上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

医学院学生牙周健康状态的流行病学研究

李超伦，刘大力，谢玉峰，宋忠臣，葛琳华，束蓉   

  1. 上海交通大学医学院附属第九人民医院牙周病科，上海市口腔医学重点实验室，上海 200011
  • 出版日期:2017-04-28 发布日期:2017-05-04
  • 作者简介:李超伦（1972—），男，副主任医师，博士；电子信箱：13701822375@126.com。
  • 基金资助:

    上海市科学技术委员会医学重点项目（13411951300）；上海市教育委员会高峰高原学科建设项目

Epidemiological study on periodontal health status of medical students

LI Chao-lun, LIU Da-li, XIE Yu-feng, SONG Zhong-chen, GE Lin-hua, SHU Rong   

  1. Shanghai Key Laboratory of Stomatology, Department of Periodontology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2017-04-28 Published:2017-05-04
  • Supported by:

    Major Project Supported by Shanghai Science and Technology Commission, 13411951300; Shanghai Municipal Education Commission— Gaofeng Clinical Medicine Grant Support

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摘要：

目的 ·对医学院学生口腔健康知识和行为及其与牙周健康状态的关系进行调查和分析，研判该人群的整体牙周健康水平。方法 · 602名的医学院学生被随机纳入横断面流行病学调查。调查问卷内容包括社会人口学信息、牙周健康相关行为、牙周健康相关知识、自我感觉和父母牙周情况等。同时对受试者指数牙的各项牙周指数进行检测，包括探诊深度、临床附着丧失和探诊出血等。结果 · 570名受试者（16～26岁）完成了全部调查。受试者中，从未使用过牙线者占79.82%；从未接受过牙周洁治者占78.25%。50.25%的指数牙存在探诊出血，仅0.70%的受试者未检出探诊出血，81.05%的受试者被检出存在一定程度的牙周附着丧失。与女生比较，男生更加易患罹患牙周炎（P=0.027）和牙龈炎 (P=0.012)。结论 ·未发现可能影响牙周健康的新风险因素。常规的牙周洁治和口腔卫生维护是年轻人群预防牙周炎的重要方法。

关键词: 横断面研究, 流行病学, 牙龈炎, 牙周炎

Abstract:

Objective · To investigate and analyze periodontal health knowledge and behaviors in medical students and the relationship of these knowledge and behaviors with periodontal health status, and to determine the periodontal health level of this population. Methods · A total of 602 medical students were included in this cross-sectional epidemiological study. The questionnaire covered sociodemographic information, periodontal health-related behaviors and knowledge, experience about themselves, and periodontal health of parents, etc. Meanwhile, periodontal health indices of index teeth were examined, including probing depth (PD), clinical attachment loss (CAL), and bleeding on probing (BOP), etc. Results · Of 570 subjects aged 16-26 who completed the survey, 79.82% never used dental floss, and 78.25% never underwent periodontal debridement. 50.25% of the index teeth had BOP, and only 0.70% of the subjects had no BOP. 81.05% of the subjects had some degree of periodontal attachment loss. Male students were more susceptible to periodontitis (P=0.027) and gingivitis (P=0.012) than female students. Conclusion · No new risk factors affecting the periodontal health are identified. Regular periodontal cleaning and protection are important for young people to prevent periodontitis.

Key words:  cross-sectional study, epidemiology, gingivitis, periodontitis