摘要
目的了解2015年北京市65~74岁老年人群口腔健康现况,对比2005年北京地区同年龄组人群指标,分析10年来北京市老年人口腔健康状况的变化。方法采用多阶段分层等容量随机抽样的方法,从北京市抽取324名65~74岁老年人,按照第四次全国口腔健康流行病学抽样调查方法进行口腔检查。对比2005年第三次全国口腔健康流行病学调查数据北京地区相同年龄组口腔健康状况,纵向分析北京市2005~2015年10年间北京市老年人群口腔健康状况的变化。结果北京市2015年65~74岁老年人冠根合并龋患龋率分别是71. 3%(龋补牙数DFT> 0)和96. 3%(龋失补牙数DMFT> 0),龋均分别是龋失补牙数(DMFT) 11. 71和龋补牙数(DFT) 3. 15;根龋患龋率为49. 1%,根龋指数是13. 7;牙龈出血检出率是61. 4%,牙石检出率是89. 5%,牙周健康率是12. 7%,人均天然牙数是23. 44。与2005年北京同年龄组结果相比较,DMFT从15. 37降到11. 71,FT从0. 61上升到1. 14,MT从12. 49下降到8. 56,差异均有统计学意义(P <0. 05);人均天然牙数从19. 51上升到23. 44,无牙颌率从11. 4%降到3. 7%,差异有统计学意义(P <0. 05)。牙龈出血率,牙石检出率和牙周健康率无显著改变。结论北京市老年人口腔健康状况自2005年到2015年有改善,患龋水平下降,充填率提高,天然存留牙数增多。但北京市老年人口腔健康状况依然堪忧,仍需深入开展口腔常见病防治结合的综合干预项目。
Objective To investigate the oral health status of 65-74 years old people in Beijing and to compare the status from 2005 to 2015. Methods A total of 324 elderly people aged 65 to 74 years were selected and examined. The oral health status in 2015 were compared with that in 2005. Results Among the 324 elderly people,the prevalence of dental caries was 71. 3%( DFT > 0) and 96. 3%( DMFT > 0),the DMFT was 11. 71 and the DFT 3. 15. The prevalence of root surface caries was 49. 1% and RCI 13. 7. Gingival bleeding detection rate was 61. 4%,the detection rate of dental calculus was 89. 5%,the periodontal health rate was 12. 7%,and the natural tooth number per capita was 23. 44. Compared with the same age group in 2005,the DMFT dropped from 15. 10 to 11. 71,the FT from 0. 61 to 1. 14,and MT from 12. 49 to8. 56,and the difference was statistically significant. The average number of nature teeth increased dramatically from 19. 51 to 23. 44,and the edentulous rate decreased from 11. 4% to 3. 7%,and the differences were statistically significant.The differences of gingival bleeding rate,periodontal detection rate and periodontal health rate were not significant.Conclusion The oral health status of elderly people improved significantly from 2005 to 2015 in Beijing. However,the oral health status of the elderly in Beijing was still poor.
作者
赵梅
陈薇
张辉
刘敏
ZHAO Mei;CHEN Wei;ZHANG Hui;LIU Min(Department of Preventive Dentistry,Capital Medical University School of Stomatology,Beijing 100050,China)
出处
《北京口腔医学》
CAS
2018年第6期340-345,共6页
Beijing Journal of Stomatology
关键词
龋病
牙周病
口腔流行病学调查
老年人
趋势
Dental caries
Periodontal disease
Oral epidemiology
Elder people
Trends