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目的分析四川省1990-2015年口腔疾病患病及伤残寿命损失情况及变化趋势,为开展口腔卫生工作提供依据。方法利用2015年全球疾病负担研究(GBD 2015)结果,分年龄、性别报告四川省口腔疾病的患病率、伤残寿命损失情况以及1990-2015年上述指标的变化情况,并与同期全球和全国结果进行比较。应用R 3.3.2软件进行统计分析。结果2015年四川省共有口腔疾病患者3 173.3万,总患病率为40.8%,口腔疾病造成的伤残损失寿命年(YLD)为16.6万人年,YLD率为212.9/10万,其中恒牙龋的患病率最高,为27.4%,无牙和严重的牙缺失造成的寿命损失最高,为63 491.2人年。随着年龄的增加,口腔疾病引起的YLD率快速上升,不同年龄的高发口腔疾病种类不同。2015年与1990年相比,四川省患病率和YLD率增幅最高的口腔疾病为无牙和严重的牙缺失(男性患病率增加95.5%,YLD率增加94.5%,女性患病率增加82.5%,YLD率增加81.9%),远超全球和全国平均水平。结论四川省全人群口腔疾病总患病率高,其中恒牙龋患病率最高,造成伤残损失最重的疾病为无牙和严重的牙缺失。
Objective To analyze the loss of life and disability in oral diseases and their changing trends in Sichuan Province from 1990 to 2015, and to provide basis for oral hygiene work. Methods Based on the results of the 2015 Global Burden of Disease Study (GBD 2015), the prevalence of oral diseases and the loss of disability life expectancy in Sichuan Province and the changes of the above indexes from 1990 to 2015 were reported by age and sex. The results were compared with those of the whole country The results are compared. R 3.3.2 software for statistical analysis. Results In 2015, there were 3,173,000 oral diseases patients in Sichuan Province, with a total prevalence rate of 40.8%. The YLD rate of oral diseases was 166,000 person-years and YLD rate was 212.9 / 100,000, of which permanent teeth The highest prevalence of caries was 27.4%, with the highest loss of life expectancy due to toothless and severe tooth loss, at 63,491.2 person-years. With age, the YLD rate caused by oral diseases rises rapidly, and the types of high-risk oral diseases of different ages are different. Oral diseases with the highest increase in prevalence and YLD rate in Sichuan in 2015 compared with 1990 were toothless and severe tooth loss (95.5% for men, 94.5% for YLD and 82.5% for women %, YLD rate increased 81.9%), far exceeding the global and national average. Conclusions The total prevalence of oral diseases in the whole population in Sichuan province is high, among which the highest prevalence of dental caries in permanent population is toothless and severe tooth loss.