【摘要】：目的:調(diào)查新疆墨玉縣農(nóng)村維吾爾族成人牙周炎流行現(xiàn)狀及探討牙周炎與全身因素的相關(guān)關(guān)系。方法:研究采用分層隨機抽樣的方法將墨玉縣364個村分為364層,從中隨機抽取20個自然村,20個村均勻分布于墨玉縣四周。按照抽樣原則及最小樣本量公式擴大10倍實抽樣本2612人,其中應(yīng)答單位數(shù)為2007人,應(yīng)答率為77%。計算分析牙周炎患病率,經(jīng)過單因素分析牙周炎的流行因素,將這些因素納入Logistic回歸分析牙周炎的相關(guān)危險因素,有統(tǒng)計學(xué)意義的相關(guān)危險因素采用spearman相關(guān)分析法分析牙周炎嚴重程度與危險因素的關(guān)聯(lián)性。結(jié)果:墨玉縣農(nóng)村維吾爾族成人牙周炎的患病率為72%,Logistic回歸分析篩選出的相關(guān)危險因素從高到低為:年齡(OR=3.033)、BMI指數(shù)(OR=1.075)、腰圍(OR=1.043)、舒張壓(OR=1.011)、血尿酸(OR=0.997)、估算腎小球濾過率(estimated glomerular filtration rate,eGFR)(OR=0.996)、體重(OR=0.953)和性別(OR=0.402)。牙周炎嚴重程度與各危險因素的Spearman相關(guān)分析,包括性別、年齡、BMI指數(shù)、肥胖程度、體重、腰圍和eGFR,相關(guān)系數(shù)分別為-0.145、0.478、0.152、0.126、0.138、0.264、0.121,P=0.00(95%置信區(qū)間:0.081-0.160)除牙周炎分度與性別呈負相關(guān)外,牙周炎分度與其余危險因素均呈顯著正相關(guān)。結(jié)論:墨玉縣農(nóng)村維吾爾族成人牙周炎患病率較高,牙周炎的流行與多種因素相關(guān)。牙周炎嚴重程度分級與性別呈負相關(guān),與年齡、BMI指數(shù)、肥胖程度、體重、腰圍和eGFR均呈顯著正相關(guān)關(guān)系。牙周炎分別與肥胖癥和慢性腎臟病存在相關(guān)性。
[Abstract]:Objective: to investigate the prevalence of adult periodontitis in rural Uygur in Moyu County, Xinjiang, and to explore the correlation between periodontitis and systemic factors. Methods: 364 villages in Moyu County were randomly divided into 364 layers by stratified random sampling. Twenty villages were randomly selected and 20 villages were evenly distributed around Moyu County. According to the principle of sampling and the formula of minimum sample size, 2612 samples were expanded 10 times, in which the number of responding units was 2007 and the response rate was 77. The prevalence rate of periodontitis was calculated and analyzed. The epidemic factors of periodontitis were analyzed by univariate analysis. The risk factors of periodontitis were included in Logistic regression analysis. The correlation between the severity of periodontitis and risk factors was analyzed by spearman correlation analysis. Results: the prevalence rate of adult periodontitis in rural Uygur in Moyu County was 72U. Logistic regression analysis showed that the risk factors from high to low were OR=3.033), BMI index (OR=1.075), waist circumference (OR=1.043), age index (OR=1.075), waist circumference (OR=1.043), age index (OR=1.075), waist circumference (OR=1.043). Diastolic blood pressure (OR=1.011), serum uric acid (OR=0.997), estimated glomerular filtration rate (estimated glomerular filtration rate,eGFR) (OR=0.996), weight (OR=0.953) and sex (OR=0.402). Spearman correlation analysis of the severity of periodontitis with various risk factors, including sex, age, BMI index, obesity degree, weight, waist circumference and eGFR, correlation coefficient were -0.145 ~ 0.478U 0.152 ~ 0.1260.138U 0.264n 0.121, respectively. P0.00 (95% confidence interval: 0.081-0.160) except for the negative correlation between periodontitis and sex, periodontitis was positively correlated with other risk factors. Conclusion: the prevalence of periodontitis in rural Uygur adults in Moyu County is high, and the prevalence of periodontitis is related to many factors. The severity of periodontitis was negatively correlated with sex, but positively correlated with age, BMI index, obesity, weight, waist circumference and eGFR. Periodontitis is associated with obesity and chronic kidney disease, respectively.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R781.4

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