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目的探讨牙龈岀血的主要相关因素,为更有效的预防和治疗牙龈岀血提供依据?椒ā捎盟婊?整群抽样方法,抽取杭州市某小区18～60岁共519人作为研究样本,根据WHO和《第三次全国口腔健康流行病学抽样调查方案》的统一标准进行口腔检查,并应用自行设计的问卷对患者进行问卷调查,所获得的数据采用SPSS16.0进行相关与回归分析。结果牙龈出血的总发生率为36.99%。在不同的年龄、刷牙习惯、牙具选择、定期洁治、口腔健康重视程度、吸烟习惯、蔬果摄入、碳酸饮料摄入及口腔疾病组别中两两对比均有统计学意义(P<0.05),不同性别、是否定期口腔检查、有无饮酒习惯和全身疾病组之间无明显差异(P>0.05),并通过SPSS16.0多元回归分析推出回归方程:Y=0.198X1-0.298X4-0.246X6-0.082X8+0.220X10+0.276X11+0.731X13,其中Y代表是否存在牙龈出血(应变量),X1、X4、X6、X8、X10、X11和X13分别代表年龄、牙具选择、定期洁治、吸烟习惯、蔬果摄入、碳酸饮料和口腔疾病(自变量)。结论年龄、刷牙习惯、牙具选择、定期洁治、口腔健康重视程度、吸烟习惯、蔬果摄入是否充足、碳酸饮料摄入及口腔疾病等因素与是否存在牙龈出血显著相关。性别、定期口腔检查、饮酒习惯和全身疾病等因素与牙龈出血没有明显关联。
Objective To explore the main related factors of gingival blood in order to provide a basis for more effective prevention and treatment of gingivitis.Methods A total of 519 people from 18 to 60 in a district in Hangzhou were selected as the research samples, Oral examination was carried out according to the uniform standards of WHO and the “Third National Oral Health Epidemiological Sampling Survey Scheme”. Patients were surveyed by self-designed questionnaire. The data obtained were analyzed by SPSS16.0 for correlation and regression analysis. Results The total incidence of bleeding gums was 36.99%. There was significant statistical significance (P <0.05) in different ages, brushing habits, dental choices, regular clean governance, the importance of oral health, smoking habits, intake of fruits and vegetables, carbonated drinks intake and oral disease group, (P> 0.05), and the regression equation was analyzed by SPSS16.0 multiple regression analysis: Y = 0.198X1-0.298X4-0.246X6 -0.082X8 +0.220X10 + 0.276X11 +0.731X13, where Y represents the presence or absence of gingival bleeding (strain), X1, X4, X6, X8, X10, X11 and X13 represent the age, dental options, regular clean governance, smoking Habits, intake of fruits and vegetables, carbonated drinks and oral diseases (independent variables). Conclusions Age, brushing habits, choice of dental tools, regular regimen, the importance of oral health, smoking habits, adequate intake of fruits and vegetables, carbonated beverage intake and oral diseases were significantly correlated with the presence or absence of gingival bleeding. Sex, regular oral examination, drinking habits and systemic diseases and other factors and bleeding gums no significant correlation.