上海市嘉定区老年人牙周健康状况及影响因素分析  

Analysis of periodontal health status and influencing factors of elderly people in Jiading District of Shanghai

作　　者：汤玉红 朱倩 武钊 冉幸 TANG Yu-hong;ZHU Qian;WU Zhao;RAN Xing(Dental Diseases Prevention&Treatment Center of Jiading District,Shanghai 201899,China)

机构地区：[1]上海市嘉定区牙病防治所,上海201899

出　　处：《上海口腔医学》2024年第6期642-646,共5页Shanghai Journal of Stomatology

基　　金：上海市嘉定区卫生健康委科研项目(2021-KY-16)。

摘　　要：目的:了解上海市嘉定区65~74岁老年人牙周健康状况及影响因素,为嘉定区老年人牙周预防保健工作提供数据支持。方法:采用多阶段、分层、等容量、随机抽样方法,对常住嘉定区的961名65~74岁老年人进行口腔检查及问卷调查。采用SPSS 22.0软件包对调查结果进行描述统计及多因素logistic回归分析。结果:961名老年人中,牙周袋检出率为58.9%,牙龈探诊出血检出率为85.3%,牙结石和软垢检出率分别为90.5%和88%。平均缺牙数为(6.25±5.94)颗,平均牙龈指数为1.82±0.706,平均牙石指数为1.26±0.632,平均软垢指数为1.17±0.620。单因素分析显示,性别、学历、吸烟、糖尿病、心血管疾病、口腔卫生习惯(刷牙次数、洁牙频率)是嘉定区老年人患牙周炎的危险因素。Logistic回归分析显示,吸烟、糖尿病、口腔卫生习惯(洁牙频率)是嘉定区老年人牙周炎患病的独立危险因素。结论:嘉定区65~74岁老年人牙周健康状况较差,应从多方面、多环节进行综合防治。PURPOSE:To investigate the periodontal health status and influencing factors of the elderly aged 65-74 years in Jiading District of Shanghai,and to provide data support for periodontal prevention and health care for the elderly in Jiading District.METHODS:A total of 961 elderly people aged 65-74 years old in Jiading District were selected by multi-stage,stratified,equal size and random sampling method,and oral examination and questionnaire survey were conducted.SPSS 22.0 software package was used for descriptive statistics and multivariate logistic regression analysis.RESULTS:Among 961 elderly people,the detection rate of periodontal pockets,bleeding on gingival probing,dental calculus and debris were 58.9%,85.3%,90.5%and 88%,respectively.The mean number of missing teeth was 6.25±5.94.The average number of gingival index,calculus index and debris index were 1.82±0.706,1.26±0.632,1.17±0.620,respectively.The results of univariate analysis showed that gender,education level,smoking,diabetes,cardiovascular disease,oral hygiene habits(frequency of brushing teeth and frequency of cleaning teeth)were risk factors for periodontitis in the elderly in Jiading District.Multivariate logistic regression analysis showed that smoking,diabetes and oral hygiene habits(tooth cleaning frequency)were independent risk factors for periodontitis in the elderly in Jiading District.CONCLUSIONS:The periodontal health status of the elderly aged 65-74 years in Jiading District is poor,and comprehensive prevention and treatment from various aspects and links should be carried out.

关 键 词：老年人 牙周健康 患病率 影响因素 

分 类 号：R781.4[医药卫生—口腔医学]