社区老年糖尿病患者牙周健康状况调查

Oral health survey of the elderly patients with diabetes in Sim jiamiao community in Xi'an

目的:了解社区老年糖尿病患者牙周病的患病状况,以及老年人口腔保健行为,为改善老年人牙周健康提供理论依据。方法:对西安市辛家庙社区560名65岁以上老年人进行整群问卷调查和口腔健康检查,收集有效问卷546份。利用FoxPro6.0软件建立数据库,SPSS13.0软件进行统计分析。结果:在546名老年人中有106人患有糖尿病,有440人未患糖尿病,两组之间人口学特征均衡性较好无统计学差异(P>0.05)。糖尿病组牙周炎患者占89.62%,非糖尿病组牙周炎患者占62.5%,差异有统计学意义(x2=28.767,P=0.001),糖尿病患者中重度牙周炎比例(49.1%)高于非糖尿病患者(14.1%),差异有统计学意义(x2=63.219,P=0.001),两组之间附着丧失(AL)、龈沟出血指数(SBI)比较差异有统计学意义(P<0.01)。结论:老年人口腔保健行为不足,老年糖尿病患者口腔健康状况较差,牙周炎及重度牙周炎患病率均较非糖尿病老年人高,医生应当重视老年糖尿病患者的口腔卫生保健和口腔健康宣教工作。

Objective： The aim of this study was to explore the relationship between diabetic and periodontal disease among elderly patients in community, and to search the oral health of Chinese old people. Methods ： Data of 560 residents had been collected from one community by the dentist through questionnaires and oral health examination, and 546 questionnaires was valid. The information was analyzed with software such as Foxpro 6.0 and SPSS 11.5. Result： The result of the survey showed that 106 people suffered with diabetes, while 440 people did not have diabetes. The demographic characteristics between the two groups well balanced. Statistically significant differences of the prevalence of periodontitis between the two groups were observed （xZ=28.767, P=-0.001）. People with diabetes had higher prevalence of heavy periodontitis than nondiabetics with significant differences （x^63.219, P=0.001）. Differences of attachment loss between the two groups were statistically significant （P 〈0.01）. Discussion： The oral health behavior of the elderly was inadequate. Elderly diabetic patients＇ oral health is poor, who have higher prevalence of periodontitis and severe periodontitis than nondiabetics. We suggest that doctors should pay attention to provide oral health care for the elderly people with diabetes, and the work of oral health education should be strengthened.