东北地区65～74岁老年人群口腔健康状况的抽样调查

Oral health survey of elder people in northeast of China

目的:了解东北地区老年人群口腔健康状况,分析龋病、牙周疾病的患病情况,为开展老年人口腔预防保健提供基线资料。方法:采用多阶段分层等容量随机抽样的方法,按照2005年第三次全国口腔健康流行病学抽样调查的基本方法,对东北三省65～74岁年龄段的城乡居民2364人进行龋病和牙周疾病的调查。应用SPSS12.0软件包对三省患病情况的调查结果进行统计学分析。结果:65～74岁年龄段人群患龋率为67.5%,龋均为2.68。城市患龋高于农村。牙周健康检出率及牙龈出血、牙石、牙周袋、附着丧失检出率分别为15.4%、72.0%、86.6%、58.0%和60.1%,其中黑龙江省、辽宁省的检出率明显低于吉林省。结论:东北三省老年人群龋病、牙周疾病患病率高,口腔健康状况较差。提示开展针对老年人的社区口腔卫生服务,是提高老年人口腔健康状况的前提。

PURPOSE： To assess the oral health status of the 65-74 years old people in the northeast of China, analyze the distribution of caries and periodontal diseases in this group of people, and provide scientific basis for establishing oral health care policies. METHODS： The representative samples were selected by muhi-stage, stratified and random sampling from the three provinces of northeast of China. The diagnostic standard of dental caries and periodontal diseases were based on WHO criteria. SPSS 12.0 software package was used to analyze the data. RESULTS： Among 2364 people aged 65-74 years, the prevalence of dental caries was 67.5% and DFT was 2.68, and the data in urban was higher than in rural. The prevalence rate of periodontal disorders, such as health, gingival bleeding, dental calculus, periodontal pockets, loss of attachment was respectively 15.4%,72.0%,86.6%,58.0% and 60.1%,The prevalence rate of Heilongjiang and Liaoning province was lower than that of Jilin Province. CONCLUSIONS： Dental caries and periodontal diseases were the common diseases in northeast of China, systematic community based oral health promotion should be strengthened and preventive-oriented oral health care systems are needed in the northeast of China.