昆明市471例老年慢性牙周炎口腔健康相关生活质量的调查

The Study of Oral Health-Related Quality of Life(OHR-QOL) among 471 Elderly Patients with Chronic Periodontitis in Kunming City

目的通过运用《口腔健康影响程度量表(OHIP-14中文版)》测评早期以及晚期慢性牙周炎老年患者口腔健康相关生存质量,研究老年人不同严重程度的慢性牙周病与其生活质量的相关性.方法于2013年9月至2014年3月对前来云南省昆明医科大学附属口腔医院就诊,且无认知障碍的60岁以上老年患者或其家属进行牙周病调查,筛查出早期慢性牙周炎及晚期慢性牙周炎老年患者.并填写OHIP-14量表.数据采用Epidata软件建立数据库,并使用SPSS软件进行统计学处理.结果受检老年人中有471例患有牙周病,其中,早期慢性牙周炎患者237例(占50.3%),晚期慢性牙周炎患者139例(占29.5%).早期慢性牙周炎患者的OHIP-14平均得分为(14.36±6.67),晚期慢性牙周炎的平均得分则为(15.65±7.12).通过在早期慢性牙周炎人群与晚期慢性牙周炎人群中比较,发现各条目经历负面影响的个体在"出现过明显疼痛"、"吃什么东西都不舒服"、"对自己的饮食不满意"以及"变得容易对人发脾气"这4个条目在两类人群中的差异具有统计学意义(P<0.05).结论老年晚期慢性牙周炎患者总体口腔健康相关生活质量低于早期慢性牙周炎患者.

Objective To research the relationship between quality of life among the elderly with chronic periodontitis（CP） and the severity of CP.Methods A total of 471 elderly patients seeking treatment in the affiliated Stomatology Hospital of Kunming Medical University from September 2013 to January 2014 and their companions were investigated using the questionnaire according to the Chinese version of the Oral health Impact Profile-14.Those who diagnosed with CP were separated into two groups according to Community periodontal index（CPI） through periodontal examination. Group A was diagnosed with the early CP, and Group B was diagnosed with the late CP. Database was established by Epidata and statistical analysis was performed by SPSS. Results A total of 237 elderly patients with early CP and 139 with late CP were recorded. The mean OHIP-14 scores of the former were 14.36±6.67,and the score of the later were 15.65±7.12 relatively. The two groups who lived through negative effects were compared. The results suggested in the 14 items of OHIP-14. The statistical significance existed in the following 4 items,＂obvious pain appeared＂,＂uncomfortable when eating anything ＂, ＂ unsatisfied with owndiet＂,＂become easy to lose one＇s temper to others＂（P〈0.05）. Conclusion OHR-QOL of elderly patients with the late CP is lower than that of those with the early CP.