河北省老年人牙缺失与慢性病的关系

摘要

To study the tooth loss situation of people over 60 years old, and explore the relationship between tooth loss and chronic disease and provide information for prevention work of oral disease among the elderly in Hebei prov -ince .Methods:1 343 subjects over 60 years old were selected by stratified random sampling method to collect the informa-tion about tooth loss and chronic diseases .Results:The rate of tooth loss of people over 60 years old was 61.9%.There was significant difference of the tooth loss rate in gender , region , age and people with or without chronic diseases (χ2 =4.579,5.191,55.961,6.697,14.638,12.743 and 10.141,P<0.05).Logistic regression analysis showed that gender , region, age, diabetes mellitus, coronary heart disease,hypertension and stroke had a positive correlation with tooth loss , OR(95%CI) values were 1.365(1.070-1.741),1.296(1.012-1.658),1.517(1.322 -1.741),1.445(1.033-2.022),1.707(1.176-2.478), 1.365(1.032-1.712), 1.904(1.120-3.238),respectively.Conclusion: Chronic disease and tooth loss were positively correlated , which indicates that we should pay more attention to oral disease preven-tion among the elderly with chronic diseases .%目的：了解河北省老年人牙缺失情况，探讨牙缺失与慢性病的关系。方法：采用分层随机抽样的方法进行抽样后对河北省1343名≥60岁老年人牙缺失及患慢性病情况进行调查。结果：河北省老年人的缺牙率为61．9％，不同性别、地区、年龄及是否患糖尿病、冠心病、高血压、脑卒中的老年人缺牙率差异均有统计学意义（χ2＝4．579、5．191、55．961、6．697、14．638、12．743和10．141，P＜0．05）。性别、地区、年龄、糖尿病、冠心病、高血压、脑卒中与牙缺失有关[OR（95％CI）＝1．365（1．070～1．741）、1．296（1．012～1．658）、1．517（1．322～1．741）、1．445（1．033～2．022）、1．707（1．176～2．478）、1．365（1．032～1．712）和1．904（1．120～3．238），P＜0．05]。结论：河北省老年人慢性病可能与牙缺失有关。