西藏驻军牙周健康状况流行病学抽样调查

An epidemiological study of periodontal diseases among the conscripts garrisoned in Tibet

目的:调查我国西藏驻军人员的牙周健康状况,并分析相关因素。方法:采用世界卫生组织1997年版口腔健康调查基本方法和标准器材,以分层、整群抽样方法选择拉萨驻军某部队为调查样本,对其进行问卷调查和临床检查。结果:共调查驻军人员730名,其中201人(27.53%)至少有1个区段牙龈探诊出血,505人(69.18%)检出牙结石,34人(4.66%)患有轻度牙周炎,1人(0.14%)患有重度牙周炎,牙周非健康状态的检出率为80.8%,总区段数为4 380,其中牙周非健康的区段数为1 941,牙周非健康状态的平均区段数为2.66。统计学表明牙结石的检出率、牙周非健康状态的检出率和年龄、军龄、军衔呈正相关,而与兵源、文化程度不相关。结论:牙周疾病已成为西藏驻军人员的常见病、多发病之一,有必要一方面加强口腔卫生教育,以促进其保持口腔卫生,另一方面需要加强配备口腔医疗设备和医疗人员,及时地为其预防和控制牙周病的病情。

AIM： To investigate the prevalence of periodontal disease and correlated factors among the military personnel in Tibet. METHODS： Seven hundred and thirty military persons in Lhasa were seleeted by the eluster sampling method. All the samples were asked to fill in a questionnaire and examined aeeording to the WHO oral health survey basie methods （ 1997 ） in July 2006. RESULTS ： Among the 730 individuals, 27.53% of them had more than 1 seetion showed bleeding on probing, 69.18% of them eould be found with dental ealeulus. The prevalenee of periodontal unhealthy status was 80.80%. Age, duration of being in military serviee and military rank were statistieally eorrelated to the prevalenee of periodontal unhealthy status. CONCLUSION ： Periodontal disease has beeome one of the major oral problems for the military persons in Tibet. Systematie dental serviees for military persons need to be improved.