南京市中青年复发性阿弗他溃疡患者生活习惯调查分析  

Investigation and analysis on the living habits of young and middle⁃aged patients with recurrent aphthous ul⁃cer in Nanjing

作　　者：许开源 周憧憧 刘婷 段宁[1] 王翔[1] 王演怡 郑丽纯[4] 王文梅[1] XU Kaiyuan;ZHOU Chongchong;LIU Ting;DUAN Ning;WANG Xiang;WANG Yanyi;ZHENG Lichun;WANG Wenmei(Department of Oral Medicine,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,China;Department of Scientific Research,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,China;Department of Endodontics,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,China;Department of Preventive Stomatology,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京市口腔医院·南京大学医学院附属口腔医院口腔黏膜病科,江苏南京210008 [2]南京市口腔医院·南京大学医学院附属口腔医院科研科,江苏南京210008 [3]南京市口腔医院·南京大学医学院附属口腔医院口腔牙体牙髓科,江苏南京210008 [4]南京市口腔医院·南京大学医学院附属口腔医院预防口腔科,江苏南京210008

出　　处：《口腔疾病防治》2020年第11期714-717,共4页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：国家自然科学基金项目(81870767);江苏省临床医学专项(BL2014018);江苏省卫计委预防医学科研课题(Y2015004);江苏省青年医学人才项目(QNRC2016118)。

摘　　要：目的了解南京市中青年人群生活习惯对复发性阿弗他溃疡(recurrent aphthous ulcer,RAU)患病率的影响,为预防中青年RAU提供参考依据。方法采用多级随机抽样方法,抽取南京市中青年850人,通过问卷调查南京市中青年RAU患病情况、生活习惯,采用单因素和多因素Logistic回归分析其影响因素。结果回收有效问卷799人,男性357人,女性442人,RAU患病率为20.5%。中、低精神压力水平发生RAU风险分别为高精神压力水平的0.533倍和0.419倍(P<0.05),说明高精神压力是RAU发病的危险因素。运动水平低者发生RAU风险为运动水平高者的1.513倍(P<0.05),说明高运动水平是RAU的保护因素。年龄、性别、吸烟、饮酒、就寝时间等差异均无统计学意义(P>0.05)。结论精神压力、运动是RAU患病的独立影响因素,运动水平较高、精神压力较低者RAU患病风险较低。Objective To explore the potential association between particular living habits and recurrent aphthous ulcers(RAU),and provide some references for RAU prevention among the young and middle⁃aged.Methods The mul⁃tistage random sampling method was adopted to select 850 young and middle⁃aged people in Nanjing.The disease sta⁃tus and living habits of young and middle⁃aged people with RAU in Nanjing were investigated by a questionnaire,and the influencing factors were analyzed by univariate and multivariate logistic regression analysis.Results The preva⁃lence of RAU was 20.5%among 799 individuals,including 357 men and 442 women.The risk of RAU at medium and low stress levels was 0.533 times and 0.419 times that at high stress levels,respectively(P<0.05),indicating that high stress was an independent risk factor for RAU.The risk of RAU in patients with low exercise levels was 1.513 times that in patients with high exercise levels(P<0.05),indicating that high exercise levels were a protective factor for RAU.There were no statistically significant differences in age,sex,smoking,drinking or bedtime(P>0.05).Conclu⁃sion Multivariate logistic regression showed that mental stress and physical activity were independent influencing fac⁃tors for the development of RAU.The living habits of RAU patients and RAU susceptible populations should be treated with corresponding interventions to prevent RAU.

关 键 词：复发性阿弗他溃疡 横断面研究 中青年 生活习惯 吸烟 饮酒 精神压力 运动 影响因素 

分 类 号：R781.5[医药卫生—口腔医学]