摘要
目的了解滨州市滨城区6~11岁儿童龋病流行状况,为滨州市口腔卫生保健工作提供依据。方法采用分层整群随机抽样方法,随机抽取滨州市滨城区两所小学,每所学校各年级随机抽取两个班级,去除无效样本后,共1113名小学生进行口腔健康检查,计算乳牙、恒牙、第一恒磨牙的患龋率、龋均,并进行统计学分析。结果6~11岁年龄组乳牙患龋率分别为72.00%、73.89%、77.38%、70.27%、45.65%、25.51%。7~11岁儿童恒牙患龋率分别为8.89%、15.48%、34.05%、37.50%、50.00%。7~11岁第一恒磨牙患龋率分别为8.89%、13.10%、25.95%、34.24%、44.90%。分析7~9岁儿童乳牙与第一恒磨牙患龋相关性得出乳牙患龋是第一恒磨牙患龋的危险因素[r=0.111,OR=2.229,P=0.010,95%CI(1.193,4.163)],经Spearman相关性分析发现,乳牙患龋与第一恒磨牙患龋呈正相关性(r=0.154,P=0.000)。结论滨州市6~11岁儿童乳牙、恒牙、第一恒磨牙患龋情况严重,建议有关部门加大口腔卫生宣教工作,推进公共口腔保健工作,提高儿童口腔健康水平。
Objective To investigate the prevalence of dental caries among children aged 6-11 inBincheng District,Binzhou city,and to provide evidence for oral health care in Binzhou city.Methods A stratified cluster random sampling method was used to randomly select 2 primary schools in Bincheng District,Binzhou City,and 2 classes of each grade were randomly selected from each school.After removing invalid samples,a total of 1113 primary school students underwent oral health examination.Caries incidence and mean dmft(DMFT)of deciduous teeth,permanent teeth and first permanent molars were calculated and statistically analyzed.Results The prevalence of deciduous tooth caries in 6-11 age group were 72.00%,73.89%,77.38%,70.27%,45.65%,25.51%respectively.The prevalence of caries in permanent teeth of 7-11 years old children were 8.89%,15.48%,34.05%,37.50%and 50.00%respectively.The prevalence of caries in the first permanent molars between 7 and 11 years old were 8.89%,13.10%,25.95%,34.24%,44.90%,respectively.The correlation between deciduous teeth and the first permanent molars in 7-9 years old children was analyzed,and caries in deciduous teeth was a risk factor for the first permanent molars[r=0.111,OR=2.229,P=0.010,95%CI(1.193,4.163)].Spearman correlation analysis showed that,caries in deciduous teeth was positively correlated with caries in first permanent molars(r=0.154,P=0.000).Conclusion There are serious caries in deciduous teeth,permanent teeth and first permanent molars of children aged 6-11 in Binzhou city.It is suggested that relevant departments should strengthen oral health education,promote public oral health care and improve children′s oral health level.
作者
李金诺
张萱
王文丽
张子晗
林明玉
沙凯辉
李友瑞
LI Jinnuo;ZHANG Xuan;WANG Wenli;ZHANG Zihan;LIN Mingyu;SHA Kaihui;LI Yourui(Department of Prosthodontics,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China;Department of Stomatology,Dezhou Seventh People′s Hospital,Dezhou 251100,Shandong,P.R.China;School of Physical Education and Educational Science,Tianjin Institute of Physical Education,Tianjin 300211,P.R.China;School of Nursing,Binzhou Medical University,Binzhou 256603,Shandong,P.R.China)
出处
《滨州医学院学报》
2023年第5期379-382,400,共5页
Journal of Binzhou Medical University
关键词
龋齿
患病率
流行病学研究
儿童
混合牙列
caries
prevalence
epidemiological studies
children
mixed dentition