湖南地區(qū)15歲以上居民食物嵌塞流行情況調(diào)查及相關(guān)因素分析
發(fā)布時(shí)間：2018-08-13 18:17
【摘要】： 目的：為了解湖南省15歲以上居民食物嵌塞發(fā)生情況,探討其發(fā)病的流行病學(xué)特征及相關(guān)因素,為廣大居民食物嵌塞的病因討論及防治提供流行病學(xué)依據(jù)。 方法：在湖南省采取整群隨機(jī)抽樣方法,隨機(jī)抽取5個(gè)地區(qū)的城鄉(xiāng)常住人口2151人。在知情自愿原則下,采用自行設(shè)計(jì)的問卷進(jìn)行詢問和口腔檢查,對(duì)居民食物嵌塞發(fā)生情況及相關(guān)因素做調(diào)查統(tǒng)計(jì)。結(jié)果采用SPSS 13.0統(tǒng)計(jì)數(shù)據(jù)軟件包進(jìn)行分析,包括χ2檢驗(yàn)、單因素分析和Logistic回歸分析。 結(jié)果： 1.在被調(diào)查的5個(gè)地區(qū)15歲以上居民2151人中,出現(xiàn)了食物嵌塞的人數(shù)為886人,普通人群食物嵌塞發(fā)生率為41.19%。女性食物嵌塞發(fā)生率為42.38%,與男性食物嵌塞發(fā)生率40.11%間無顯著性差異(P0.05)。年齡與食物嵌塞發(fā)生情況呈倒U形分布,且各年齡組間食物嵌塞發(fā)生率有顯著性差異(P0.05)。40歲以前,隨著年齡的增長,食物嵌塞發(fā)生率呈上升趨勢(shì)；在40-49歲組食物嵌塞發(fā)生率最高達(dá)58.45%；≥50歲人群,隨年齡增長,食物嵌塞發(fā)生率下降。 2.食物嵌塞發(fā)生率在口腔衛(wèi)生情況為好、一般、差組分別為：27.47%、41.53%、45.81%；在從不看牙醫(yī)組、近5年無看牙醫(yī)組、近2-5年有看牙醫(yī)組、每年都有看牙醫(yī)組分別為：40.83%、36.67%、57.73%、36.36%；在有、無咀嚼檳榔習(xí)慣組分別為35.56%、42.32%,且各組別間率的差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。而不同受教育程度組別間、不同家庭年人均可支配收入組別間、不同的每天刷牙次數(shù)組別間食物嵌塞發(fā)生率無顯著性差異(P0.05)。 3.在所有出現(xiàn)食物嵌塞的被調(diào)查者中,所有牙間隙均有發(fā)生食物嵌塞的情況,下頜牙間隙嵌塞發(fā)生率為5.09%,高于上頜牙間隙嵌塞發(fā)生率3.32%(P0.05)。后牙區(qū)牙間隙嵌塞發(fā)生率為6.03%,高于前牙區(qū)牙間隙嵌塞發(fā)生率2.11%(P0.05)。左、右側(cè)牙間隙嵌塞發(fā)生率無明顯差異(P0.05)。 4.經(jīng)Logistic回歸分析(α入=0.05,α出=0.10)結(jié)果顯示,控制混雜因素后,8個(gè)自變量性別、年齡、受教育程度、家庭年人均可支配收入、口腔衛(wèi)生情況、每天刷牙次數(shù)、是否定期看牙醫(yī)、是否咀嚼檳榔中經(jīng)各因素間交互篩選后,只有性別、年齡、受教育程度、家庭年人均可支配收入4個(gè)自變量進(jìn)入回歸方程,并且是居民發(fā)生食物嵌塞的危險(xiǎn)因素(回歸系數(shù)b0)。 5.在出現(xiàn)食物嵌塞的886位被調(diào)查者中,僅有0.45%因食物嵌塞而求醫(yī),99.55%的被調(diào)查者沒有求醫(yī)行為。79.68%有食物嵌塞的被調(diào)查者采用牙簽清除掉嵌塞的食物,11.96%有食物嵌塞的被調(diào)查者采用其他辦法,如刷牙、探針、漱口、用手牽扯等,用牙線和牙縫刷處理食物嵌塞的被調(diào)查者僅占1.44%。 結(jié)論： 1.湖南省15歲以上居民食物嵌塞發(fā)生率高,求治率低。40歲以上者為高發(fā)人群,15-39歲間人群,年齡越大,食物嵌塞發(fā)生率越高�！�50歲人群,隨年齡增大,食物嵌塞發(fā)生率下降。 2.湖南省15歲以上居民,所有牙間隙均有食物嵌塞情況的發(fā)生,不同牙間隙食物嵌塞發(fā)生情況呈左右對(duì)稱特點(diǎn)。其好發(fā)牙間隙為四個(gè)第一磨牙之間和四個(gè)第一磨牙與第二前磨牙之間。上頜前牙區(qū)食物嵌塞發(fā)生率少。下頜食物嵌塞發(fā)生率較上頜高。 3.居民性別、年齡、受教育程度、家庭經(jīng)濟(jì)水平、口腔衛(wèi)生習(xí)慣等對(duì)食物嵌塞的發(fā)生產(chǎn)生影響。
[Abstract]:Objective: To investigate the prevalence of food impaction among residents aged 15 years and over in Hunan Province, and to explore the epidemiological characteristics and related factors of food impaction.
Methods: A cluster random sampling method was adopted in Hunan Province. 2151 permanent residents were randomly selected from 5 districts in urban and rural areas. Under the principle of informed voluntary, questionnaires and oral examinations were conducted to investigate the occurrence of food impaction and related factors. Analysis included chi square test, univariate analysis and Logistic regression analysis.
Result:
1. Among 2151 inhabitants aged 15 years and over, 886 had food impaction and 41.19% had food impaction in the general population. The incidence of food impaction was 42.38% in women and 40.11% in men (P 0.05). There was a significant difference in the incidence of food impaction between age groups (P 0.05). The incidence of food impaction increased with age before 40 years old; the highest incidence of food impaction was 58.45% in 40-49 years old group; and the incidence of food impaction decreased with age in people over 50 years old.
2. The incidence of food impaction in oral hygiene was better, generally, the poor group was 27.47%, 41.53%, 45.81%; in the group of never visiting dentist, in the group of not visiting dentist in the last five years, in the group of visiting dentist in the last two to five years, every year there were 40.83%, 36.67%, 57.73%, 36.36%; in the group of no chewing betel nut habits, 35.56%, 42.32%, and in each group, respectively. There was no significant difference in the incidence of food impaction among different educational level groups, per capita disposable income groups in different family years, and different times of brushing teeth every day (P 0.05).
3. Food impaction was found in all the patients with food impaction. The incidence of mandibular space impaction was 5.09%, which was higher than that of maxillary space impaction (3.32% (P 0.05). The incidence of posterior space impaction was 6.03%, and that of anterior space impaction was 2.11% (P 0.05). There was no significant difference in the incidence of impaction (P0.05).
4. Logistic regression analysis (alpha = 0.05, alpha = 0.10) showed that after controlling the confounding factors, the eight independent variables were sex, age, education level, family annual disposable income, oral hygiene, daily brushing frequency, whether to visit dentist regularly, whether to chew betel nut, only gender, age, education. Four independent variables of annual per capita disposable income entered the regression equation and were the risk factors of food impaction (regression coefficient b0).
5. Of the 886 respondents with food impaction, only 0.45% sought medical treatment because of food impaction, 99.55% did not seek medical treatment. 79.68% of the respondents with food impaction used toothpicks to remove the impacted food, 11.96% of the respondents with food impaction used other methods, such as brushing teeth, probes, rinsing, hand pulling and so on. Only of respondents who had food impaction were treated with thread and dental brush.
Conclusion:
1. The incidence of food impaction is high and the treatment rate is low in the residents over 15 years old in Hunan Province. People over 40 years old are high-risk groups. The older the population between 15 and 39 years old, the higher the incidence of food impaction.
2. Food impaction occurred in all teeth spaces of residents over 15 years old in Hunan Province. Food impaction in different teeth spaces was left and right symmetrical. Higher than the upper jaw.
3. Residents'gender, age, education level, family economic level, oral hygiene habits and other factors have an impact on the occurrence of food impaction.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類號(hào)】：R781.2;R181.3
[Abstract]:Objective: To investigate the prevalence of food impaction among residents aged 15 years and over in Hunan Province, and to explore the epidemiological characteristics and related factors of food impaction.
Methods: A cluster random sampling method was adopted in Hunan Province. 2151 permanent residents were randomly selected from 5 districts in urban and rural areas. Under the principle of informed voluntary, questionnaires and oral examinations were conducted to investigate the occurrence of food impaction and related factors. Analysis included chi square test, univariate analysis and Logistic regression analysis.
Result:
1. Among 2151 inhabitants aged 15 years and over, 886 had food impaction and 41.19% had food impaction in the general population. The incidence of food impaction was 42.38% in women and 40.11% in men (P 0.05). There was a significant difference in the incidence of food impaction between age groups (P 0.05). The incidence of food impaction increased with age before 40 years old; the highest incidence of food impaction was 58.45% in 40-49 years old group; and the incidence of food impaction decreased with age in people over 50 years old.
2. The incidence of food impaction in oral hygiene was better, generally, the poor group was 27.47%, 41.53%, 45.81%; in the group of never visiting dentist, in the group of not visiting dentist in the last five years, in the group of visiting dentist in the last two to five years, every year there were 40.83%, 36.67%, 57.73%, 36.36%; in the group of no chewing betel nut habits, 35.56%, 42.32%, and in each group, respectively. There was no significant difference in the incidence of food impaction among different educational level groups, per capita disposable income groups in different family years, and different times of brushing teeth every day (P 0.05).
3. Food impaction was found in all the patients with food impaction. The incidence of mandibular space impaction was 5.09%, which was higher than that of maxillary space impaction (3.32% (P 0.05). The incidence of posterior space impaction was 6.03%, and that of anterior space impaction was 2.11% (P 0.05). There was no significant difference in the incidence of impaction (P0.05).
4. Logistic regression analysis (alpha = 0.05, alpha = 0.10) showed that after controlling the confounding factors, the eight independent variables were sex, age, education level, family annual disposable income, oral hygiene, daily brushing frequency, whether to visit dentist regularly, whether to chew betel nut, only gender, age, education. Four independent variables of annual per capita disposable income entered the regression equation and were the risk factors of food impaction (regression coefficient b0).
5. Of the 886 respondents with food impaction, only 0.45% sought medical treatment because of food impaction, 99.55% did not seek medical treatment. 79.68% of the respondents with food impaction used toothpicks to remove the impacted food, 11.96% of the respondents with food impaction used other methods, such as brushing teeth, probes, rinsing, hand pulling and so on. Only of respondents who had food impaction were treated with thread and dental brush.
Conclusion:
1. The incidence of food impaction is high and the treatment rate is low in the residents over 15 years old in Hunan Province. People over 40 years old are high-risk groups. The older the population between 15 and 39 years old, the higher the incidence of food impaction.
2. Food impaction occurred in all teeth spaces of residents over 15 years old in Hunan Province. Food impaction in different teeth spaces was left and right symmetrical. Higher than the upper jaw.
3. Residents'gender, age, education level, family economic level, oral hygiene habits and other factors have an impact on the occurrence of food impaction.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類號(hào)】：R781.2;R181.3
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 方碧松;侯本祥;付潔;徐娟;;后牙食物嵌塞癥的治療及臨床特點(diǎn)分析[J];北京口腔醫(yī)學(xué);2008年04期
2 印曉玲;;后牙全冠修復(fù)后發(fā)生食物嵌塞的防治體會(huì)[J];重慶醫(yī)學(xué);2008年22期
3 石旭旭;朱曉敏;;鑄造可摘夾板式食物防嵌器治療老年患者后牙連續(xù)性食物嵌塞[J];黑龍江醫(yī)學(xué);2008年05期
4 徐娟;方碧松;馬宏;孫曉強(qiáng);;序列調(diào)，
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