心血管病高危人群牙周健康状况及相关因素调查研究

发布时间：2018-05-26 18:21

  本文选题：心血管病高危人群 + 牙周炎　； 参考：《大连医科大学》2016年硕士论文

【摘要】：目的:探讨心血管病高危人群的牙周健康状况与一般情况、不良嗜好及口腔保健行为、全身健康状况、牙周保健知识认知水平的相关性,为心血管病高危人群牙周炎的预防与保健提供理论依据。方法:本研究的调查对象为2015年1-7月在“辽宁省心血管病高危人群早期筛查与综合干预项目”中筛选出来的心血管病高危人群500例,最后纳入调查人群共484例。参考第三次全国口腔健康流行病学调查方案,对484名心血管病高危人群进行问卷调查和牙周检查,并对全身健康状况进行检查。问卷调查包括一般情况、不良嗜好及口腔保健行为、牙周保健知识认知水平;牙周检查包括牙周探诊深度(probing depth.PD)、牙周附着丧失(attachment loss,AL)、出血指数(bleeding index,BI)、菌斑指数(plaque index,PLI);全身健康状况中体格检查包括身高、体重和血压,并计算出体重指数(body mass index,BMI),生化指标包括总胆固醇(totle cholesterol,TC)、甘油三脂(triglyceride,TG)及空腹血糖(fasting plasma glucose,FPG)。本研究所有的牙周状况数据采集均由经过培训的牙周专业研究生进行检查,并使用SPSS21.0软件包对上述问卷调查、牙周检查及全身健康状况检测数据进行分析,其中单因素分析采用X2检验,以p=0.05为显著水平进行危险因素评估,得出高危因素(p0.05),再将上述高危因素带入回归方程中进行多因素非条件逐步Logistic回归分析,进一步检验心血管病高危人群各项问卷调查项目及全身健康状况与牙周炎之间的相关性。结果:1.参加此次心血管病高危人群心血管病高危人群调查的共500人,有效病例共484例,其中患有牙周炎的共314例,牙周炎的发病率为64.876%。2.对484名心血管病高危人群的单因素x2分析结果显示:性别(x2=5.754,P=0.016)、年龄(x2=9.904,P=0.002)、吸烟(x2=56.748,P=0.000)、饮酒(x2=11.751,P=0.019)、刷牙(x2=11.800,P=0.038)、BMI(x2=8.374,P=0.039)、TC(x2=17.588,P=0.000)、TG(x2=18.927,P=0.000)、高血压(x2=10.339,P=0.001)、空腹血糖(x2=12.146,P=0.000)与心血管病高危人群的牙周炎的发病情况具有相关性;而与月收入、学历、牙线使用、洁治情况无相关性(p0.05)。3.对484名心血管病高危人群的多因素logistic回归分析结果显示:年龄(OR=1.668,CI 1.101-2.527)、吸烟(OR=1.801,CI 1.505-2.155)、刷牙(OR=1.367,CI 1.086-1.720)、TG(OR=2.091,CI 1.344-3.253)、空腹血糖(OR=2.145,CI1.301-3.536)与牙周炎具有显著的回归关系,构成了心血管病高危人群牙周炎的危险因素。结论:1.心血管病高危人群牙周炎的发病率为64.876%。2.心血管病高危人群中性别、年龄、吸烟、饮酒、刷牙、BMI、TC、TG、高血压、空腹血糖与心血管病高危人群牙周炎发病密切相关。3.心血管病高危人群中在调整了混杂因素影响后年龄、吸烟、刷牙、TG、空腹血糖构成了心血管病高危人群牙周炎发病的高危因素。
[Abstract]:Objective: to investigate the correlation between periodontal health status, general situation, oral health care behavior, general health status and knowledge level of periodontal health care in high risk population of cardiovascular disease. To provide theoretical basis for prevention and health care of periodontitis in high risk groups of cardiovascular diseases. Methods: a total of 500 patients with high risk of cardiovascular disease were selected in Liaoning Province from January to July 2015, and 484 cases were included in the survey. According to the third National Oral Health Epidemiology Survey, 484 people at high risk of cardiovascular disease were investigated by questionnaire, periodontal examination and general health examination. Questionnaire survey included general situation, bad habits and oral health care behavior, periodontal health knowledge and cognitive level. Periodontal examination includes periodontal probing depth probing depth.PDT, periodontal attachment loss alanine, bleeding index BII, plaque index PLIN. Physical examination in general health condition includes height, weight, and blood pressure. The body mass index (BMI) and fasting plasma glucose were calculated. Some periodontal status data collected in this study were checked by trained periodontal professional graduate students, and the data of the questionnaire, periodontal examination and general health status were analyzed by SPSS21.0 software package. The single factor analysis was carried out by X2 test, and the risk factors were evaluated at the significant level of p0. 05. The high risk factors (p0. 05) were obtained, and then the above high risk factors were brought into the regression equation for multivariate non conditional stepwise Logistic regression analysis. To further examine the correlation between periodontitis and questionnaire survey items and general health status in high risk population of cardiovascular disease. The result is 1: 1. A total of 500 people participated in the investigation of high-risk groups of cardiovascular disease, 484 effective cases, including 314 cases of periodontitis, the incidence of periodontitis is 64.876. 2. 瀵，

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