摘要
目的了解江苏省中老年人群恒牙龋病流行现状,为江苏省进一步开展成年人口腔健康教育和预防保健工作提供科学依据。方法参照WHO《口腔健康调查基本方法》(第4版)调查方法,采用多阶段分层等容量随机抽样的方法,对江苏省4个项目区县内中老年人群进行口腔健康检查及问卷调查,使用CPI探针检查全口恒牙冠根龋病情况,计算冠根龋患病率、龋均。结果共有450名中老年中老年人参与调查,49.33%(222/450)为男性,50.89%(229/450)为城镇人口,60.44%(272/450)患有龋病,男女及城乡间患龋率无统计学差异。随着年龄增高,患龋率升高。其中冠龋龋均城镇是8.031±7.269,农村是7.466±6.473,城乡间无差异(P>0.05)。男性是7.901±6.996,女性是7.610±6.794,男女间无差异(P>0.05)。随着年龄增加,冠龋龋均增加,组间差异有统计学意义(P<0.001)。受教育水平越高,冠龋龋均越低,组间差异有统计学意义(P<0.001)。根龋龋均城镇是0.555±1.464,农村是0.348±0.900,城乡间无差异(P>0.05)。男性是0.482±1.254,女性是0.425±1.194,男女间无差异(P>0.05)。随着年龄增加,根龋龋均增加,组间差异有统计学意义(P<0.001)。不同受教育水平的根龋龋均组间无差异(P>0.05)。结论江苏省中老年人群患龋率较高,口腔健康状况较差,提示应加强中老年人,尤其是老年人的口腔健康教育和预防保健工作。
Objective To survey the prevalence of permanent dental caries among middle aged and elderly people in Jiangsu Province,and to provide scientific basis for further development of oral health service and prevention for adults in Jiangsu Province.Methods With reference to WHO"basic methods of oral health survey"(4 th edition),a multistage stratified random sampling method was adopted to carry out oral health examination and questionnaire survey among middle aged and elderly people in 4 counties of Jiangsu Province.The CPI probe was used to examine root caries of complete permanent teeth and the caries prevalence rate and the mean DMFT were calculated.Results A total of 450 middle aged and elderly people participated in the survey.Among them,49.33%(222/450)were male,50.89%(229/450)were urban residents,and 60.44%(272/450)had dental caries.Caries rates increased with age.Among them,the mean DMFT of crown in urban was 8.031±7.269,and the rural was 7.466±6.473.There was no difference between urban and rural(P>0.05).The mean DMFT of male was 7.901±6.996,and the female was 7.610±6.794.There was no difference between two genders(P>0.05).As the age increased,the mean DMFT of crown increased,and the differences between the groups were statistically significant(P<0.001).The higher the level of education was,the lower the mean DMFT of root was,and the differences between the groups were statistically significant(P<0.001).The mean DMFT of root in urban was 0.555±1.464,and the rural was 0.348±0.900.There was no difference between urban and rural(P>0.05).The mean DMFT of root in male was 0.482±1.254 and the female was 0.425±1.194.There was no difference between two genders(P>0.05).The mean DMFT of root increased with age,and the differences between the groups were statistically significant(P<0.001).There was no difference between the groups of different education levels(P>0.05).Conclusion The incidence of dental caries is high and the oral health condition is poor among the middle aged and elderly people in Jiangsu Province.It is suggested to strengthen oral health education and preventive health care for the middle-aged and elderly people,especially the aged.
作者
沈红
沈家平
刘怡然
SHEN Hong;SHEN Jiaping;LIU Yiran(Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Department of Pediatric and Preventive Dentistry,Affiliated Hospital of Stomatology,Nanjing Medical University,Nanjing 210029,China)
出处
《口腔医学》
CAS
2020年第2期141-145,共5页
Stomatology
基金
公益性行业科研专项(201502002)
江苏高校优势学科建设工程资助项目(2018-87)
江苏省预防医学科研课题(Y2018103,Y2018104).
关键词
江苏省
中老年人群
龋病
现况调查
Jiangsu Province
middle aged and elderly people
dental caries
inventory survey
作者简介
通信作者:沈家平,E-mail:shennyd@163.com;通信作者:刘怡然,E-mail:riely007@126.com