CAJ | 학술논문

目的调查武汉市不同年龄公务员牙周状况,并对其危险因素进行单因素和多因素分析. 方法 2007年1月至2008年3月采用随机整群抽样的方法调查年龄30～79岁体检者493例的口腔状况,符合纳入标准458例,其中30～59岁(中青年组)288例,60～79岁(老年组)170例.其中牙周炎患者280例为病例组,无牙周炎178例为对照组.采用SQSERVER2000软件建立数据库,分别对年龄、性别、民族、学历、糖尿病、吸烟、饮酒、精神压力和口腔卫生习惯与牙周炎相关性进行单因素和多因素分析. 结果 458例检出280例牙周炎患者,患病率为61.1%.单因素分析结果显示,年龄、学历,糖尿病、吸烟和口腔卫生习惯是患牙周炎的危险因素(OR值分别为0.44、2.27、3.44、1.75、9.82,P<0.05或P<0.01).多因素分析结果显示,糖尿病和低学历(OR值分别为2.66、1.95,均为P<0.05)为牙周炎的危险因素.以年龄分层进行多因素分析时,中青年人糖尿病与牙周炎患病率无相关性.老年组糖尿病(OR=6.91,95%CI:1.27～37.42)是牙周炎的危险因素. 结论牙周炎患病的危险因素较多,老年人糖尿病是牙周炎的患病的主要危险因素.
목적 조사무한시불동년령공무원아주상황,병대기위험인소진행단인소화다인소분석. 방법 2007년1월지2008년3월채용수궤정군추양적방법 조사년령30～79세체검자493례적구강상황,부합납입표준458례,기중30～59세(중청년조)288례,60～79세(노년조)170례.기중아주염환자280례위병례조,무아주염178례위대조조.채용SQSERVER2000연건건립수거고,분별대년령、성별、민족、학력、당뇨병、흡연、음주、정신압력화구강위생습관여아주염상관성진행단인소화다인소분석. 결과 458례검출280례아주염환자,환병솔위61.1%.단인소분석결과 현시,년령、학력,당뇨병、흡연화구강위생습관시환아주염적위험인소(OR치분별위0.44、2.27、3.44、1.75、9.82,P<0.05혹P<0.01).다인소분석결과 현시,당뇨병화저학력(OR치분별위2.66、1.95,균위P<0.05)위아주염적위험인소.이년령분층진행다인소분석시,중청년인당뇨병여아주염환병솔무상관성.노년조당뇨병(OR=6.91,95%CI:1.27～37.42)시아주염적위험인소. 결론 아주염환병적위험인소교다,노년인당뇨병시아주염적환병적주요위험인소.
Objective To study the periodontal status and risk factors for periodontitis in periodontitis patients at different ages in wuhan. Methods From January 2007 to March 2008, the cross-sectional survey on periodontal conditions of 493 physical examinees in Wuhan city was carried out with random cluster sampling method. 458 cases of them were in accordance with the inclusive criteria and were stratified into two groups: young and middle-aged adults (aged 30-59 years) and old adults (aged 60 years and over). A case-control study was carried out in the periodontitis cases group (n=280) and the control group (n=178). Database was created by SQSERVER2000 and SPSS11.0 was used for statistical analysis. The relationship of periodontitis with age, gender, nation, educational background, diabetes mellitus, smoking, drinking, mental pressure and oral hygiene habits were analyzed by univariate and multivariate logistic regression analysis. Results The prevalence of periodontitis was 61.1% (280/458). Univariate analysis revealed that age, educational background, diabetes mellitus, smoking and oral hygiene habits were related factors for periodontitis (OR:0.44, 2.27, 3.44, 1.75, 9.82, P<0.05 or P<0.01). Meanwhile, multivariate analysis showed that suffering from diabetes mellitu and low educational background were the independent risk factors for periodontitis (OR=2.66, 1.95, all P<0.05). After stratification by age, multivariate logistic regression analysis showed that there was no correlation between diabetes mellitus and periodontitis prevalence in young and middle-aged adults and diabetes mellitus was a risk factor for periodontitis in old adults(OR=6.91, 95%CI: 1.27～37.42). Conclusions There are many risk factors for periodontitis and diabetes plays a major role in the development of periodontitis in old adults.