广东省老年人恒牙龋病抽样调查及预防对策

Sampled investigation and prevention countermeasures on constant root caries of elderly in Guangdong

目的 了解广东省老年人（60～74岁）根龋病情况,为老年人龋病的预防和治疗提供可靠依据。方法 参照《第三次全国口腔健康流行病学调查方案》,采用多阶段、分层、等容量随机抽样的方法抽取广东省60～74岁老年患者824人受检,有效样本量为792人,使用SPSS13.0软件对所得数据进行分析。结果 792名老年人中465名老年人患冠龋,患龋866颗牙,患龋率58.71%,城乡之间患龋情况、填充情况及患龋率差异均无统计学意义（P〉0.05）,而城乡之间龋均比较差异具有统计学意义（P〈0.05）;792名老年人中294人患根龋,患龋526颗牙,患龋率为37.12%,城乡之间及男女之间患龋情况与填充情况差异均具有统计学意义（P〈0.05）,男女之间龋均比较差异具有统计学意义（P〈0.05）。结论 广东省老年人患龋率较高,但治疗人数偏少,填充治疗率低,口腔卫生宣传工作还有待加强。

Objective To investigate the current status of root caries on permanent teech in the old people between 60-74 years in Guangdong Province, and to provide reliable basis for prevention and treatment of the elderly root caries disease. Methods According to the guideline for the 3rd national oral health survey, a total of 824 subjects aged at 60-74 years old were selected, effective sample size of 792 people. The data were analyzed using SPSS13. 0 package. Results In age group of 60-74, 465 elderly were suffered from coronal caries with 866 teeth caries, the coronal caries rate was 58.71%, there was no significant difference of caries ineidence（DT,FT） between urban and rural areas（P〉0.05）, there was significant difference of the caries incidence（DFT） between urban and rural areas（P〈0.05） ; the root caries rate was 37.12%. There was significant difference of caries incidence between male and female, and urban and rural areas in DT,FT （P〈 0.05） ; There was significant difference of caries incidence between male and female in DFT （P〈 0.05）. Conclusion The data suggested that there is a high level of root caries in Guangdong cohort, with most of the involved teeth not treated.