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目的了解上海市静安区社区老年人对牙科医疗资源的知晓及利用状况。方法采用问卷调查和口腔检查方法,抽样调查了上海市静安区973例社区65岁以上的老年人口腔缺牙及牙科医疗资源相关情况。结果在抽样调查的973例样本中,发现缺牙者888例,缺牙率为91.3%,缺牙修复率为51.9%。在973例样本中,愿意就近镶牙的老年人占74.2%,知道社区医院镶牙的占65.67%,知道有牙防所的占79.45%,考虑医疗费用的占63.2%,选择医院医生技术好的占64.03%。结论社区老年人缺牙率高,修复率低;对社区医院牙科知晓率较低,对社区医院就诊意愿较高。应该加强关注老年人就医问题,加大社区医院的宣传、投入,发展社区口腔卫生服务。
Objective To understand the awareness and utilization of dental care resources among the elderly in community in Jing’an District of Shanghai. Methods A total of 973 elderly patients aged 65 years and over in Shanghai’s Jing’an District were surveyed by means of questionnaires and oral examinations. Results In 973 samples of the sample survey, 888 cases of missing teeth were found, the rate of missing teeth was 91.3% and the number of missing teeth was 51.9%. In 973 cases, 74.2% of the elderly who are willing to have near-dentition, 65.67% of whom know that there are dental hospitals in the community, 79.45% know that there are dental clinics, 63.2% consider medical expenses, 64.03%. Conclusions The elderly population in the community has high rate of missing teeth and low repair rate. The rate of dental awareness in community hospitals is low, and the willingness to visit community hospitals is high. We should step up attention to the issue of medical treatment for the elderly, increase the publicity of community hospitals, and invest in and develop community oral health services.