【摘要】 目的 分析武汉市中老年人群口腔健康现况，为中老年人口腔疾病预防和促进口腔健康提供临床依据。方法数据来自武汉市机关单位组织的年度健康体检数据系统中45～95岁人群的口腔检查结果，共1994人。根据世界卫生组织(WHO)《口腔健康调查基本方法》(第5版),重点对龋病、牙周病、牙列缺损、牙列缺失及义齿修复状况等资料进行研究。采用卡方检验和方差分析等统计学方法进行数据分析。结果 1994名研究对象中，男性有1613人(占80.89%),75岁以上老年人有218人(占10.93%),龋均、失牙均数分别为2.68、2.03颗。龋均和失牙均数随着年龄的增加而增加，45～,55～,65～,75～和85～95岁组龋均和失牙均数分别为0.98和0.54,1.82和1.39,3.21和2.48,7.65和6.04,12.65和9.91颗，不同年龄组间差异均有统计学意义(均P<0.01)。失牙修复比例同样随年龄的增加而增加(P<0.01),不同年龄段社区牙周指数(CPI)差异也有统计学意义(P<0.01)。CPI为0的人数在各个年龄段占比随年龄的增加而降低，CPI为2的人数占比大致随年龄的增加而增加(均P<0.01)。结论 武汉市机关中老年体检人群总体口腔健康检查结果与第4次全国口腔健康检查的城市地区相比，整体状况略好。但在高龄人群中，龋病、牙周病、失牙和未修复义齿情况仍较严重，应提高老年人对口腔疾病的预防意识，通过定期口腔检查，及时发现并治疗。同时也应关注高龄老人的义齿修复问题，提高老年人群的生活质量。更多还原

【Abstract】 Objective To analyze the current oral health status of middle-aged and elderly people in Wuhan, and to provide clinical evidence for preventing and promoting oral health among middle-aged and elderly people.Methods The data was collected from the annual health examination data system of Wuhan, which included 1994 patients aged 45～95.According to the World Health Organization(WHO) "Basic Methods of Oral Health Survey"(5 th edition),the data of caries, periodontal disease, dentition defect, dentition loss and denture restoration was mainly studied.Statistical methods such as Chi-square test and variance analysis were used for data analysis.Results Among the 1994 subjects, 1613 people(80.89%)were male and 218 people(10.93%)were older than 75 years old.The average numbers of caries and teeth loss were 2.68 and 2.03,respectively.The mean number of caries and tooth loss increased with age.The mean numbers of caries and tooth loss in 45～,55～,65～,75～,and 85～95 years old groups were 0.98 and 0.54,1.82 and 1.39,3.21 and 2.48,7.65 and 6.04,12.65 and 9.91,respectively.The difference among different age groups was statistically significant(P<0.01).The proportion of restoration of teeth loss was also elevated with the increase of age(P<0.01),and the difference of community periodontal index(CPI)among different age groups was also statistically significant(P<0.01).The proportion of people in CPI1 group(shallow periodontal pocket)was decreased with the increase of age, while the proportion of people in CPI2 group(deep periodontal pocket)was increased with the increase of age(P<0.01).Conclusion The overall oral health examination results of middle-aged and elderly people in Wuhan shows that the oral health status is slightly better when compared with the result of urban area in the 4th National Oral Health Examination.But caries, periodontal disease, tooth loss and unrepaired dentures are still serious in the elderly population.It is necessary to improve the prevention awareness of oral diseases in the elderly through regular oral examination, timely detection and treatment.At the same time, attention should be paid to dental restoration in the elderly population to improve the quality of life.更多还原