CAJ | 학술논문

目的：了解广西城乡居民的口腔卫生状况，为广西口腔预防保健工作开展提供参考依据。方法采用多阶段分层随机整群抽样方法，在广西国家级慢病监测6个项目市（县），对3600名18岁及以上城乡居民进行问卷调查。结果调查人群中牙齿因病拔除比例为39．73％，18～34岁的青年人群有15．08％的人发生牙齿因病拔除；牙龈出血比例为35．12％；86．58％的人从来没有洗牙（洁牙），在农村这个比例高达91．75％；就医看牙行为比例为44．29％；正常刷牙行为比例为47．57％；随着年龄的增长，正常刷牙行为比例呈明显下降趋势（P ＜0．05）；农村居民就医看牙（32．18％）和正常刷牙（32．72％）行为的比例明显低于城市居民（68．50％、77．25％）（P ＜0．05）；小学及以下文化程度人群就医看牙和正常刷牙行为都远低于高文化程度人群（P ＜0．05）。发生过牙龈出血的1264名调查对象中，只有22名调查对象（1．74％）请牙科医生进行过诊断治疗。结论广西城乡居民口腔卫生状况不容乐观，需要加强开展口腔预防保健工作，应重点关注农村地区、老年人群、小学及以下文化程度人群的宣传与教育。
목적：료해엄서성향거민적구강위생상황，위엄서구강예방보건공작개전제공삼고의거。방법채용다계단분층수궤정군추양방법，재엄서국가급만병감측6개항목시（현），대3600명18세급이상성향거민진행문권조사。결과조사인군중아치인병발제비례위39．73％，18～34세적청년인군유15．08％적인발생아치인병발제；아간출혈비례위35．12％；86．58％적인종래몰유세아（길아），재농촌저개비례고체91．75％；취의간아행위비례위44．29％；정상쇄아행위비례위47．57％；수착년령적증장，정상쇄아행위비례정명현하강추세（P ＜0．05）；농촌거민취의간아（32．18％）화정상쇄아（32．72％）행위적비례명현저우성시거민（68．50％、77．25％）（P ＜0．05）；소학급이하문화정도인군취의간아화정상쇄아행위도원저우고문화정도인군（P ＜0．05）。발생과아간출혈적1264명조사대상중，지유22명조사대상（1．74％）청아과의생진행과진단치료。결론엄서성향거민구강위생상황불용악관，수요가강개전구강예방보건공작，응중점관주농촌지구、노년인군、소학급이하문화정도인군적선전여교육。
Objective To investigate the oral health status of rural and urban residents in Guangxi,aiming at providing the references for oral health prevention and care in Guangxi.Methods 3 600 subjects aged 18 years or older from 6 noninfectious chronic disease(NCD) surveillance project cities and counties in Guangxi were selected by multi-stage stratified cluster random sampling method,and a questionnaire survey was implemented among them.Results Among the investigation subjects,the rate of tooth extraction due to dental disease was 39.73%,and this rate for population aged 18 to 34 years was 15.08%;the detection rate of gingival bleeding was 35.12%;86.58% of the subjects never had their teeth medically washed(cleaned),which accounted for 91.75% in rural areas;the rate of dental care seeking behavior was 44.29%;the rate of normal daily tooth brush was 47.57%,which grew lower significantly as age increased(P <0.05);the rates of dental care seeking behavior and normal daily tooth brush among rural residents were significantly lower than those among urban residents (32.18% vs.68.50%,32.72% vs.77.25%,respectively,P <0.05),and these rates among population of education background of primary school or poorer education were significantly lower than those among higher schooling population(P <0.05).Among 1 264 interviewed subjects with previous gingival bleeding,only 22(1.74%) had visited dentist for diagnosis and treatment.Conclusion The current oral health status in Guangxi is not optimistic,the oral health prevention and care should be strengthened with an emphasis on education among rural population,senior population,and population of education background of primary school or poorer education.