摘要
目的:探讨学龄前儿童龋齿患病情况及其影响因素与预防保健措施。方法:选取2023年10月—2024年10月于黔西市妇幼保健院行龋齿筛查的学龄前儿童500例为研究对象,均开展龋齿筛查,依据有无龋齿将学龄前儿童分为龋齿组与非龋齿组,采用资料调查表收集所有儿童性别、年龄、家长文化程度、家庭人均月收入、开始刷牙时间、早晚规律刷牙、定期口腔检查、饭后漱口、进食甜食、使用含氟牙膏等多方面基础资料,开展Logistic回归分析,获得影响学龄前儿童龋齿的高危因素。结果:500例学龄前儿童经筛查共发现有龋齿175例,发生率为35.00%;单因素显示,早晚规律刷牙、定期口腔检查、饭后漱口、进食甜食、使用含氟牙膏与学龄前儿童龋齿发生有关,差异有统计学意义(P<0.05);多因素显示,未早晚规律刷牙(OR=4.909,95%CI为3.302~7.299)、未定期口腔检查(OR=3.548,95%CI为2.395~5.256)、未饭后漱口(OR=3.746,95%CI为2.543~5.520)、经常进食甜食(OR=5.969,95%CI为3.958~9.000)、未使用含氟牙膏(OR=2.250,95%CI为1.546~3.274)为影响学龄前儿童龋齿发生的高危因素(P<0.05且OR>1)。结论:学龄前儿童龋齿发生与未早晚规律刷牙、未定期口腔检查、未饭后漱口、经常进食甜食、未使用含氟牙膏有关,还需做好预防措施,降低龋齿发病风险。
Objective:To study the influencing factors of dental caries and preventive care measures.Methods:All 500 preschool children screened for dental caries in our hospital from October 2023 to October 2024 were selected for caries screening,and preschool children were divided into caries and non-caries groups.The data questionnaire collected all children's gender,age,parents,per capita family income,brushing time,regular brushing,regular oral examination,gargle after meals,sweet eating sweets,and fluoride toothpaste.Logistic regression analysis was conducted to obtain high risk factors affecting dental caries in preschool children.Results:A total of 175 dental caries were screened in 500 preschool children,The incidence rate was 35.00%.Single factor shows,regular tooth brushing in the morning and evening,regular oral examination,gargle after meals,eating sweets,and the use of fluoride toothpaste are associated with the occurrence of dental caries in preschool children,Statistical difference(P<0.05).Multiple factors show that,Did not brush your teeth regularly in the morning or evening(OR=4.909,95%CI=3.302~7.299),no regular oral examination(OR=3.548,95%CI=2.395~5.256),gargle after meals(OR=3.746,95%CI=2.543~5.520),frequent consumption of sweets(OR=5.969,95%CI=3.958~9.000),no fluoride toothpaste(OR=2.250,95%CI=1.546~3.274)was a high-risk factor affecting the occurrence of dental caries in preschool children(P<0.05 and OR>1).Conclusion:The occurrence of dental caries in preschool children is related to no regular brushing in the morning and evening,no regular oral examination,gargle after meals,frequent eating sweets and not using fluoride toothpaste.Preventive measures should be taken to reduce the risk of dental caries.
作者
徐丽
XU Li(Qianxi Maternal and Child Health Hospital,Qianxi 551500,China)
出处
《临床医药实践》
2025年第6期417-420,共4页
Proceeding of Clinical Medicine
关键词
龋齿
学龄前儿童
影响因素
预防保健措施
dental caries
preschool children
influencing factors
preventive health care measures
