摘要
目的确定海南省老年样本中口腔粘膜病的流行程度及相关的危险因子.方法样本由560名60岁以上的老人组成.由2名经标准培训的专业人员对每位患者实施检查,检查内容包括全身健康状况、药物使用、口腔卫生、吸烟饮酒及嚼槟郎习惯、佩戴义齿及其时间.采用皮尔逊χ2和Fisher’s确切检验分析数据;采用Logistic回归模型评估独立变量的影响;计算优势比的95%可信区间.结果样本中41.1%的个体患有口腔粘膜病.Logistic回归模型显示男性、长期佩戴义齿、吸烟/曾经吸烟可增加口腔粘膜病的患病可能(P<0.05).吸烟可提高白斑患病风险.在义齿佩戴者中,义齿相关性病损的流行程度为36.3%.糖尿病可明显提高义齿性口炎和义齿性增生的患病风险(P<0.05).药物应用是创伤性溃疡一个明显的危险因子.结论海南老年人群中口腔黏膜病的流行程度与义齿佩戴时间、吸烟和性别有关.此外义齿相关性病变、全身性疾病和药物使用之间存在一些重要关系.
Objective To determine the prevalence of oral mucosal conditions （OMC） and associated risk factors among elderly population in Hainan. Methods 560 patients aged over 60 years old were enrolled. The examination of patients was performed by two calibrated professional staffs. Examination included general health status, medication use, oral hygiene, tobacco or alcohol or areca use, denture use and the length of denture use. The data were processed by Pearson＇s test with Fisher＇s exact probability test. The influence of independent variables was assessed with logistic regression models. Odds ratios were calculated with 95% confidence intervals. Results 41.1% elderly patients suffered from OMC. It was revealed by logistic regression model that male gender, length of denture use, smoking or ever smoking could increase the probability of having an OMC. Smoking also increased the risk of leukoplakia. 36.3% denture users suffered from denture-related lesions. Diabetes mellitus was found to be significant risk factors for denture stomatitis and denture hyperplasia. Medication use was a significant risk factor for traumatic ulcer. Conclusion The results revealed that, among elderly in Hainan, the prevalence of OMC was related to the length of denture use, smoking, and gender. Besides, there were important associations among denture-related lesions, systemic diseases, and medication use.
出处
《昆明医科大学学报》
CAS
2015年第9期87-91,共5页
Journal of Kunming Medical University
基金
辽宁省科技厅科技计划基金资助项目(2011225020)
关键词
老年人群
口腔粘膜病
义齿相关性病变
Elderly population
Oral mucosal conditions
Denture-related conditions
