广西南宁市某戒毒所海洛因依赖者口腔健康状况调查分析

目的调查海洛因依赖者口腔健康情况,为制定防治计划提供依据。方法按照第三次全国口腔健康流行病学调查的要求,对南宁市某戒毒所228名海洛因依赖者进行口腔检查。结果 228名海洛因依赖者中龋病、牙龈出血、牙结石、牙周袋、牙周附着丧失、口腔黏膜病的检出率分别为66.67%(152/228),82.46%(188/228)、100.00%(228/228)、82.01%(187/228)、41.23%(94/228)、18.86%(43/228);18～34岁年龄段牙龈出血、牙周附着丧失的检出率低于35～56年龄段(P<0.05);吸毒时间≤3年者牙龈出血、牙周袋、牙周附着丧失的检出率均低于吸毒时间>3年者(P<0.05);文化程度为小学及以下者牙周附着丧失的检出率均高于初中、高中及以上者(P均<0.05)。结论海洛因依赖者口腔健康状况与年龄、吸毒时间、文化程度有关,应加强此类人员口腔卫生宣传教育,提高其生活质量。

Investigation on the Oral Health Status of Heroin Addicts in the Drug Addiction Treatment Center in Nanning,Guangxi

Objective To investigate the oral health status of heroin addicts in the Drug Addiction Treatment Center in Nanning,and to provide reference of the prevention plan.Methods Oral examination was done in 228 heroin addicts and the data were analyzed according to requirement of the Third National Oral Health Epidemiological Survey.Results Of the 228 heroin addicts,the incidences of caries,gums bleeding,dental calculus,periodontal pocket,periodontal attachment loss and oral mucosal disease were 66.67%(152/228),82.46%(188/228),100%(228/228),82.01%(187/228),41.23%(94/228) and 18.86%(43/228),respectively.The incidences of gums bleeding and periodontal attachment loss of the subjects aged from 18 to 34 were lower than those of the subjects aged from 35 to 56(P<0.05).Compared with the heroin addicts whose duration of drug addiction >3 years,the incidences of gums bleeding,the periodontal pocket and periodontal attachment loss of the subjects whose duration of drug addiction ≤3 years were significantly lower(P<0.05).The incidences of periodontal attachment loss of the subjects with the education level of primary school or lower education were significantly lower than those of the subjects with the education level of junior school or either high school or higher education(P all<0.05).Conclusion For the oral health status of heroin addicts is related with age,duration of drug addiction and education level,oral health education should be strengthened to improve their life quality.