牙体牙髓病科患者特点的2次调查结果比较

Comparison and analysis of patients' characteristics between two surveys in Department of Endodontics

目的了解江苏省口腔医院牙体牙髓病科患者近8年来的变化。方法对同一位牙体牙髓病科医生2002年、2010年间接诊的患者台面记录情况进行汇总和统计描述,进行对比分析。结果第1次(2002年)诊治的患者人数和牙数分别为1 912和3 447,第2次(2010年)诊治的患者人数和牙数分别为880和1 269。两次结果相比,只有患牙的牙位构成没有变化(P>0.05),其余方面差别均有统计学意义:男性就诊比例从29.43%上升为35.46%;青少年和成年人的比例分别从12.50%和74.20%降低为8.53%和69.61%;"收入不稳定"人群和"低、无收入"人群的比例分别从8.52%和14.09%上升到26.41%和24.06%;实施"复杂治疗"者的比例从39.40%上升到44.36%;治疗后对疗效"很满意"者的比例从38.75%下降到19.56%;患者人均费用从95元升为180元,上升幅度为89.47%,低于同城居民人均可支配收入的增长幅度(209.18%);享受医保者的比例从7.9%上升至30.8%。结论 8年来,牙体牙髓病科的患者特点,除了患牙构成之外,其余方面均有变化。

Objective To investigate the changes of patients＂ characteristics in the Department of Endodontics in Stomatological Hospital of Jiangsu Province in the past 8 years. Methods A descriptive study was conducted, by analyzing dental records from one dentist in 2010 and comparing with his dental records in 2002. Results There were 880 patients and 1 269 teeth during the first period （2002）, while there were 1 912 patients and 3 447 teeth during the second period （2010）. The results showed that there were significant differences in many aspects except tooth position（ P 〉 0.05 ）. The proportion of male patients increased from 29.43% to 35.46% , while the proportion of teenagers （ 12 year old-） and adults （25 year old-） decreased from 12.50% to 8.53% and from 74.20% to 69.61% respectively. Proportions of patients with unstable income and patients with low or no income rose from 8.52% to 26.41% and from 14.09% to 24.06% respectively. The proportion of patiens who received complex therapy rose from 39.40% to 44.36%. However, the proportion of patients with high-level satisfaction reduced from 38.75% to 19.56%. The per medical expense was promoted fi＇om 95 yuan to 180 yuan,and the growth rate （89.47%） was lower than the capita disposable income growth （209.18%） in the same city. Besides,the coverage rate of medical insurance rose from 7.9% to 30.8%. Conclusions There were significant changes in patients＇ characteristics except tooth position in the Department of Endodontics in the past 8 years.