孝感地区牙周炎状况及危险因素分析

Analysis of periodontitis status in Xiaogan area and its risk factors

目的了解湖北省孝感地区牙周炎发生状况,并分析其相关危险因素,以期为该地区牙周炎防治提供依据。方法于2016年6~10月选择孝感地区人口稳定社区进行抽样调查2 000名,观察牙周炎发生状况;并同时发放2 000份调查问卷,内容包括调查人群年龄、性别、刷牙次数、是否合并糖尿病、高血压等情况,采取多因素Logistic回归分析统计孝感地区牙周炎发生相关危险因素。结果本调查共发放2 000份调查问卷,回收有效问卷1 964份,问卷回收率为98.2%,其中男性1 018名,女性946名;1 964例调查对象中,符合牙周炎诊断者604例,牙周炎发生率为30.8%;604例牙周炎患者中男性311例,占男性人群的30.6%;女性293例,占女性人群的31.0%;多因素Logistic回归分析结果显示,年龄、是否合并糖尿病、高血压及饮酒、吸烟等为牙周病相关危险因素(均P<0.05),而文化程度及刷牙次数为牙周炎保护性因素(P<0.05)。结论孝感地区牙周炎发生率较高,年龄、是否合并糖尿病、高血压及饮酒、吸烟等均为牙周炎重要危险因素,文化程度及刷牙次数为牙周炎保护性因素。

Objective To learn the status and the related risk factors of periodontitis in Xiaogan area in Hubei Province in order to provide the guidance for periodontitis treatment. Methods Two thousand people in communities with stable population in Xiaogan area from June 2016 to October 2016 were selected for observing the periodontitis status. Meanwhile, 2 000 questionnaires were distributed, which covered age, gender, brushing frequency, diabetes or hypertension combined with periodontitis, and other factors. Multiple logistic regression were adopted to analyze the related risk factors of periodontitis status in Xiaogan. Results A total of 2 000 questionnaires were distributed and 1 964 valid questionnaires were collected, with the questionnaire recovery rate of 98.2%. And 1 018 cases were male and 946 were female. In 1 964 subjects, 604 were periodontitis patients, and the incidence was 30.8%. Of 604 patients with periodontitis, 311 were male, accounting for 30.6% in male group, 293 were female, accounting for 31.0% in female group. Logistic analysis result displayed that the age, diabetes mellitus or hypertension combined with periodontitis, drinking, smoking were periodontal risk factors（P〈0.05）, and the education level and brushing frequency were protective factors of periodontitis（P〈0.05）. Conclusion Periodontitis occurrence rate in Xiaogan area was high. And the age, periodontitis,periodontitis combined with diabetes mellitus or hypertension, drinking, smoking are important risk factors of periodontitis, with the education level and brushing frequency as periodontitis protective factors.