本文選題：心血管病高危人群 + 牙周炎　； 參考：《大連醫(yī)科大學(xué)》2016年碩士論文

【摘要】：目的:探討心血管病高危人群的牙周健康狀況與一般情況、不良嗜好及口腔保健行為、全身健康狀況、牙周保健知識(shí)認(rèn)知水平的相關(guān)性,為心血管病高危人群牙周炎的預(yù)防與保健提供理論依據(jù)。方法:本研究的調(diào)查對(duì)象為2015年1-7月在“遼寧省心血管病高危人群早期篩查與綜合干預(yù)項(xiàng)目”中篩選出來的心血管病高危人群500例,最后納入調(diào)查人群共484例。參考第三次全國(guó)口腔健康流行病學(xué)調(diào)查方案,對(duì)484名心血管病高危人群進(jìn)行問卷調(diào)查和牙周檢查,并對(duì)全身健康狀況進(jìn)行檢查。問卷調(diào)查包括一般情況、不良嗜好及口腔保健行為、牙周保健知識(shí)認(rèn)知水平;牙周檢查包括牙周探診深度(probing depth.PD)、牙周附著喪失(attachment loss,AL)、出血指數(shù)(bleeding index,BI)、菌斑指數(shù)(plaque index,PLI);全身健康狀況中體格檢查包括身高、體重和血壓,并計(jì)算出體重指數(shù)(body mass index,BMI),生化指標(biāo)包括總膽固醇(totle cholesterol,TC)、甘油三脂(triglyceride,TG)及空腹血糖(fasting plasma glucose,FPG)。本研究所有的牙周狀況數(shù)據(jù)采集均由經(jīng)過培訓(xùn)的牙周專業(yè)研究生進(jìn)行檢查,并使用SPSS21.0軟件包對(duì)上述問卷調(diào)查、牙周檢查及全身健康狀況檢測(cè)數(shù)據(jù)進(jìn)行分析,其中單因素分析采用X2檢驗(yàn),以p=0.05為顯著水平進(jìn)行危險(xiǎn)因素評(píng)估,得出高危因素(p0.05),再將上述高危因素帶入回歸方程中進(jìn)行多因素非條件逐步Logistic回歸分析,進(jìn)一步檢驗(yàn)心血管病高危人群各項(xiàng)問卷調(diào)查項(xiàng)目及全身健康狀況與牙周炎之間的相關(guān)性。結(jié)果:1.參加此次心血管病高危人群心血管病高危人群調(diào)查的共500人,有效病例共484例,其中患有牙周炎的共314例,牙周炎的發(fā)病率為64.876%。2.對(duì)484名心血管病高危人群的單因素x2分析結(jié)果顯示:性別(x2=5.754,P=0.016)、年齡(x2=9.904,P=0.002)、吸煙(x2=56.748,P=0.000)、飲酒(x2=11.751,P=0.019)、刷牙(x2=11.800,P=0.038)、BMI(x2=8.374,P=0.039)、TC(x2=17.588,P=0.000)、TG(x2=18.927,P=0.000)、高血壓(x2=10.339,P=0.001)、空腹血糖(x2=12.146,P=0.000)與心血管病高危人群的牙周炎的發(fā)病情況具有相關(guān)性;而與月收入、學(xué)歷、牙線使用、潔治情況無相關(guān)性(p0.05)。3.對(duì)484名心血管病高危人群的多因素logistic回歸分析結(jié)果顯示:年齡(OR=1.668,CI 1.101-2.527)、吸煙(OR=1.801,CI 1.505-2.155)、刷牙(OR=1.367,CI 1.086-1.720)、TG(OR=2.091,CI 1.344-3.253)、空腹血糖(OR=2.145,CI1.301-3.536)與牙周炎具有顯著的回歸關(guān)系,構(gòu)成了心血管病高危人群牙周炎的危險(xiǎn)因素。結(jié)論:1.心血管病高危人群牙周炎的發(fā)病率為64.876%。2.心血管病高危人群中性別、年齡、吸煙、飲酒、刷牙、BMI、TC、TG、高血壓、空腹血糖與心血管病高危人群牙周炎發(fā)病密切相關(guān)。3.心血管病高危人群中在調(diào)整了混雜因素影響后年齡、吸煙、刷牙、TG、空腹血糖構(gòu)成了心血管病高危人群牙周炎發(fā)病的高危因素。
[Abstract]:Objective: to investigate the correlation between periodontal health status, general situation, oral health care behavior, general health status and knowledge level of periodontal health care in high risk population of cardiovascular disease. To provide theoretical basis for prevention and health care of periodontitis in high risk groups of cardiovascular diseases. Methods: a total of 500 patients with high risk of cardiovascular disease were selected in Liaoning Province from January to July 2015, and 484 cases were included in the survey. According to the third National Oral Health Epidemiology Survey, 484 people at high risk of cardiovascular disease were investigated by questionnaire, periodontal examination and general health examination. Questionnaire survey included general situation, bad habits and oral health care behavior, periodontal health knowledge and cognitive level. Periodontal examination includes periodontal probing depth probing depth.PDT, periodontal attachment loss alanine, bleeding index BII, plaque index PLIN. Physical examination in general health condition includes height, weight, and blood pressure. The body mass index (BMI) and fasting plasma glucose were calculated. Some periodontal status data collected in this study were checked by trained periodontal professional graduate students, and the data of the questionnaire, periodontal examination and general health status were analyzed by SPSS21.0 software package. The single factor analysis was carried out by X2 test, and the risk factors were evaluated at the significant level of p0. 05. The high risk factors (p0. 05) were obtained, and then the above high risk factors were brought into the regression equation for multivariate non conditional stepwise Logistic regression analysis. To further examine the correlation between periodontitis and questionnaire survey items and general health status in high risk population of cardiovascular disease. The result is 1: 1. A total of 500 people participated in the investigation of high-risk groups of cardiovascular disease, 484 effective cases, including 314 cases of periodontitis, the incidence of periodontitis is 64.876. 2. 瀵，

本文編號(hào)：1938383