墨玉县维吾尔族成人牙周炎现状及牙周炎与全身因素相关性的流行病学研究

发布时间：2018-11-14 08:18

【摘要】：目的:调查新疆墨玉县农村维吾尔族成人牙周炎流行现状及探讨牙周炎与全身因素的相关关系。方法:研究采用分层随机抽样的方法将墨玉县364个村分为364层,从中随机抽取20个自然村,20个村均匀分布于墨玉县四周。按照抽样原则及最小样本量公式扩大10倍实抽样本2612人,其中应答单位数为2007人,应答率为77%。计算分析牙周炎患病率,经过单因素分析牙周炎的流行因素,将这些因素纳入Logistic回归分析牙周炎的相关危险因素,有统计学意义的相关危险因素采用spearman相关分析法分析牙周炎严重程度与危险因素的关联性。结果:墨玉县农村维吾尔族成人牙周炎的患病率为72%,Logistic回归分析筛选出的相关危险因素从高到低为:年龄(OR=3.033)、BMI指数(OR=1.075)、腰围(OR=1.043)、舒张压(OR=1.011)、血尿酸(OR=0.997)、估算肾小球滤过率(estimated glomerular filtration rate,eGFR)(OR=0.996)、体重(OR=0.953)和性别(OR=0.402)。牙周炎严重程度与各危险因素的Spearman相关分析,包括性别、年龄、BMI指数、肥胖程度、体重、腰围和eGFR,相关系数分别为-0.145、0.478、0.152、0.126、0.138、0.264、0.121,P=0.00(95%置信区间:0.081-0.160)除牙周炎分度与性别呈负相关外,牙周炎分度与其余危险因素均呈显著正相关。结论:墨玉县农村维吾尔族成人牙周炎患病率较高,牙周炎的流行与多种因素相关。牙周炎严重程度分级与性别呈负相关,与年龄、BMI指数、肥胖程度、体重、腰围和eGFR均呈显著正相关关系。牙周炎分别与肥胖症和慢性肾脏病存在相关性。
[Abstract]:Objective: to investigate the prevalence of adult periodontitis in rural Uygur in Moyu County, Xinjiang, and to explore the correlation between periodontitis and systemic factors. Methods: 364 villages in Moyu County were randomly divided into 364 layers by stratified random sampling. Twenty villages were randomly selected and 20 villages were evenly distributed around Moyu County. According to the principle of sampling and the formula of minimum sample size, 2612 samples were expanded 10 times, in which the number of responding units was 2007 and the response rate was 77. The prevalence rate of periodontitis was calculated and analyzed. The epidemic factors of periodontitis were analyzed by univariate analysis. The risk factors of periodontitis were included in Logistic regression analysis. The correlation between the severity of periodontitis and risk factors was analyzed by spearman correlation analysis. Results: the prevalence rate of adult periodontitis in rural Uygur in Moyu County was 72U. Logistic regression analysis showed that the risk factors from high to low were OR=3.033), BMI index (OR=1.075), waist circumference (OR=1.043), age index (OR=1.075), waist circumference (OR=1.043), age index (OR=1.075), waist circumference (OR=1.043). Diastolic blood pressure (OR=1.011), serum uric acid (OR=0.997), estimated glomerular filtration rate (estimated glomerular filtration rate,eGFR) (OR=0.996), weight (OR=0.953) and sex (OR=0.402). Spearman correlation analysis of the severity of periodontitis with various risk factors, including sex, age, BMI index, obesity degree, weight, waist circumference and eGFR, correlation coefficient were -0.145 ~ 0.478U 0.152 ~ 0.1260.138U 0.264n 0.121, respectively. P0.00 (95% confidence interval: 0.081-0.160) except for the negative correlation between periodontitis and sex, periodontitis was positively correlated with other risk factors. Conclusion: the prevalence of periodontitis in rural Uygur adults in Moyu County is high, and the prevalence of periodontitis is related to many factors. The severity of periodontitis was negatively correlated with sex, but positively correlated with age, BMI index, obesity, weight, waist circumference and eGFR. Periodontitis is associated with obesity and chronic kidney disease, respectively.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R781.4

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