标题:老年人牙周病病情严重程度的影响因素及预防策略
作者:姚巍,张鸿军,周水华 上海市奉贤区牙病防治所口腔科,上海 230032
卷次:
2020年31卷1期
【摘要】 目的 分析影响老年人牙周病病情严重程度的危险因素,并探讨相应的预防策略。方法 选取2019年3~9月期间在上海市奉贤区牙病防治所口腔内科就诊的724例老年牙周病患者作为研究对象,收集其相关资料,采用单因素与多因素非条件Logistic回归分析探究影响老年人牙周病严重程度的相关因素。结果 本次调查的724例老年牙周病患者中,轻度225例(31.08%),中重度499例(68.92%);单因素分析结果显示,不同程度老年牙周病患者在年龄、吸烟、刷牙次数、偏侧咀嚼、合并糖尿病、合并冠心病等方面比较差异均具有统计学意义(P<0.05);多因素非条件Logistic回归分析结果显示,年龄、吸烟、糖尿病史是老年牙周病病情严重程度的独立危险因素(P<0.05)。结论 年龄、吸烟、糖尿病史是老年牙周病病情严重程度的独立危险因素,早期处理和预防可有效控制病情的发展,改善患者生活质量。
【关键词】 牙周病;老年;病情严重程度;危险因素;防治
【中图分类号】 R787 【文献标识码】 A 【文章编号】 1003—6350(2020)01—0086—03
Factors affecting the severity of periodontal disease in the elderly and analysis of prevention strategies.
YAO Wei,ZHANG Hong-jun, ZHOU Shui-hua. Department of Oral Medicine, Shanghai Fengxian District Dental Disease Preventionand Treatment Institute, Shanghai 230032, CHINA
【Abstract】 Objective To explore the risk factors affecting the severity of periodontal disease in the elderly,and to analyze corresponding prevention strategies. Methods A total of 724 elderly patients with periodontal diseasewere selected as subjects, who were treated in the Department of Oral Medicine at Shanghai Fengxian District DentalDisease Prevention and Treatment Institute from March 2019 to September 2019. Relevant data were collected. Univari-ate and multivariate unconditional logistic regression analysis were used to explore the risk factors affecting the severityof periodontal disease in the elderly. Results In the 724 elderly patients with periodontal disease investigated in thissurvey, 225 cases (31.08%) were mild and 499 cases (68.92%) were moderate to severe. The univariate analysis resultsshowed that there were statistically significant differences in age, smoking, teeth brushing times, unilateral chewing, dia-betes mellitus, and coronary heart disease in elderly patients with periodontal disease (all P<0.05). The multivariate un-conditional logistic regression analysis showed that age, smoking, and history of diabetes were independent risk factorsfor the severity of periodontal disease in the elderly (all P<0.05). Conclusion Age, smoking, and history of diabetesare independent risk factors for the severity of periodontal disease in the elderly. Early treatment and prevention can ef-fectively control the development of the disease and improve the quality of life of patients.
【Key words】 Periodontal disease; Elderly; Severity of illness; Risk factor; Prevention·短篇论著·doi:10.3969/j.issn.1003-6350.2020.01.025
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