宁夏中卫市回汉族中老年人群口腔黏膜病流行状况及危险因素研究

发布时间：2018-08-02 09:46

【摘要】：目的了解和分析宁夏中卫市回汉族中老年人群口腔黏膜病的流行状况及其相关的危险因素,为下一步开展和实施口腔黏膜病的分级诊疗工作提供流行病学依据。方法采用多级、分层、空间抽样的方法,于2015年9月至2016年3月对中卫市的海原县、中宁县和沙坡头区三个地区随机各抽取两个调查点,共来自6个调查点,每个调查点收集35~44岁和65~74岁两个年龄组各313人,即每个调查点收集626人,每个年龄组各1878人,实际收集了3756名常住回、汉族人群进行口腔检查;另外,将患有黏膜病的作为病例组,相同年龄不患黏膜病的受检者作为对照组,按地区、年龄、性别、民族进行配对,获得252对有效配对,通过问卷调查对口腔黏膜病相关危险因素进行分析。结果1.宁夏中卫市回汉族中老年人群口腔黏膜病的总体检出率为6.7%,比较中年组(6.2%)与老年组(7.2%)间口腔黏膜病的检出率显示无统计学差异(P0.05);口腔黏膜病在男性中的检出率为2.5%,女性的检出率为4.2%;汉族的检出率为5.4%,回族的检出率为1.4%,口腔黏膜病的检出率在不同性别与不同民族间有显著性的差异(P0.05)。2.调查共检出8种疾病,复发性口腔溃疡(ROU)检出率为3.5%,口腔扁平苔藓(OLP)检出率为1.4%,萎缩性舌炎检出率为0.7%,灼综合征检出率为(BMS)0.6%,唇炎检出率为0.4%,地图舌检出率为0.2%,白斑检出率为0.1%,舌乳头炎为0.001%。3.口腔黏膜病检出部位最多位于双侧颊黏膜,占31.7%。4.喜食辣食(OR=14.583)、喜食烫食(OR=13.963)、全身性疾病(OR=1.257)和生活压力(OR=6.604)可能是诱发中老年人口腔黏膜病发病的危险因素,受教育程度(OR=0.719)和食用蔬菜水果频率(OR=0.031)是保护因素。结论中卫市回汉族中老年人群口腔黏膜病的检出率较高,中老年人群口腔黏膜病的发病率会随年龄的增长而呈上升趋势,女性口腔黏膜病的检出率高于男性,汉族人群口腔黏膜病的检出率高于回族;且中老年人群口腔黏膜病的发病与受教育程度、喜食辣食、喜食烫食、食用蔬菜水果的频率、全身性疾病和生活中的压力有密切的相关性。
[Abstract]:Objective to understand and analyze the prevalence of oral mucosal disease and its related risk factors in the middle and elderly population of Hui Han nationality in Zhongwei City Ningxia. To provide epidemiological basis for the further development and implementation of grading diagnosis and treatment of oral mucosal disease. Methods from September 2015 to March 2016, two survey sites were randomly selected from Haiyuan County, Zhongning County and Shapotou District from September 2015 to March 2016. Each survey site collected 313 people from the two age groups of 35 and 44 years old and 65 to 74 years old, that is, 626 people from each survey site, 1878 people from each age group, and 3756 people were actually collected for regular residence, and the Han population had oral examinations; in addition, The patients with mucosal diseases were used as case groups and those who were not affected by mucosal diseases of the same age were used as control group. They were matched according to region, age, sex and nationality, and 252 pairs of valid pairing were obtained. The risk factors of oral mucosal disease were analyzed by questionnaire. Result 1. The detection rate of oral mucosal disease was 6.7in the middle and elderly population of Hui Han nationality in Zhongwei City, Ningxia. There was no significant difference between the middle-aged group (6.2%) and the elderly group (7.2%) (P0.05), and the detection rate of oral mucosal disease in male was as follows: 1. The detection rate of female was 4.2 and that of Han was 5.4 and that of Hui was 1.4. The detection rate of oral mucosal disease was significantly different between different sexes and nationalities (P0.05). A total of 8 diseases were detected. The detectable rate of (ROU), (OLP), atrophic glossitis, cautery syndrome, labial inflammation, map tongue, white spot, papillomatous inflammation, papillomatous inflammation and papilltis were 3.5, 1.4, 0.7, 0.7, 0.6, 0.4, 0.2, 0.1 and 0.001 路3, respectively. The detection rate of recurrent oral ulcer was 3.5%, (OLP) was 1.4, atrophic glossitis was 0.7, cautery syndrome was (BMS) 0.6. The most detected sites of oral mucosal disease were bilateral buccal mucosa, accounting for 31.7%. 4. Hot food (OR=14.583), hot food (OR=13.963), systemic disease (OR=1.257) and stress of life (OR=6.604) may be the risk factors of oral mucosal disease in middle-aged and old people, and the education level (OR=0.719) and the frequency of eating vegetables and fruits (OR=0.031) are protective factors. Conclusion the detection rate of oral mucosal disease is higher in the middle-aged and elderly population of Hui Han nationality in Zhongwei City. The incidence of oral mucosal disease in the middle-aged and elderly population will increase with the increase of age. The detection rate of oral mucosal disease in women is higher than that in men. The prevalence rate of oral mucosal disease in Han population was higher than that in Hui nationality, and the incidence and education of oral mucosal disease in middle and old people were higher than that in Hui nationality, and the frequency of eating hot food, eating vegetables and fruits, Systemic illness is closely related to stress in life.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R781.5

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