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纸质出版:2010
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李丛华,杨霞,吴亚菲,胡德渝,叶国.牙周病相关危险因素分析[J].陆军军医大学学报(原第三军医大学学报),2010,32(03):293-296.
Li Conghua,Yang Xia,Wu Yafei,Hu Deyu,Ye Guo.Periodontal disease-related risk factors[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(03):293-296.
目的 调查和分析四川省牙周病流行趋势及其相关危险因素。 方法 采用阶段分层等容量随机抽样,随机抽取四川省部分地区和人群,进行问卷调查和临床检查,分析影响牙周病的部分社会因素和生活方式,对400份调查资料的一般情况、健康行为、口腔情况、口腔保健、口腔治疗、全身健康史与牙龈指数、简化口腔卫生指数、牙龈探诊出血、牙周炎的关系进行Logistic多因素回归分析。 结果 (1)400例调查者中
牙周炎发病率达87.8 %
平均牙周袋探诊深度(periodontal probing
PD)值为(1.71±0.81) mm;平均附着丧失(clinic attachment loss
CAL)值为(2.44±1.73) mm;简化口腔卫生指数(simpified oral hygiene index
OHSI)为(2.53±1.17)
大多数人的口腔卫生水平状况较差;牙龈指数(gingival index
GI)为(1.926±0.224); 80.28 %的患者至少有1个部位探诊出血
牙龈探诊出血(bleeding on probing
BOP) 阳性位点占全部检测位点的17.67 %。(2)Logistic多因素回归分析表明:经常进食高纤维食品、平均每天刷牙时间3 min左右、知道要定期洁牙是牙周炎的保护因素,而吸烟、年龄、城乡居住地点差异对牙周炎有高度影响(P0.05) 。 结论 戒烟的宣教工作与加强口腔卫生教育及防病治病意识是牙周病的保护因素。
Objective To investigate and analyze the epidemic trend of periodontal disease in Sichuan Province. Methods Questionnaire investigation and clinical examination were carried out in some randomly selected districts and populations. Periodontal disease-related social factors and lifestyle were analyzed. Data obtained from the returned 400 questionnaires including general condition
health behavior
oral health
oral hygiene
dental treatment
general health
gingival index (GI)
simplified oral hygiene index(SOHI),probing depth (PD)
bleeding on probing (BOP) were analyzed by multiple factor analysis and logistic regression analysis. Results Among the 400 patients investigated
the incidence of periodontitis was 87.8%
and the mean value of PD
clinical attachment loss (CAL)
OHSI
GI and BOP was 1.71±0.81
2.44±1.73
2.53±1.17 and 1.926±0.224 mm
respectively. Bleeding occurred at least in one site of 82.28% patients during probing. Bleeding in gum accounted for 17.67% of all detected sites. Logistic regression analysis and multiple factor analysis showed that food containing rich fibers
teeth brushing for about 3 minutes each day and regular clean of teeth could protect teeth against periodontal disease
while smoking
age
and residence place were the risk factors for periodontal disease. Conclusion The incidence of periodontal disease is high in Sichuan Province. The knowledge about oral health and periodontitis is very poor. Education on oral health and prevention and treatment of periodontal disease should be strengthened.
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