目的了解新疆墨玉县农村维吾尔族慢性牙周炎人群非传染性疾病患病率的演变特点,为研究慢性牙周炎与相关的非传染性疾病的防治策略提供依据。方法 2007年采用多阶段分层抽样的方法对墨玉县农村维吾尔族成人进行慢性牙周炎和相关非传染性疾病患病率的横断面调查,2013年对2007年资料完整的人群进行随访调查。2次调查均进行进行问卷调查、体格检查、口腔专科检查、实验室检查等,对比分析常见非传染性疾病患病情况的差异。结果 2007年和2013年慢性牙周炎人群慢性非传染性疾病患病率分别是,高血压粗患病率为43.9%、56.8%,糖尿病粗患病率为5.0%、7.9%,代谢综合征粗患病率为21.8%和19.4%,CKD粗患病率为9.1%和11.5%。腹型肥胖粗患病率为38.1%和59.0%。牙周炎人群慢性非传染性疾病6年随访结果显示高血压、糖尿病、慢性肾脏病和腹型肥胖患病率升高明显,差异有统计学意义(P〈0.05)。结论牙周炎人群高血压、糖尿病、慢性肾脏病致残率较高的非传染性疾病患病率升高明显,应及早开展慢性牙周炎的防治工作。
Objective To investigate the association of chronic periodontitis(CP)and chronic non-communicable diseases(NCDs)for six-year follow-up in Moyu county,thereby producing scientific evidence to support strategies for the prevention and control of CP and NCPs.Methods A longitudinal observational study was conducted using cross-sectional method in 15 villages in Moyu county.Two investigations were conducted in 2007 and 2013,respectively.All subjects received questionaire,physical examination,dental examination and biochemical analysis.The variables and laboratory data analyzed to assess the prevalence of NCDs.Results In 2007,prevalences of periodontitis subjects with hypertension and diabetes,metabolic syndrome,chronic kidney disease and abdominal obesity were 43.9%,5.0%,21.8%,9.1%,38.1%,respectively,while in 2013,prevalences of periodontitis subjects with above NCPs were 56.8%,7.9%,19.4%,11.5%and 59.0%,respectively.This longitudinal study of NCPs showed that the prevalence of hypertension and diabetes,chronic kidney disease and abdominal obesity increased significantly in periodontitis subjects,the difference was statistically significant(P〈0.05).Conclusion Prevalence of severe periodontitis with hypertension and diabetes,chronic kidney disease increased significantly in Uyghur people in Moyu.We should be aware of the subjects with periodontitis.Therefore,taking effective intervention measures would be required.