华西口腔医学杂志

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四川省凉山彝族自治州彝汉民族3 439名残疾人龋病患病情况调查

季小平1  宋伟2  骆嘉1  李智3  黄萍2  王遥2  王剑2  柴茂州2  左渝陵4  万呼春2   


  1. 1.凉山彝族自治州第二人民医院口腔科，西昌 615000；
    2.口腔疾病研究国家重点实验室华西口腔医院（四川大学），成都 610041；
    3.凉山彝族自治州第一人民医院口腔科，西昌 615000；
    4.成都中医药大学附属医院口腔科，成都 610072
  • 出版日期:2014-08-01 发布日期:2014-08-01
  • 通讯作者: 万呼春，主任医师，学士，E-mail：whcwcums@163.com
  • 作者简介:季小平，主任医师，学士，E-mail：379543914@qq.com
  • 基金资助:

    凉山州应用技术研究与开发基金资助项目（2109901）

Dental caries conditions of 3 439 disabled Yi and Han individuals in Liangshan Yi Autonomous Prefecture in Sichuan province, China

Ji Xiaoping1, Song Wei2, Luo Jia1, Li Zhi3, Huang Ping2, Wang Yao2, Wang Jian2, Chai Maozhou2, Zuo Yuling4, Wan Huchun2   

  1. 1. Dept. of Stomatology, The Second People’s Hospital of Liangshan Yi Autonomous Prefecture, Xichang 615000, China; 2. State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; 3. Dept. of Stomatology, The First People’s Hospital of Liangshan Yi Autonomous Prefecture, Xichang 615000, China; 4. Dept. of Stomatology, Teaching Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China
  • Online:2014-08-01 Published:2014-08-01

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摘要：

目的  了解四川省凉山彝族自治州（凉山州）彝汉民族残疾人群患龋情况，为制定残疾人龋病防治规划提供依据。方法  根据 WHO《口腔健康调查基本方法》，并结合第三次全国口腔健康流行病学抽样调查方案，采用分层、多阶段、整群抽样方法，对四川省凉山州一市（西昌市）、三县（布拖县、木里藏族自治县、会理县）46个乡、镇、街道办事处的残疾人进行龋病流行病学调查。结果  调查凉山州彝汉民族残疾人 3 439人，其中男性 2 085人，女性 1 354人；城市 815人，乡村 2 624人；汉族 2 177人，彝族 1 262人。凉山州彝汉民族残疾人的恒牙患龋率为87.1%，龋均为 9.53。彝、汉民族残疾人的患龋率、龋均分别为 85.8%、9.93；87.9%、9.29。两民族间差异无统计学意义（P>0.05）。龋齿充填率极低，仅为0.2%。结论  四川省凉山州彝汉民族残疾人的恒牙患龋率较高，对残疾人这一特殊社会群体的口腔健康状况应给予更多关爱。

关键词: 残疾人, 龋病, 患龋率, 龋均

Abstract:

Objective  This study aims to conduct a survey of the oral health status of disabled individuals in Liangshan Autonomous Prefecturein Sichuan province. This study was also conducted to prepare caries prevention planning in the region. Methods  On the basis of the Oral Health Surveys: Basic Methods of WHO and the Third National Oral Health Epidemiological Sample Survey Scheme, we investigated caries infecting disabled individuals who live in one big city (Xichang city), three counties (Bhutto county, Muli Tibetan autonomous county, and Huili county), and 46 towns and villages of Liangshan Autonomous Prefecture in Sichuan province, by multistage stratified and cluster sampling. Results Among 3 439 disabled individuals, 2 085 were males and 1 354 were females; among these individuals, 815 live in the city and 2 624 live in rural areas. Furthermore, 2 177 were Han natives and 1 262 were Yi natives (ethnic). The caries prevalence rate and mean DMFT of disabled individuals in Liangshan Autonomous Prefecture in Sichuan province were 87.1% and 9.53, respectively. In Yi, the caries prevalence rate and mean DMFT of disabled individuals in Liangshan Autonomous Prefecture in Sichuan province were 85.8% and 9.93, respectively; in Han, the caries prevalence rate and mean DMFT of disabled individuals in Liangshan Autonomous Prefecture in Sichuan province were 87.9% and 9.29,respectively. No significant difference was found in the two groups of native (P>0.05). A very low filling rate of 0.2% was also recorded. Conclusion  Disabled individuals from Liangshan Autonomous Prefecture in Sichuan province exhibited a high prevalence of caries in permanent teeth. The oral health statusof this special group of disabledindividuals shouldbe providedintensive care.

Key words:  disabledperson, caries, cariesprevalencerate, meanDMFT

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