陕西省65～74岁老年人群龋病和牙周病状况抽样调查分析

The epidemiological investigation of dental caries and periodontitis among 65～74 year old people in Shaanxi province

了解陕西省65～74岁老年人群口腔健康状况,为陕西省开展老年口腔卫生保健工作提供依据。方法:按照第三次全国口腔健康流行病学抽样调查的标准,对陕西省城乡6个地区的787例65～74岁老年人进行了口腔健康状况调查。结果:65～74岁老年人冠龋患病率和龋均为68.4%、3.14。患病率在城乡、男女间无显著性差异(P>0.05),龋均(DFT)在城乡间有显著性差异(P<0.01),在男女间无显著性差异(P>0.05)。根龋患病率和龋均为35.2%、0.74,患病率在城乡间有显著性差异(P<0.05),在男女间无显著性差异(P>0.05)。龋齿充填率低,尤其是农村充填率更低。牙周状况:牙结石、牙龈出血、牙周袋、牙周附着丧失的检出率分别为86.5%、44.2%、55.9%、35.2%。牙结石、牙周附着丧失的检出率在城乡、男女间有显著性差异(P<0.05),牙周袋的检出率在城乡、男女间无显著性差异(P>0.05),牙龈出血的检出率在城乡间有显著性差异(P<0.05),而在男女间无显著性差异(P>0.05)。结论:陕西省老年人的口腔健康状况不容乐观。应采取各种有效预防措施,控制龋病和牙周病的发生。提高龋齿充填率,加强口腔卫生宣教,改善口腔健康状况。

Objective ：To assess dental caries and periodontal disease among 65-74 years in Shaanxi province and provide a base line for oral health service. Methods： According to the Third National Oral Health Investigation criteria, the oral status of 787 old people aged 65 - 74 in Shaanxi province were examined. Results： The prevalence and DFT of Crown caries and Root caries were 68. 4%, 3. 14 and 35.2% ,0. 74, respectively. The percentage of being treated were lower especially the rural area. Periodontal status： The detection rate of dental calculus,gingival bleeding,periodontal pocket, and deprived of periodontal attachment were 86.5 %, 44.2 %, 55.9 %, 35.2 %, respectively. Conclusion ： Oral health status in Shaanxi province should be paid more attention.