云南临沧480名拉祜族居民口腔健康调查

An Investigation on Oral Health Status of 480 Lahu People in Lincang,Yunnan

目的调查云南省临沧市临翔区的480名拉祜族居民口腔健康状况,以指导该民族的口腔预防保健.方法培训合格的口腔医师用统一的口腔检查器械按诊断标准和记录表内容对云南省临沧市临翔区4个年龄段的480名拉祜族居民进行口腔检查并做好记录.结果 5岁年龄组患龋率为78.3%,12岁年龄组牙石检出率为75%,35-44岁年龄组患龋率为91.7%,牙周袋检出率为43.3%,它们都高于第3次全国口腔流行病学调查结果（P〈0.05）;65-74岁年龄组牙龈出血、牙周袋检出率为49.2%,低于第3次全国口腔流行病学调查结果 （P〈0.05）;问卷调查结果为76.0%的人从不刷牙,在刷牙人群中,85.0%的人每天只刷牙1次.结论拉祜族口腔健康状况较差,口腔卫生行为习惯的养成和保持较差,需加强该民族口腔健康教育和加大口腔医疗资源的投入.

Objective To provide guidance for oral health prevention by investigating oral health status of480 Lahu people.Methods Oral health status of 480 Lahu people were investigated by trained dental therapists using standard diagnostic criteria and record. Participants were divided into 4 groups according to their age. Results The Lahu People in Linxiang county suffered from severe dental caries and periodontal disease. The caries prevalence rate among children of 5 years old was 78.3%. The rate of calculus among the children of 12 years old was 75%. The prevalence rates of caries and periodontal pockets were 91.7% and 43.3% among the adults between 35 and 44 years old. The above data were significantly higher than the results of the Third National Oral Health Survey. The rates of gingival bleeding and periodontal pocket were 51.7% and 49.2% among the aged from 65 to 74 years old, which were lower than that of the Third National Oral Health Survey. Among the participants,76% never brushed teeth and85% brushed teeth only once a day in people who brushed teeth regularly. Conclusion Poor status and maintenance of oral health in the Lahu People suggest that education and resources for oral health should be invested.