牙周炎与抑郁、焦虑情绪及生活方式的相关性研究

发布时间：2018-01-06 15:22

本文关键词：牙周炎与抑郁、焦虑情绪及生活方式的相关性研究　出处：《中华疾病控制杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的探讨牙周炎与抑郁、焦虑情绪及生活习惯的相关性。方法从某医院体检人群中选取单纯牙周炎175例(轻、中、重度牙周炎分别为70例、58例和47例)和健康对照组200例为研究对象,以自填式问卷方式调查研究对象的一般情况、心理因素(抑郁和焦虑症状评定量表)及生活方式等内容。结果轻、中、重度牙周炎组抑郁、焦虑情绪评分及检出率均高于健康组,且差异有统计学意义(均有P0.05);多因素非条件Logistic回归分析结果显示,牙周炎危险因素有抑郁情绪(OR=4.090,95%CI:1.901~8.800)、焦虑情绪(OR=3.311,95%CI:1.586~6.912)、糖尿病(OR=2.543,95%CI:1.387~4.665)、高血压(OR=2.505,95%CI:1.353~4.638)、吸烟(OR=2.262,95%CI:1.622~3.154)、不良口腔习惯(OR=1.838,95%CI:1.081~3.127)和饮酒(OR=1.705,95%CI:1.225~2.374),保护因素有刷牙时间≥3 min(OR=0.318,95%CI:0.186~0.544)、定期牙周检查(OR=0.374,95%CI:0.203~0.689)、使用牙线(OR=0.450,95%CI:0.262~0.772)、积极心理应对方式(OR=0.492,95%CI:0.288~0.840)和饮用绿茶(OR=0.674,95%CI:0.470~0.966)。结论改善牙周炎患者的不良情绪,控制血糖、血压,养成良好的口腔卫生习惯及生活方式,戒除不良行为等,可降低牙周炎的患病率。
[Abstract]:Objective to investigate the correlation between periodontitis and depression, anxiety emotion and life habits. Methods from a hospital examination selected 175 cases of periodontitis (light, simple, and severe periodontitis were 70 cases, 58 cases and 47 cases) and control group of 200 cases as the research object, using a self-administered general questionnaire as the research object. Investigation of the psychological factors (anxiety and depression symptom rating scale) the content and way of life. The results of the light, in the severe periodontitis group, depression, anxiety and scores were significantly higher than that in healthy group, and the difference was statistically significant (all P0.05); non conditional Logistic regression analysis showed that risk factors of periodontitis. The incidence of depression (OR=4.090,95%CI:1.901~8.800), anxiety (OR=3.311,95%CI:1.586~6.912), diabetes mellitus (OR=2.543,95%CI:1.387~4.665), hypertension (OR=2.505,95%CI: 1.353~4.638), smoking (OR=2.262,95%CI:1.622~3.154 ), bad oral habits (OR=1.838,95%CI:1.081~3.127) and alcohol (OR=1.705,95%CI:1.225~2.374), protective factors were brushing time for more than 3 min (OR=0.318,95%CI:0.186~0.544), regular periodontal examination (OR=0.374,95%CI:0.203~0.689), (OR=0.450,95%CI: 0.262~0.772), flossing positive psychological coping style (OR=0.492,95%CI:0.288~0.840) and drinking Green Tea (OR=0.674,95%CI:0.470~0.966). Conclusion the improvement of periodontitis patients negative emotions, control blood glucose, blood pressure, oral hygiene habits and develop good life style, get rid of bad behavior, can reduce the prevalence of periodontitis.

【作者单位】：皖南医学院口腔医学院;皖南医学院公共卫生学院;淮北朝阳医院口腔科;
【基金】：安徽省高等学校省级自然科学研究项目(KJ2012B205) 安徽省高校优秀青年人才支持计划(2014年)
【分类号】：R781.42;R749
【正文快照】： (Chin J Dis Control Prev 2015,19(6):575-577,600)世界卫生组织已确定的人类三大多发病为:心脑血管病、肿瘤和牙周病,而牙周炎是人类口腔最常见的两大疾病之一[1]。在我国有80%~90%的成人患有不同程度的牙周疾病,同时牙周病也是成人牙齿丧失的首位原因[2]。牙周炎作为局部组

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