摘要
目的了解南昌市居民口腔患病现状及常见口腔疾病的变化趋势,为开展口腔预防保健提供基线资料及制定口腔疾病防治规划提供参考依据。方法参考《第四次全国口腔健康流行病学调查工作手册》的标准,采用多阶段分层随机样法选取南昌市辖区居民2388人为调查对象,按年龄分为5组:3~5岁组576人、12~15岁组1632人、35~44岁组60人、55~64岁组60人、65~74岁组60人。由统一培训的专业口腔医师对5组调查对象进行口腔检查及问卷调查,采用χ2趋势性检验、秩和检验等方法进行统计分析。结果3~5岁组乳牙及12~15岁、35~44岁、55~64岁、65~74岁组恒牙患龋率分别为48.4%、29.4%、85.0%、96.7%、98.3%,龋均分别为2.15、0.59、3.33、7.13、12.22,恒牙患龋率、龋均均随着年龄的增长而升高(P<0.001),且女性高于男性(P<0.05)。12~15岁、35~44岁、55~64岁、65~74岁人群牙龈出血率分别为81.6%、96.7%、98.3%、90.0%,牙结石率分别为58.9%、98.3%、98.3%、95.0%,各年龄段牙龈出血率和牙结石率均随年龄的增长而升高(均P<0.001),且在55~64岁人群中达到峰值。结论南昌市居民口腔健康状况较差,应在人群中开展初级口腔卫生保健,加强口腔健康教育和干预措施,形成良好的口腔行为习惯。
Objective To understand the current situation and changing trend of oral diseases among residents in Nanchang,and to provide baseline data and reference basis for the development of oral disease prevention and control planning.Methods A total of 2388 residents in Nanchang were selected as the subjects using a multi-stage stratified random sampling method by referring to the standards of“handbook of the fourth national oral health epidemiological survey program”.These subjects were divided into five groups:3-5 years old(n=576),12-15 years old(n=1632),35-44 years old(n=60),55-64 years old(n=60),and 65-74 years old(n=60).Oral examination and questionnaire survey were conducted by uniformly trained physicians.Chi-square trend test and rank sum test were used for statistical analysis.Results The prevalence of caries in deciduous teeth and the mean number of decayed or missing teeth was 48.4%and 2.15 in 3-5-year age group.The prevalence of caries in permanent teeth and the mean number of decayed,missing or filled teeth(DMFT)were respectively 29.4%and 0.59 in 12-15-year age group,85.0%and 3.33 in 35-44-year age group,96.7%and 7.13 in 55-64-year age group,and 98.3%and 12.22 in 65-74-year age group.Both prevalence of caries and number of DMFT increased with age(P<0.001),and those in females were higher than those in males(P<0.05).The rates of gingival bleeding and dental calculus were respectively 81.6%and 58.9%in 12-15-year age group,96.7%and 98.3%in 35-44-year age group,98.3%and 98.3%in 55-64-year age group,and 90.0%and 95.0%in 65-74-year age group.The rates of gingival bleeding and dental calculus increased with age(P<0.001),and reached the peak in 55-64-year age group.Conclusion The oral health status is poor among residents in Nanchang.Primary oral health care should be carried out and health education and intervention should be strengthened to develop good oral hygiene habits in Nanchang residents.
作者
周银双
欧晓艳
周小军
曾利伟
吴驰宇
闻健琼
ZHOU Yin-shuang;OU Xiao-yan;ZHOU Xiao-jun;ZENG Li-wei;WU Chi-yu;WEN Jian-qiong(School of Public Health,Nanchang University;Affiliated Stomatological Hospital,Nanchang University;Jiangxi Provincial Key Laboratory of Preventive Medicine;Jiangxi Provincial key Laboratory of Stomatology,Nanchang 330006,China)
出处
《南昌大学学报（医学版）》
CAS
2020年第1期75-78,共4页
Journal of Nanchang University：Medical Sciences
基金
江西省科技计划重大项目(20152ACG70023)
公益性行业科研专项(201502002)。
关键词
南昌市
口腔健康
患龋率
牙龈出血率
牙结石
Nanchang
oral health
caries rate
gingival bleeding rate
dental calculus
