聋哑高中学生口腔健康状况调查分析

Survey and analysis of deaf-mute students' oral health condition in a senior high school

目的:了解并分析江苏省某聋哑学校高中学生口腔健康状况,为聋哑学生的口腔预防保健工作提供依据。方法:对江苏省某聋哑学校在校高中生共229名进行了口腔健康状况检查以及有关口腔卫生知识和行为习惯的问卷调查,通过单因素(χ2检验)和多因素logistic回归分析龋病的影响因素。结果:聋哑高中生的患龋率为55.9%,龋均为1.41;充填率为13.9%。牙龈出血、牙石和软垢检出率分别为85.2%、86.5%和91.7%。患龋率、牙龈出血率无性别差异(P>0.05);充填率女生高于男生(P<0.05);牙石、软垢检出率男生高于女生(P<0.05)。多因素logistic回归分析显示进食甜点是龋病的危险因素,而刷牙次数和持续时间是预防龋病的保护因素。结论:聋哑中学生龋病、牙周疾患患病率较高,口腔健康状况较差,且有较多不利于口腔健康的行为习惯,提示应加强针对聋哑学生这一特殊群体的口腔健康服务。

AIM：To explore the oral health condition of deaf-mute students in a senior high school so as to provide scientific information for oral disease prevention and healthcare. METHODS：Twenty hundred and twenty-nine deaf-mute students from a senior high school in Jiangsu Province were asked to fill in a questionnaire about oral health knowledge and related behavioral habits and to have an oral clinical examination by dentists. The risk factors of caries were analyzed through Chi-square Test and multivariate logistic regression analysis. RESULTS：The prevalence of dental caries was 55. 9% ,DMFT was 1. 41. The filling rate was 13. 9%. The rate of gingival bleeding,dental calculus and debris was 85. 2% ,86. 5% and 91. 7% respectively. There was no difference between male and female students in the rate of caries and gingival bleeding （ P 〉 0. 05）. Female students had significantly higher filling rate,less dental calculus and debris as compared with the male ones （ P 〈 0. 05）. Multivariate logistic regression analysis indicated that caries experience of the students was related to the consumption of snack,while brushing teeth properly could reduce the incidence of dental caries. CONCLUSION：The prevalence rate of caries and gingivitis in the deaf-mute students is high,which is accompanied by unhealthy oral health habits. Effective oral health education and necessary guidance to proper behavioral habits are in urgent need.