湖北省十堰市恒牙龋病患者伤残权重现状研究  

Study of disability weight among patients with permanent tooth caries in Shiyan city of Hubei province

作　　者：田苗 贾璐阳 亢瑞琪 包洒 张国成 孔铸 李金超[3] TIAN Miao;JIA Luyang;KANG Ruiqi;BAO Sa;ZHANG Guocheng;KONG Zhu;LI Jinchao(Biomedical Research Institute,Hubei University of Medicine,Shiyan 442000,Hubei Province,China;School of Dentistry,Hubei University of Medicine,Shiyan 442000,Hubei Province,China;Department of Oral and Maxillofacial Surgery,Dong Feng Stomatological Hospital Affiliated to Hubei University of Medicine,Shiyan 442001,Hubei Province,China)

机构地区：[1]湖北医药学院生物医药研究院,湖北十堰 442000 [2]湖北医药学院口腔医学院,湖北十堰 442000 [3]湖北医药学院附属东风口腔医院口腔颌面外科,湖北十堰 442001

出　　处：《医学新知》2024年第6期639-646,共8页New Medicine

基　　金：湖北省教育厅科学研究计划指导性项目(B2020107);湖北高校省级大学生创新创业训练计划项目(S202110929047)。

摘　　要：目的了解湖北省十堰市恒牙龋病患者伤残权重(disability weight,DW)现状。方法对湖北医药学院附属东风口腔医院及其两家分门诊的恒牙龋病患者进行问卷调查,并选择恒牙龋痛作为后遗症进行研究,通过患者EQ-5D VAS自评及调查者赋值、专家赋值三种方式获取DW。采用Mann-Whitney U检验及Kruskal-Wallis H检验进行单因素分析、多元线性回归进行多因素分析。结果共220名患者参与调查,年龄多为21~35岁,女性和学生群体居多。患者EQ-5D VAS自评DW[0.300(0.200,0.500)]、调查者赋值DW[0.220(0.096,0.400)]、专家赋值DW[0.220(0.096,0.400)]。单因素分析显示,不同年龄、月收入、学历的患者其自评DW、调查者赋值DW、专家赋值DW差异均具有统计学意义。多因素分析显示年龄越大,DW越大,患者失能状况越严重;学历越高,月收入越高,DW越小,患者失能状况越轻(P<0.05)。结论湖北省十堰市不同赋值方法测算的恒牙龋病患者DW存在差异,年龄大、学历低、月收入低是影响恒牙龋病患者DW的危险因素,当地公共卫生政策制定时应关注该类人群。Objective To evaluate the disability weight(DW)of patients with permanent tooth caries in Shiyan city of Hubei province.Methods Patients with permanent tooth caries in Dong Feng Stomatological Hospital Affiliated to Hubei University of Medicine and its two sub-clinics were investigated and the DW was obtained by patient EQ-VAS score assignment,investigator assignment and expert assignment.Mann-Whitney U test and Kruskal-Wallis H test were used for single-factor analysis,and multiple linear regression was used to analyze the influencing factors of DW obtained by the three assignment methods.Results A total of 220 patients participated in the investigation,mostly aged 21-35 years with a predominantly female and student population.Patient EQ-VAS self-rated DW[0.300(0.200,0.500)],investigator-assigned DW[0.220(0.096,0.400)]and expert-assigned DW[0.220(0.096,0.400)]were higher than GBD 2019 DW[0.010(0.005,0.019)].Single factor tests showed that the differences in self-assessed DW,investigator-assigned DW,and expert-assigned DW were statistically significant for patients of different ages,monthly incomes,and educational levels.Univariate and multiple regression analysis of DW showed that the older the age,the larger the DW and the more severe the patient's disabling condition;the higher the education,the higher the monthly income,the smaller the DW and the less severe the patient's disabling condition(P<0.05).Conclusion The DW of permanent tooth caries patients measured by different assignment methods in Shiyan city of Hubei province are different.Older age,lower education,and lower monthly income are risk factors for DW in patients with permanent tooth caries,and local public health policies should focus on this group of people in the future.

关 键 词：恒牙龋痛 伤残权重 六级社会功能分级标准 国际龋病检测和评估系统 

分 类 号：R78[医药卫生—口腔医学]