上海市嘉定区老年人牙周健康状况及影响因素分析

doi:10.19439/j.sjos.2024.06.013

上海口腔医学 ›› 2024, Vol. 33 ›› Issue (6): 642-646.doi: 10.19439/j.sjos.2024.06.013

上海市嘉定区老年人牙周健康状况及影响因素分析

汤玉红, 朱倩, 武钊, 冉幸

上海市嘉定区牙病防治所, 上海 201899

收稿日期:2023-09-21 修回日期:2023-11-21 出版日期:2024-12-25 发布日期:2025-01-07
通讯作者: 冉幸,E-mail: 395350498@qq.com
作者简介:汤玉红（1988-）,女,硕士,副主任医师,E-mail: 724479026@qq.com
基金资助:
上海市嘉定区卫生健康委科研项目（2021-KY-16）

Analysis of periodontal health status and influencing factors of elderly people in Jiading District of Shanghai

TANG Yu-hong, ZHU Qian, WU Zhao, RAN Xing

Dental Diseases Prevention & Treatment Center of Jiading District. Shanghai 201899, China

Received:2023-09-21 Revised:2023-11-21 Online:2024-12-25 Published:2025-01-07

摘要/Abstract

摘要： 目的: 了解上海市嘉定区65~74岁老年人牙周健康状况及影响因素,为嘉定区老年人牙周预防保健工作提供数据支持。方法: 采用多阶段、分层、等容量、随机抽样方法,对常住嘉定区的961名65~74岁老年人进行口腔检查及问卷调查。采用SPSS 22.0软件包对调查结果进行描述统计及多因素logistic回归分析。结果: 961名老年人中,牙周袋检出率为58.9%,牙龈探诊出血检出率为85.3%,牙结石和软垢检出率分别为90.5%和88%。平均缺牙数为（6.25±5.94）颗,平均牙龈指数为1.82±0.706,平均牙石指数为1.26±0.632,平均软垢指数为1.17±0.620。单因素分析显示,性别、学历、吸烟、糖尿病、心血管疾病、口腔卫生习惯（刷牙次数、洁牙频率）是嘉定区老年人患牙周炎的危险因素。Logistic回归分析显示,吸烟、糖尿病、口腔卫生习惯（洁牙频率）是嘉定区老年人牙周炎患病的独立危险因素。结论: 嘉定区65~74岁老年人牙周健康状况较差,应从多方面、多环节进行综合防治。

关键词: 老年人, 牙周健康, 患病率, 影响因素

Abstract: PURPOSE: To investigate the periodontal health status and influencing factors of the elderly aged 65-74 years in Jiading District of Shanghai, and to provide data support for periodontal prevention and health care for the elderly in Jiading District. METHODS: A total of 961 elderly people aged 65-74 years old in Jiading District were selected by multi-stage, stratified, equal size and random sampling method, and oral examination and questionnaire survey were conducted. SPSS 22.0 software package was used for descriptive statistics and multivariate logistic regression analysis. RESULTS: Among 961 elderly people, the detection rate of periodontal pockets, bleeding on gingival probing, dental calculus and debris were 58.9%, 85.3%, 90.5% and 88%, respectively. The mean number of missing teeth was 6.25±5.94. The average number of gingival index, calculus index and debris index were 1.82±0.706, 1.26±0.632, 1.17±0.620, respectively. The results of univariate analysis showed that gender, education level, smoking, diabetes, cardiovascular disease, oral hygiene habits (frequency of brushing teeth and frequency of cleaning teeth) were risk factors for periodontitis in the elderly in Jiading District. Multivariate logistic regression analysis showed that smoking, diabetes and oral hygiene habits (tooth cleaning frequency) were independent risk factors for periodontitis in the elderly in Jiading District. CONCLUSIONS: The periodontal health status of the elderly aged 65-74 years in Jiading District is poor, and comprehensive prevention and treatment from various aspects and links should be carried out.

Key words: Elder people, Periodontal health, Prevalence, Influencing factors

中图分类号:

R781.4

汤玉红, 朱倩, 武钊, 冉幸. 上海市嘉定区老年人牙周健康状况及影响因素分析[J]. 上海口腔医学, 2024, 33(6): 642-646.

TANG Yu-hong, ZHU Qian, WU Zhao, RAN Xing. Analysis of periodontal health status and influencing factors of elderly people in Jiading District of Shanghai[J]. Shanghai Journal of Stomatology, 2024, 33(6): 642-646.

参考文献

[1] Al-Nasser L, Lamster IB.Prevention and management of periodontal diseases and dental caries in the older adults[J]. Periodontol 2000, 2020, 84(1): 69-83.
[2] Soulissa AG.A review of the factors associated with periodontal disease in the elderly[J].J Indonesian Dent Assoc, 2020, 3(1): 47-53.
[3] 王兴. 第四次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社, 2018: 106-107.
[4] Bourgeois DM, Llodra JC.European global oral health indicators development project. 2003 report proceedings[M]. Chicago: Quintessence, 2004: 39-92.[5] Fiorillo L. Oral health: the first step to well-being[J]. Medicina (Kaunas), 2019, 55(10): 676-680.
[6] 龙梦雅,王惠群,陈黎明,等.贵州省65~74岁老年人牙周健康状况及其影响因素分析[J].现代预防医学, 2023, 50(5): 914-918.
[7] Darby I.Periodontal considerations in older individuals[J].Aust Dent J, 2015, 60(1): 14-19.
[8] Tiossi R, Costa PP, Watanabe PCA.Osteoporosis: risk factors, symptoms and management[M]. Brazil:Nova Science Publisher, 2012: 1-32.
[9] Razak PA, Richard KMJ, Thankachan RP, et al.Geriatric oral health: a review article[J]. J Int Oral Health,2014,6(6):110-116.
[10] 柳锋,张行涛,肖玥, 等. 吸烟对慢性牙周炎患者龈沟液中HGF表达水平的影响[J].牙体牙髓牙周病学杂志, 2017, 27(6): 334-337.
[11] 郭岩, 刘怡然, 沈红, 等. 江苏省中老年人牙周健康状况及影响因素分析[J].口腔医学, 2020, 40(3): 244-248, 254.
[12] Leite FRM, Nascimento GG, Scheutz F, et al.Effect of smoking on periodontitis: a systematic review and meta-regression[J]. Am J Prev Med, 2018, 54(6): 831-841.
[13] Teeuw WJ, Kosho MX, Poland DC, et al.Periodontitis as a possible early sign of diabetes mellitus[J]. BMJ Open Diabetes Res Care, 2017, 5(1): e000326.
[14] 孟焕新. 牙周病学[M]. 4 版. 北京: 人民卫生出版社, 2014: 185.
[15] 袁思娆, 张亮, 刘佳, 等.慢性牙周炎与全身系统性疾病关系的研究进展[J].实用临床医学, 2023, 24(3): 122-128.
[16] 丁远森, 邵正威, 林宗建, 等. 916例2型糖尿病患者牙周健康调查及影响因素分析[J].上海口腔医学,2022,31(2): 173-177.
[17] Akcali A, Lang NP.Dental calculus: the calcified biofilm and its role in disease development[J]. Periodontol 2000, 2018, 76(1): 109-115.
[18] 杜娟, 段春红. 太原市600名社区老年人牙周炎危险因素分析[J].中华老年口腔医学杂志, 2019, 17(1): 41-45.
[19] Pietropaoli D, Del Pinto R, Ferri C, et al.Poor oral health and blood pressure control among US hypertensive adults[J]. Hypertension,2018,72(6): 1365-1373.

上海市嘉定区老年人牙周健康状况及影响因素分析

Analysis of periodontal health status and influencing factors of elderly people in Jiading District of Shanghai

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