影响老年人牙列缺损修复状况的相关影响因素研究

Research on the Related Factors Influencing the Restoration of Dentition Defects in the Elderly

目的评估老年人牙列缺损修复状况,并探讨影响其修复状况的相关危险因素。方法采取方便抽样的方法,于2015年1月—2018年5月调查85例50岁以上老年人的牙列缺损修复状况,并对影响患者牙列缺损修复状况的相关因素进行Logistic回归分析。结果该组85例老年牙列缺损患者发生修复失败40例,修复失败率47.05%。单因素分析显示,不同年龄、不同性别、不同文化程度、是否伴有焦虑症、骨质疏松的老人牙列缺损修复失败率比较,差异有统计学意义(P<0.05);其他指标的老年人牙列缺损修复失败率比较,差异无统计学意义(P>0.05)。多因素Logistic回归模型分析显示,影响老年人牙列缺损修复的独立危险因素有年龄(OR=4.146)、性别(OR=3.246)、文化程度(OR=4.036)、是否伴有焦虑症(OR=4.106)。结论临床上应对大于70岁的男性牙列缺损患者应多进行修复后随访,对其进行定期牙周维护性治疗;对文化程度低和伴有焦虑症的患者进行适当的心理辅导,并指导患者养成良好的口腔卫生习惯,从而降低牙列缺损修复发生失败的风险,确保修复治疗效果。

Objective To evaluate the repair status of dentition defects in the elderly and to explore the related risk factors that affect their repair status.Methods Using a convenient sampling method,from January 2015 to May 2018,85 cases of dentition defect repair status of 85 elderly people over the age of 50 were investigated,and Logistic regression analysis was performed on the related factors affecting the dentition defect repair status of patients.Results In this group of 85 elderly patients with dentition defect,40 patients failed to repair,and the repair failure rate was 47.05%.Single factor analysis showed that there was a statistically significant difference in the repair failure rate of dentition defects among elderly people of different ages,different genders,different education levels,with or without anxiety,and osteoporosis(P<0.05);There was no statistically significant difference in the failure repair rate of the columns(P>0.05).Multivariate logistic regression model analysis showed that the independent risk factors affecting the restoration of dentition defects in the elderly were age(OR=4.146),gender(OR=3.246),education level(OR=4.036),and whether they were accompanied by anxiety disorder(OR=4.106).Conclusion Clinically,more than 70-year-old male patients with dentition defects should be followed up after repair and regular periodontal maintenance treatment;appropriate psychological counseling should be provided to patients with low education and anxiety disorders.And guide patients to develop good oral hygiene habits,so as to reduce the risk of dentition defect repair failure and ensure the repair and treatment effect.