【摘要】：目的了解和分析寧夏中衛(wèi)市回漢族中老年人群口腔黏膜病的流行狀況及其相關(guān)的危險(xiǎn)因素,為下一步開展和實(shí)施口腔黏膜病的分級(jí)診療工作提供流行病學(xué)依據(jù)。方法采用多級(jí)、分層、空間抽樣的方法,于2015年9月至2016年3月對中衛(wèi)市的海原縣、中寧縣和沙坡頭區(qū)三個(gè)地區(qū)隨機(jī)各抽取兩個(gè)調(diào)查點(diǎn),共來自6個(gè)調(diào)查點(diǎn),每個(gè)調(diào)查點(diǎn)收集35~44歲和65~74歲兩個(gè)年齡組各313人,即每個(gè)調(diào)查點(diǎn)收集626人,每個(gè)年齡組各1878人,實(shí)際收集了3756名常住回、漢族人群進(jìn)行口腔檢查;另外,將患有黏膜病的作為病例組,相同年齡不患黏膜病的受檢者作為對照組,按地區(qū)、年齡、性別、民族進(jìn)行配對,獲得252對有效配對,通過問卷調(diào)查對口腔黏膜病相關(guān)危險(xiǎn)因素進(jìn)行分析。結(jié)果1.寧夏中衛(wèi)市回漢族中老年人群口腔黏膜病的總體檢出率為6.7%,比較中年組(6.2%)與老年組(7.2%)間口腔黏膜病的檢出率顯示無統(tǒng)計(jì)學(xué)差異(P0.05);口腔黏膜病在男性中的檢出率為2.5%,女性的檢出率為4.2%;漢族的檢出率為5.4%,回族的檢出率為1.4%,口腔黏膜病的檢出率在不同性別與不同民族間有顯著性的差異(P0.05)。2.調(diào)查共檢出8種疾病,復(fù)發(fā)性口腔潰瘍(ROU)檢出率為3.5%,口腔扁平苔蘚(OLP)檢出率為1.4%,萎縮性舌炎檢出率為0.7%,灼綜合征檢出率為(BMS)0.6%,唇炎檢出率為0.4%,地圖舌檢出率為0.2%,白斑檢出率為0.1%,舌乳頭炎為0.001%。3.口腔黏膜病檢出部位最多位于雙側(cè)頰黏膜,占31.7%。4.喜食辣食(OR=14.583)、喜食燙食(OR=13.963)、全身性疾病(OR=1.257)和生活壓力(OR=6.604)可能是誘發(fā)中老年人口腔黏膜病發(fā)病的危險(xiǎn)因素,受教育程度(OR=0.719)和食用蔬菜水果頻率(OR=0.031)是保護(hù)因素。結(jié)論中衛(wèi)市回漢族中老年人群口腔黏膜病的檢出率較高,中老年人群口腔黏膜病的發(fā)病率會(huì)隨年齡的增長而呈上升趨勢,女性口腔黏膜病的檢出率高于男性,漢族人群口腔黏膜病的檢出率高于回族;且中老年人群口腔黏膜病的發(fā)病與受教育程度、喜食辣食、喜食燙食、食用蔬菜水果的頻率、全身性疾病和生活中的壓力有密切的相關(guān)性。
[Abstract]:Objective to understand and analyze the prevalence of oral mucosal disease and its related risk factors in the middle and elderly population of Hui Han nationality in Zhongwei City Ningxia. To provide epidemiological basis for the further development and implementation of grading diagnosis and treatment of oral mucosal disease. Methods from September 2015 to March 2016, two survey sites were randomly selected from Haiyuan County, Zhongning County and Shapotou District from September 2015 to March 2016. Each survey site collected 313 people from the two age groups of 35 and 44 years old and 65 to 74 years old, that is, 626 people from each survey site, 1878 people from each age group, and 3756 people were actually collected for regular residence, and the Han population had oral examinations; in addition, The patients with mucosal diseases were used as case groups and those who were not affected by mucosal diseases of the same age were used as control group. They were matched according to region, age, sex and nationality, and 252 pairs of valid pairing were obtained. The risk factors of oral mucosal disease were analyzed by questionnaire. Result 1. The detection rate of oral mucosal disease was 6.7in the middle and elderly population of Hui Han nationality in Zhongwei City, Ningxia. There was no significant difference between the middle-aged group (6.2%) and the elderly group (7.2%) (P0.05), and the detection rate of oral mucosal disease in male was as follows: 1. The detection rate of female was 4.2 and that of Han was 5.4 and that of Hui was 1.4. The detection rate of oral mucosal disease was significantly different between different sexes and nationalities (P0.05). A total of 8 diseases were detected. The detectable rate of (ROU), (OLP), atrophic glossitis, cautery syndrome, labial inflammation, map tongue, white spot, papillomatous inflammation, papillomatous inflammation and papilltis were 3.5, 1.4, 0.7, 0.7, 0.6, 0.4, 0.2, 0.1 and 0.001 路3, respectively. The detection rate of recurrent oral ulcer was 3.5%, (OLP) was 1.4, atrophic glossitis was 0.7, cautery syndrome was (BMS) 0.6. The most detected sites of oral mucosal disease were bilateral buccal mucosa, accounting for 31.7%. 4. Hot food (OR=14.583), hot food (OR=13.963), systemic disease (OR=1.257) and stress of life (OR=6.604) may be the risk factors of oral mucosal disease in middle-aged and old people, and the education level (OR=0.719) and the frequency of eating vegetables and fruits (OR=0.031) are protective factors. Conclusion the detection rate of oral mucosal disease is higher in the middle-aged and elderly population of Hui Han nationality in Zhongwei City. The incidence of oral mucosal disease in the middle-aged and elderly population will increase with the increase of age. The detection rate of oral mucosal disease in women is higher than that in men. The prevalence rate of oral mucosal disease in Han population was higher than that in Hui nationality, and the incidence and education of oral mucosal disease in middle and old people were higher than that in Hui nationality, and the frequency of eating hot food, eating vegetables and fruits, Systemic illness is closely related to stress in life.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R781.5

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