西部某部420名官兵口腔常见疾病调查结果分析与思考  

Analysis and reflection on survey results for oral diseases in 420 officers and soldiers of a western unit

作　　者：孟娜 李刚 轩昆 郭静 MENG Na;LI Gang;XUAN Kun;GUO Jing(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Disease,Shaanxi Clinical Research Center for Oral Diseases,Department of Preventive Dentistry,School of Stomatology,Air Force Medical University,Xi'an 710032,China)

机构地区：[1]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学口腔医院预防科,陕西西安710032

出　　处：《空军军医大学学报》2023年第9期844-847,共4页Journal of Air Force Medical University

基　　金：军队后勤科研重点项目(BLB18J005);陕西省重点研发计划项目(2021SF-263);军事口腔医学国家重点实验室自主研究课题(2020ZA04)。

摘　　要：目的调查基层部队官兵的口腔健康状况,结合调查结果,提出基层部队口腔士官诊疗范围以供参考。方法参考第四次全军口腔健康调查标准设计调查问卷,采用整群抽样方式对西部某部官兵进行口腔疾病调查。结果西部某部官兵420人龋病患病率为53.80%(95%CI:49.0%~58.6%),龋均1.99;牙石检出率75.24%;共有1636颗牙齿需要治疗(包含阻生齿,患龋智齿与残根),其中41.97%牙需要充填治疗,16.25%牙需要窝沟封闭,35.92%牙需拔除。采用二元logistic回归探索官兵年龄、入伍时间、文化程度、兵源与军衔对龋病患病的影响,模型系数的Omnibus检验P=0.226,认为上述因素对官兵龋病患病没有影响。Mann-Whitney U检验比较入伍≤5年与入伍>5年官兵智齿情况,认为已拔除智齿有差别(P<0.01),即入伍时间越长,拔除的阻生智齿数目越多。结论为满足基层口腔医疗需求,基层口腔士官诊疗应掌握充填术、活髓保存术、窝沟封闭、龈上下洁治、简单牙拔除术等技术并积极开展口腔疾病预防工作。Objective To investigate the oral health status of grass-roots troops,and combined with the investigation results,put forward the diagnosis and treatment range of oral sergeants in grass-roots troops for reference.Methods A questionnaire was designed based on the fourth military oral health survey standard,and a cluster sampling method was adopted to investigate oral diseases among officers and soldiers in a western unit.Results A total of 420 officers and soldiers in a western unit were included in the survey.The prevalence rate of caries was 53.80%(95%CI:49.0%~58.6%),the decayed,missing,and filled teeth index was 1.99,and the prevalence of dental calculus was 75.24%.A total of 1636 teeth(including impacted teeth,decayed wisdom teeth and residual roots)needed treatment,of which 41.97%teeth needed filling,16.25%teeth needed pit and fissure sealing,and 35.92%teeth needed extraction.Binary logistic regression was used to explore the effects of age,time of enlistment,education level,source of enlistment and military rank on prevalence of caries.Omnibus test of model coefficient P=0.226 showed that the above factors had no effect on caries.Mann-Whitney U test compared the wisdom teeth of officers and soldiers who had been enlisted for five years or less with those who had been enlisted for more than five years,and concluded that there was a significant difference between the removed wisdom teeth(P<0.01),that is,the longer the time of enlistment was,the more impacted wisdom teeth were removed.Conclusion In order to meet the needs of grass-roots oral medical treatment,grass-roots oral sergeants should master the techniques of filling,vital-pulp preservation,pit and fissure sealing,supragingival and subgingival scaling,and simple teeth extraction,and actively carry out the prevention of oral diseases.

关 键 词：龋齿 龋失补指数 阻生牙 牙修复体 

分 类 号：R828.8[医药卫生—临床医学]