目的 了解山南地区浪卡子县成年人的口腔健康状况,为当地口腔疾病防治提供依据.方法 按照<第三次全国口腔健康流行病学调查方案>和世界卫生组织<口腔健康调查基本方法>的标准对山南地区浪卡子县506名居民年龄在18～74岁成年人的口腔卫生情况进行调查.结果 19～34、35～44、65～74岁组恒牙患龋率为50%,74.8%,92.4%,P<0.05,有统计学意义; 19～34、35～44、65～74岁组牙龈炎患病率为43.2%,58.3%和72%,P<0.05,有统计学意义,19～34、35～44、65～74岁组牙结石检出率为63.4%,97.8%和91.3%,19～34、35～44,65～74岁组有牙周炎率为6.1%、27.3%和46.2%,P<0.05,有统计学意义,在506名受检者中牙列缺损332人(65.6%),牙列缺失17人(3.3%),楔形缺损258人(50.9% ).结论 高原地区的口腔疾病患病率较高,缺乏自我保健意识,应有计划、有目的 地对当地居民进行口腔卫生宣教,并实施预防、康复治疗,加强对当地口腔医师技术的指导,及时防治口腔疾病.%Aim To investigate information of the prevalence of oral diseases of the Nagarze County,Shannan Prefecture and to provide rnbases for preventing dental diseases of local residents. Methods According to the 3rd national oral epidemiological survey and Oral rnHealth Surveys of WHO,506 residents aged from 18 to 74 were involved in oral health surveys. Results Caries prevalence rates of three rngroups were 50％ (19-34year-old) ,74.8％ (35-44-year-old) and 92.4％ (65-74-year-old) respectively, Gingival bleeding rates were rn43.2％ ,58.3％ and 72％ respectively. The detectable rates of dental calculus were 63.4％ ,97.8％ and 91.3％. Periodontitis rates were rn6.1％ ,27.3％ and 46.2％ respectively. Of the 506 patients, 332 patients (65.6％) had impaired teeth, 17 patients (3.3％) totalanrnodonita and 258 patients(50.9％ ) wedge-shaped erosion of teeth. Conclusion Plateau residents have significant morbidity of oral disrnease, who are lack of self-healthcare of oral health, therefore, oral hygiene instruction should be launched for local patients on purpose and rnin a planned way. And to put prevention and rehabilitation into effect, technological guidance should be strengthened for the local mouth rncavity physicians, along with prevention treatments and rehabilitation timely.
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