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目的探讨长期低剂量慢性辐射对辐射密切接触工作人员口腔疾病发病情况的影响,了解相关人员口腔医疗保健情况,客观分析辐射密切接触工作人员的口腔健康状况,为进一步提高防护能力提供依据。方法采用世界卫生组织公布的口腔健康调查基本方法和标准器材,并根据实际情况需要设定了口腔健康调查项目,参考最新WHO标准,对辐射密切接触工作人员口腔医疗保健情况进行问卷调查分析。采用χ2检验评价不同文化程度辐射密切接触工作人员医疗保健情况的分布差异并进行统计分析。结果 47.8%从未就诊过牙科,而只有12%半年内就诊过牙科。在不同文化程度组间,最近一次进行口腔医疗距现在多长时间各组间存在明显差异(P<0.05);在最近一次就诊口腔医疗的主要原因项目上,不同文化程度组间存在明显差异(P<0.05);在最近一次接受的口腔医疗项目上,不同文化程度组间存在明显差异(P<0.05)。结论鉴于该人群较高的口腔疾病发病率,辐射密切接触工作人员口腔就诊频率及就诊率还很不够,为了改善该人群的口腔卫生状态,加强口腔健康教育、定期口腔检查和早期口腔医疗是非常必要的。
Objective To investigate the effect of long-term, low-dose chronic radiation on the incidence of oral diseases in close contact with radiation workers, to understand the oral health care of related personnel, to objectively analyze the oral health status of workers in close contact with radiation, and to provide basis for further improving the protective ability. Methods According to the basic methods and standard equipment of oral health survey published by the World Health Organization (WHO), oral health survey was set up according to the actual situation and the latest WHO standards were used to conduct a questionnaire survey on oral health care of workers in close contact with radiation. The χ2 test was used to evaluate the differences in the distribution of medical care among workers exposed to radiation of different cultural levels and statistical analysis. Results 47.8% never visited a dentist, and only 12% visited a dentist within six months. There was a significant difference (P <0.05) between the last oral medical treatment and the current oral medical treatment between the two groups (P <0.05). There was a significant difference between the different educational levels (P <0.05) P <0.05). There was a significant difference (P <0.05) between the different education groups in the most recent oral medical project. Conclusions In view of the high prevalence of oral diseases in this population, the frequency of dental visits and the rate of visiting doctors in close contact with staff is not enough. In order to improve the oral health status of the population, strengthening oral health education, regular oral examination and early oral medical care are very common necessary.