods According to the protocol of the 4 th National Oral Health Survey, a multistage stratified random cluster-sampling method was used to enroll adult subjects aged 35 to 74 years old in Jiangsu. A total of 450 people were selected, including 146 people aged 35 to 44, 153 people aged 55 to 64 and 151 people aged 65 to 74. The status of tooth loss and denture restoration was investigated. Results Among the 450 subjects investigated, 38.22% had complete dentition, 61.11% had dentition defects, and 0.67% were edentulous. With the increase of age, the rate of complete dentition decreased significantly, the rate of dentition defect increased significantly and the mean of missing teeth increased significantly(P<0.05). The mean of missing teeth was 3.16±5.17, which in rural areas was significantly higher than in urban areas(P<0.05). The rate of restoration of tooth loss was 50.36% in Jiangsu. The detection rate of fixed partial dentures was statistically higher in urban areas than in rural areas(P<0.05). However, the rates of unrepair of tooth loss were significantly lower in urban than in rural areas(P<0.05). With the increase of age, the detection rates of fixed partial dentures, removable partial denture and irregular denture increased significantly(P<0.05). Conclusion The situation of tooth loss and denture restoration in Jiangsu is still not optimistic. It is suggested to improve the oral health care measures, raise the awareness of oral health care among the residents, and improve the level of tooth restoration of middle-aged and elderly people.

关 键 词：中老年人 牙齿缺失 义齿修复 江苏 

分 类 号：R780.1[医药卫生—口腔医学]