中国实用口腔科杂志

中国实用口腔科杂志 ›› 2010, Vol. 3 ›› Issue (09): 553-555.

• 论著 • 上一篇    下一篇

2005年辽宁省老年人根面龋患病状况的调查与分析

  

  1. 中国医科大学口腔医学院口腔预防科，沈阳 110002
  • 收稿日期:2010-07-31 修回日期:2010-08-23 出版日期:2010-09-15 发布日期:2010-10-14

  • Received:2010-07-31 Revised:2010-08-23 Online:2010-09-15 Published:2010-10-14

摘要：

目的    分析辽宁省老年人群口腔健康状况，为制定适合于辽宁省老年人群的口腔预防保健规划提供基础资料。方法    2005年9月至2006年9月采用多阶段分层等容量随机抽样的方法，从沈阳市、锦州市、瓦房店市和辽中县、义县、灯塔地区分别随机抽取132名65～74岁长住居民作为调查对象，男女各半，共792人。所有调查对象均进行根面龋的口腔临床检查。再随机抽取50%的老年人进行口腔相关行为的问卷调查，采取面对面询问并记录的方式，回收有效问卷396份，并对问卷调查数据进行统计分析。结果    辽宁省65～74岁年龄组受调查者中，患根面龋148人，患龋率为18.69%，龋均为0.36，根面龋充填率仅为2.7%。辽宁省65～74岁年龄组城市老年人群根面龋的患病率为19.95%，龋均为0.40；农村地区的根面龋患病率为17.42%，龋均为0.32。二者间患龋率和龋均差异均无统计学意义（P > 0.05）。城市老年人根面龋的充填率为1.27%，农村地区为4.35%，差异亦无统计学意义（P > 0.05）。受调查者中男性根面龋的患病率为16.67%，龋均为0.34；女性根面龋患病率为20.71%，龋均为0.39。男、女间患龋率和龋均差异无统计学意义（P > 0.05）。男性根面龋的充填率为1.52%，女性为3.66%，差异亦无统计学意义（P > 0.05）。回归分析显示，吸烟情况（β =-1.58）、含糖食品摄入量（β =0.46）、刷牙频率（β =0.53）、牙膏种类选择（β =0.37）、看牙费用支付途径（β =0.67）这5种因素对于辽宁省老年人群根面龋的发生都有显著影响（P < 0.05）。结论    目前辽宁省口腔卫生保健工作仍存在许多缺陷和不足之处，根面龋还没有引起人们的足够重视。

关键词: 口腔健康调查, 老年人, 根面龋

Abstract:

Objective    To evaluate the current status of root caries among elderly people in Liaoning province，and to provide basic material to formulate suitable oral health plan for them. Methods    From September 2005 to September 2006，792 elderly people，50%～50% male-female，from 65 to 74 years old，were selected by multi-stage，stratified and random sampling.The data were collected by oral examination and the subjects were selected randomly from Shenyang，Jinzhou，Wafangdian，Liaozhong，Yixian and Dengta，132 residents in each area. Then choose randomly half of the elderly for face to face oral behavior questionnaire（with 396 valid questionnaires recycled），and the results were processed using statistical analysis. Results    About 18.69℅ had root caries and among them 2.70% completed treatment.  The mean number of root caries was 0.36. The prevalence and the mean number of urban and rural area were 19.95℅ and 17.42%，0.40 and 0.32 respectively. There were no significant differences between the two groups （P > 0.05）. The prevalence of males and females was 16.67℅ and 20.71%，but there was no significant difference between the two groups （P > 0.05）. According to the results of regression analysis，smoking（β =-1.58），sugary foods（β =0.46），brushing frequency（β =0.53），toothpaste species（β =0.37）and dentist fee payment（β =0.67） had great influence on senile root caries among elderly people in Liaoning province （P < 0.05）. Conclusion    At present，the work of Liaoning oral health care still has many defects and deficiencies，root caries hasn’t caused the people’s much attention.

Key words: oral health survey；elderly；root caries