石家庄市孕妇牙周健康状况调查及相关因素分析  

A survey on periodontal health status of 429 pregnant women in Shijiazhuang and analysis on related factors

作　　者：田曼 王宇 胡永发 李瑾 TIAN Man;WANG Yu;HU Yongfa(Department of Stomatology,Shijiazhuang Maternity&Child Healthcare Hospital,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北省石家庄市妇幼保健院口腔科,050000

出　　处：《河北医药》2022年第21期3341-3344,共4页Hebei Medical Journal

基　　金：石家庄市科学技术研究与发展计划项目(编号:191200493)。

摘　　要：目的对定期产检孕妇的牙周健康状况进行并分析可能影响孕妇牙周状况的相关因素。方法选择2019年6月至2020年12月在产科门诊进行定期产检的孕妇429名进行牙周健康检查,依据不同孕周及不同年龄进行分组,检查不同组别孕妇的牙龈出血指数(BI)及牙石指数(CI)情况并进行比较。结果按孕周不同,分为孕早期、孕中期及孕晚期,其中孕早期孕妇共79人(18.41%),孕中期孕妇共126人(29.37%),孕晚期孕妇共224人(52.21%)。将孕妇按年龄分为3组,<25岁组32人(7.46%),25~35岁326人(75.99%),>35岁71人(16.55%)。患牙周炎的孕妇共294人(68.53%),孕早期为54.43%,孕中期为70.63%,孕晚期为72.32%,随着孕周的增长,患牙周炎的概率呈增长趋势(P<0.05);<25岁组为53.13%,25~35岁组为71.78%,>35岁组为60.56%,差异有统计学意义(P<0.05)。孕妇的牙石检出率,孕早期组为64.56%、孕中期组为81.74%和孕晚期组为85.71%,全部孕妇牙石检出率为80.65%,差异有统计学意义(P<0.05);<25岁组牙石检出率为84.83%,25~35岁组牙石检出率为82.21%,>35岁组牙石检出率为71.83%,3组差异无统计意义(P>0.05)。农村居住孕妇有效刷牙率为10.61%,城镇居住孕妇有效刷牙率为28.96%,差异有统计学意义(P<0.05);不同收入孕妇有效刷牙率分别为低收入孕妇14.29%,中收入孕妇20.41%,高收入孕妇30.90%,3组差异有统计学意义(P<0.05)。结论妊娠期孕妇牙周健康状况较差,针对孕妇口腔健康宣教工作应该受到口腔医生以及产科医生的重视,并在日常工作中广泛开展牙周健康宣教工作。Objective To check the periodontal health status of pregnant women receiving regular antenatal examination,and to analyze the influencing factors of periodontal status.Methods 429 pregnant women receiving regular antenatal examination in the Obstetrics were selected as the study subjects,they were assigned into groups based on different gestational weeks and ages,and the gingival bleeding index(BI)and calculus index(CI)were examined and compared.Results Pregnant women were assigned into the first trimester(n=79,18.41%),second trimester(n=126,29.37%)and third trimester(n=224,52.21%)based on different gestational weeks.Pregnant women were assigned into 3 groups based on the age with 32(7.46%)cases in the<25-years old group,326(75.99%)cases in the 25~35 years old group,and 71(16.55%)cases in the>35-years old group.Totally 294 pregnant women suffered from periodontitis,accounting for 68.53%of all the pregnant women.The probability of periodontitis varied in different pregnancy,the probability of first trimester,second trimester and third trimester was 54.43%,70.63%and 72.32%,respectively,and the probability of periodontitis showing the ascending trend with the increase of gestational weeks(P<0.05).The probability of pregnant women with periodontitis in the<25-years old group,the 25~35 years old group and the>35-years old group was 53.13%,71.78%and 60.56%,respectively,and the difference was statistically significant(P<0.05).The detection rate of calculus of pregnant women in first trimester,second trimester and third trimester was 64.56%,81.74%and 85.71%,respectively,the detection rate of calculus in all pregnant women was 80.65%,and with statistically significant difference(P<0.05);the detection rate of calculus of pregnant women in the<25-years old group,the 25~35 years old group and the>35-years old group was 84.83%,82.21%and 71.83%,respectively,and with no statistically significant difference(P>0.05).The effective tooth brushing rate of pregnant women living in different places of residence and monthly incomes was

关 键 词：牙周健康状况 牙周炎 牙石 牙周探诊 

分 类 号：R195[医药卫生—卫生统计学]