CAJ | 학술논문

目的：了解西藏山南地区藏族高中毕业学生的口腔健康状况，为当地口腔疾病防治提供依据。方法于2013年4月按照《第三次全国口腔健康流行病学调查方案》和世界卫生组织《口腔健康调查基本方法》的标准，对1907名西藏山南地区藏族高中毕业学生进行恒牙的龋病、牙周病、氟牙症以及口腔卫生情况检查，计算该人群的龋病指数、社区牙周指数（CPI）、简化口腔卫生指数（OHI-S）和社区氟牙症指数（CFI），并通过问卷调查其口腔卫生行为、口腔医疗服务现状和口腔保健服务要求，采用SPSS17.0统计软件对结果数据进行分析。结果所调查的藏族高中毕业学生恒牙患龋率为39.96%，龋均为0.97；CPI中，牙龈炎检出率为59.50%，牙石检出率为62.64%；OHI-S为0.69，其中简化软垢指数（DI-S）为0.36，简化牙石指数（CI-S）为0.33；CFI为0.29，氟牙症的患病率为8.13%。问卷调查显示，学生的口腔卫生行为和口腔医疗服务现状较差，学生对口腔保健服务要求较低。结论西藏山南地区藏族高中毕业学生的口腔患病率较高，口腔健康意识较差，应加强对该地区学生的口腔卫生宣教和对当地口腔医生的技能培训，有效防治口腔疾病。
목적：료해서장산남지구장족고중필업학생적구강건강상황，위당지구강질병방치제공의거。방법우2013년4월안조《제삼차전국구강건강류행병학조사방안》화세계위생조직《구강건강조사기본방법》적표준，대1907명서장산남지구장족고중필업학생진행항아적우병、아주병、불아증이급구강위생정황검사，계산해인군적우병지수、사구아주지수（CPI）、간화구강위생지수（OHI-S）화사구불아증지수（CFI），병통과문권조사기구강위생행위、구강의료복무현상화구강보건복무요구，채용SPSS17.0통계연건대결과수거진행분석。결과소조사적장족고중필업학생항아환우솔위39.96%，우균위0.97；CPI중，아간염검출솔위59.50%，아석검출솔위62.64%；OHI-S위0.69，기중간화연구지수（DI-S）위0.36，간화아석지수（CI-S）위0.33；CFI위0.29，불아증적환병솔위8.13%。문권조사현시，학생적구강위생행위화구강의료복무현상교차，학생대구강보건복무요구교저。결론서장산남지구장족고중필업학생적구강환병솔교고，구강건강의식교차，응가강대해지구학생적구강위생선교화대당지구강의생적기능배훈，유효방치구강질병。
Objective To investigate oral health status of graduating senior high school students of Zang nationality in Shannan Prefecture of Tibet,and to provide basis for prevention of local oral diseases. Methods Based on 3rd national oral health survey project and WHO methodology of oral health survey,totally 1907 students were checked on caries, periodontitis,dental fluorosis,and oral hygiene status. With questionnaire the students' oral health practice,present situ-ation of oral medical service,and need of oral health service were investigated. Results It showed that mean DMFT was 0.97 and caries prevalence rate was 39.96%in students of Zang nationality. In community periodontal index,the detec-tion rates of gingivitis and dental calculus were 59.50%and 62.64%. Oral hygiene index-simplified was 0.69,with 0.36 and 0.33 in debris index-simplified and calculus index-simplified. Community dental fluorosis index was 0.29,with 8.13%in prevalence rate. The questionnaire showed that students had poor oral health practice and lower needs for oral health service. The local area had also poor oral medical service. Conclusion Students of Zang nationality in plateau ar-eas have higher prevalence of oral diseases and lower oral health perception. Oral health education and local dentists training should be strengthened and improved so as to get effective prevention for oral diseases.