182名空军飞行员牙周健康状况及口腔卫生行为调查与分析  

Investigation and analysis of periodontal health status and oral hygiene behavior of 182 Air Force pilots

作　　者：朱晓茹 常晓燕 谭逸文 李倩 吕晶 逄键梁 Zhu Xiaoru;Chang Xiaoyan;Tan Yiwen;Li Qian;Lv Jing;Pang Jianliang(Department of Stomatology,Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142,China)

机构地区：[1]空军军医大学空军特色医学中心口腔科,北京100142

出　　处：《中华航空航天医学杂志》2024年第1期59-63,共5页Chinese Journal of Aerospace Medicine

摘　　要：目的调查空军飞行员的牙周健康状况及口腔卫生行为,为进一步提高飞行员口腔健康提供依据。方法随机选取在空军特色医学中心进行体检的182名现役空军飞行员为研究对象,进行牙周检查及口腔卫生行为问卷调查。按照年龄分为<35岁组和≥35岁组;按照兵源地分为城镇组和农村组;按照飞行机种,分为歼击机组和其他机种组(轰炸机、直升机、运输机和教练机)。结果182名空军飞行员中,牙龈出血、牙石、牙周袋和附着丧失的检出率分别为86.81%、75.27%、6.59%和9.89%。每天至少刷牙2次者占82.42%,每天都使用牙线者占35.16%,各种牙膏替换使用者占80.22%,使用含氟牙膏者仅占9.34%,采用上下刷牙者占56.04%,横刷者占8.24%,刷牙时间2~≤3 min者占70.88%,吸烟者占53.30%;过去6个月内,48.35%的飞行员都出现过牙龈出血现象,但是67.58%的飞行员近12个月内都没有进行过洁牙治疗。≥35岁组飞行员牙周袋检出率、附着丧失检出率、使用牙线的比例均高于<35岁组,差异均有统计学意义(χ^(2)=6.04、4.68、11.00,P=0.014、0.031、0.012),2组刷牙方式差异也有统计学意义(χ^(2)=17.75,P<0.001);城镇组与农村组相比,牙石检出率、刷牙次数、刷牙方式及过去12个月内洁牙治疗的情况差异均有统计学意义(χ^(2)=6.25、7.20、13.81、4.02,P=0.012、0.007、0.003、0.045);歼击机组与其他机种组相比吸烟率较低,差异有统计学意义(χ^(2)=10.10,P=0.018)。结论空军飞行员的牙周健康状况仍不容乐观,口腔卫生行为仍有待提高。应进一步加强对飞行员的口腔卫生宣教,提升口腔卫生行为,增强空军飞行员口腔卫勤保障能力。Objective To provide references for further improving the oral health of Air Force pilots by investigating the periodontal health status and oral hygiene behavior of Air Force pilots.Methods A total of 182 active-duty Air Force pilots who underwent physical examinations at the Air Force Medical Center were randomly selected for periodontal examination and oral hygiene behavior questionnaires survey.They were grouped by age(<35 years and≥35 years),hometown(urban-originated and rural-originated),and aircraft type(fighter or other aircraft types like bomber,helicopter,transporter,and trainer).Results Among the 182 Air Force pilots,the detection rate of gingival bleeding,dental calculus,periodontal pocket and loss of periodontal attachment was 86.81%,75.27%,6.59%,9.89%,respectively.There was 82.42%of the pilots brushed their teeth at least twice a day,35.16%used dental floss every day,80.22%alternately used different toothpastes,and only 9.34%used toothpastes containing fluoride.There was 56.04%of the pilots brushed their teeth up and down,8.24%brushed horizontally,70.88%brushed their teeth for 2-3 min,and 53.30%smoked.In the past 6 months,48.35%of the pilots had experienced gingival bleeding,but 67.58%had not undergone tooth cleaning treatment in the past 12 months.The detection rates of periodontal pockets,loss of periodontal attachment and the rates of flossing use in≥35 years group were higher than those in<35 years group,with significant differences(χ^(2)=6.04,4.68,11.00,P=0.014,0.031,0.012),and there was also a significant difference in brushing method between the 2 groups(χ^(2)=17.75,P<0.001).There were significant differences in the detection rates of dental calculus,brushing frequency,brushing method,and the treatment of dental cleaning in the past 12 months between the rural-originated group and the urban-originated group(χ^(2)=6.25,7.20,13.81,4.02,P=0.012,0.007,0.003,0.045).The smoking rate in the fighter group was lower than that in the other aircraft types group,with significant difference(χ^(2)=

关 键 词：牙周疾病 口腔卫生 问卷调查 飞行员 

分 类 号：R82[医药卫生—临床医学]