甘肃省35~74岁人群口腔健康状况调查  

Survey on oral health status of people aged 35-74 in Gansu province

作　　者：张植栋 王荻 刘善禾 杨金龙 赵建 康芬艳[3] 张宝平[1,2] 李志革[1,2] ZHANG Zhi-dong;WANG Di;LIU Shan-he;YANG Jin-long;ZHAO Jian;KANG Fen-yan;ZHANG Bao-ping;LI Zhi-ge(School of Stomatology,Lanzhou University,Gansu 730000,China;Department of Oral and Maxillofacial Surgery,Hospital of Stomatology,Lanzhou University;Gansu Province Centre for Disease Control and Prevention)

机构地区：[1]兰州大学口腔医学院,甘肃730000 [2]兰州大学口腔医院口腔颌面外科 [3]甘肃省疾病预防控制中心

出　　处：《预防医学论坛》2023年第2期91-95,108,共6页Preventive Medicine Tribune

基　　金：中华口腔医学会西部口腔医学临床科研基金(CSA-W2021-06)。

摘　　要：目的调查甘肃省35~74岁人群口腔健康状况并分析其影响因素,为制定口腔疾病防治策略提供建议及参考。方法于2015-2016年采用多阶段分层随机抽样方法,随机抽取甘肃省4个地区的435名35~74岁中老年人进行口腔检查与问卷调查,利用SPSS20.0软件对患龋率及牙周健康率进行统计学分析。结果甘肃省中老年人群冠龋患龋率为94.5%,龋均为(11.51±9.73),充填率为16.1%;根龋患龋率为32.2%,龋均为(0.89±2.16),充填率为2.3%,牙周健康率为5.3%;农村(冠龋:O R=4.645,95%CI为1.266~17.046。根龋:O R=2.190,95%CI为1.263~3.796)、65~74岁(冠龋:O R=5.915,95%CI为1.216~28.715。根龋:O R=7.820,95%CI为3.898~15.687)是冠龋与根龋的危险因素,但是65~74岁(35~44岁:O R=0.216,95%CI为0.058~0.803。55~64岁:O R=0.247,95%CI为0.079~0.772)却是牙周健康的保护因素。结论甘肃省中老年人群患龋率高,充填率低,牙周健康率低,城乡差异明显。Objective To investigate the oral health status of people aged 35 to 74 in Gansu province and analyze its influencing factors,so as to provide suggestions and references for the formulation of oral disease prevention and treatment strategies.Methods From 2015 to 2016,435 middle-aged and elderly people aged 35-74 years in four regions of Gansu province were randomly selected for oral examination and questionnaire survey using multi-stage stratified random sampling method.The prevalence of caries and periodontal health rate were statistically analyzed by SPSS20.0 software.Results The prevalence of crown caries among middle-aged and elderly population in Gansu province was 94.5%,the mean DMFT was(11.51±9.73),and the filling rate was 16.1%.The prevalence of root caries was 32.2%,the mean DFRoot was(0.89±2.16),the filling rate was 2.3%.The periodontal health rate was 5.3%.Rural areas(crown caries:OR=4.645,95%CI=1.266-17.046;root caries:OR=2.190,95%CI=1.263-3.796),65-74 years old(crown caries:OR=5.915,95%CI=1.216-28.715;root caries:OR=7.820,95%CI=3.898-15.687)were the risk factors for crown caries and root caries,but 65-74 years old(35-44 years old:OR=0.216,95%CI=0.058-0.803;55-64 years old:OR=0.247,95%CI=0.079-0.772)was the protective factor for periodontal health.Conclusion The middle-aged and elderly people in Gansu province have a high caries rate,a low filling rate and a low periodontal health rate.There is a significant difference between urban and rural areas.

关 键 词：甘肃省 中老年人 口腔健康 影响因素 现况调查 

分 类 号：R780.1[医药卫生—口腔医学]