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)=10.10,P=0.018).Conclusions The periodontal health status of Air Force pilots is still not optimistic,and the oral hygiene behavior still needs to be further improved.It is necessary to further strengthen oral hygiene education for pilots,improve their oral hygiene behavior,and enhance the support capabilities to their oral health.
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)
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
关键词
牙周疾病
口腔卫生
问卷调查
飞行员
Periodontal diseases
Oral hygiene
Questionnaires
Pilots
