[1]张 斌,田剑刚,樊晓宇,等.陕西地区2015年5岁儿童患龋状况及10年间变化调查研究[J].陕西医学杂志,2022,51(5):629-633.[doi:DOI:10.3969/j.issn.1000-7377.2022.05.027]
　ZHANG Bin,TIAN Jiangang,FAN Xiaoyu,et al.Analysis of early childhood caries status in 5-year-old children in 2015 and changes in 10 years in Shaanxi province[J].,2022,51(5):629-633.[doi:DOI:10.3969/j.issn.1000-7377.2022.05.027]
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陕西地区2015年5岁儿童患龋状况及10年间变化调查研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年5期
页码:
629-633
栏目:
调查研究
出版日期:
2022-05-05

文章信息/Info

Title:
Analysis of early childhood caries status in 5-year-old children in 2015 and changes in 10 years in Shaanxi province
作者:
张 斌; 田剑刚; 樊晓宇; 王婷婷; 贾明玉; 黄瑞哲
(西安交通大学口腔医学院 陕西省牙颌疾病临床研究中心,陕西 西安 710004)
Author(s):
ZHANG Bin; TIAN Jiangang; FAN Xiaoyu; WANG Tingting; JIA Mingyu; HUANG Ruizhe
(Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases,College of Stomatology,Xi'an Jiaotong University,Xi'an 710004,China)
关键词:
儿童龋;  重度低龄儿童龋;  5岁儿童;  口腔健康知信行;  口腔健康教育;  纵向分析
Keywords:
Early childhood caries;  Severe early childhood caries;  5-year-old children;  Oral health knowledge; belief and practice;  Oral health education;  Longitudinal analysis
分类号:
R 780.1
DOI:
DOI:10.3969/j.issn.1000-7377.2022.05.027
文献标志码:
A
摘要:
目的:分析2015年陕西地区5岁儿童患龋状况,比较2005年和2015年儿童龋相关影响因素的变化情况,为进一步加强陕西地区儿童龋病防治工作提供参考依据。方法:采用多阶段、分层、等容量随机抽样方法抽取样本,分析2015年5岁儿童乳牙患龋情况,利用问卷调查比较2015年儿童饮食习惯、口腔卫生行为以及父母口腔健康知信行与2005年的变化情况并进行统计学分析。结果:2015年5岁儿童患龋率和龋均较10年前分别增加了7.68%和0.55(均P<0.05)。城市儿童患龋率及龋均较10年前分别增加了9.93%和0.69(均P<0.05)。2015年患重度低龄儿童龋(S-ECC)的儿童比率为33.73%,较10年前增加了5.64%(P=0.01)。2015年父母对“窝沟封闭可以预防龋齿”的认识较10年前有所提高(P<0.05),家长对“含氟牙膏对牙齿有保护作用”的知晓率较10年前明显降低(P<0.001)。能做到每天刷牙≥2次的儿童较10年前年上升了12.96%(P<0.001),父母能做到每天帮助孩子刷牙的比率较10年前下降6.57%(P<0.001)。多因素Logistic分析结果显示每天吃甜食是患S-ECC的危险因素,每天刷牙≥2次可以降低S-ECC发生风险。结论:陕西地区2015年5岁儿童乳牙患龋率及龋损严重程度较2005年明显升高,儿童口腔健康教育仍需进一步加强,父母口腔健康知信行仍有待于进一步提高。
Abstract:
Objective:To analyze the early childhood caries status of 5-year-old children in Shaanxi province in 2015 and compare the changes of factors related early childhood caries from 2005 and 2015,in order to provide reference for further strengthening the caries prevention in Shaanxi province.Methods:Samples were selected by multistage,stratified,equal volume and random sampling method to analyze the early childhood caries of 5-year-old children in 2015.A questionnaire was used to compare the changes of children's eating habits,oral hygiene behaviors,and parents' oral health knowledge,belief and practice in 2015 with those in 2005.Results:The prevalence of early childhood caries rate and the mean dmft in 2015 increased by 7.68% and 0.55 respectively(all P<0.05).The prevalence of early childhood caries and dmft index increased by 9.93% and 0.69 respectively in urban children(all P<0.05).The number of children with severe early childhood caries(S-ECC)was 33.73% in 2015 and increased by 5.64% compared with 10 years ago(P=0.01).Parents awareness of the protective effect of pit and fissure sealant on teeth increased in 2015 compared to 10 years ago(P<0.05).But parents' awareness decreased significantly in terms of the effect of fluoride toothpaste on tooth caries prevention(P<0.001).The rate of children brushing their teeth at least twice a day increased by 12.96% from 10 years ago(P<0.001).The percentage of parents who helped 5-year-old children brush teeth every day decreased by 6.57% compared with 10 years ago(P<0.001).Multivariate Logistic analysis showed that eating sweets every day was a risk factor for severe early childhood caries,and brushing teeth more than 2 times a day could reduce the risk of S-ECC in children.Conclusion:The prevalence and severity of early childhood caries in 5-year-old children in Shaanxi province increased significantly in 2015 compared with that in 2005.Oral health education for children needs to be further strengthened and parents' oral health knowledge,belief and practice should be further improved.

参考文献/References:

[1] Pitts NB,Zero DT,Marsh PD,et al.Dental caries[J].Nat Rev Dis Primers,2017,3:17030.
[2] 王 兴.第四次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社,2018.
[3] 刘怡然,沈 红,仇颖莹,等.江苏省3～5岁儿童龋病相关因素调查分析[J].口腔医学,2020,40(4):342-347.
[4] Guan M,Nada OA,Wu J,et al.Dental caries and associated factors in 3-5-year-old children in Guizhou Province,China:An epidemiological survey(2015-2016)[J].Front Public Health,2021,9:747371.
[5] Blinkhorn AS,Byun R,Mehta P,et al.A 4-year assessment of a new water-fluoridation scheme in New South Wales,Australia[J].Int Dent J,2015,65(3):156-163.
[6] Li J,Fan W,Zhou Y,et al.The status and associated factors of early childhood caries among 3- to 5-year-old children in Guangdong,Southern China:A provincial cross-sectional survey[J].BMC Oral Health,2020,20(1):265.
[7] Yin W,Yang YM,Chen H,et al.Oral health status in Sichuan Province:Findings from the oral health survey of Sichuan,2015-2016[J].Int J Oral Sci,2017,9(1):10-15.
[8] 寇艳松,苗江霞,高素红.2012-2015年北京市海淀区13所幼儿园2～6岁儿童患龋趋势研究[J].北京口腔医学,2019,27(3):165-170.
[9] 李 欣,陈 薇,张 辉,等.2015年北京市学龄前儿童乳牙龋现况及10年变化(2005-2015)[J].北京口腔医学,2017,25(4):229-233.
[10] 梁 凡.陕西省城镇居民食物支出与营养结构的变化分析[D].杨凌:西北农林科技大学,2014.
[11] 张密荣,邓转云,刘春丽.2～7岁儿童乳牙患龋状况及相关因素分析[J].陕西医学杂志,2015,44(2):242-243,246.
[12] 王君平.《中国居民膳食指南科学研究报告(2021)》发布农村居民膳食结构得到较大改善[J].中国食品,2021,23(6):159.
[13] 马兆峰,李 石,张红利,等.北京市顺义区5岁儿童龋病和口腔健康行为调[J].北京口腔医学,2020,28(3):160-163.
[14] 党 薇,谭 灵.氟化泡沫联合伢典凝胶去龋法治疗小儿乳牙龋齿临床疗效观察[J].陕西医学杂志,2022,51(3):313-317.
[15] 杜嘉琪,王翔宇,李俊明,等.山西省居民含氟牙膏防龋功效认知和使用情况调查[J].预防医学,2020,32(7):733-735,739.
[16] 由 力,韩 冰.大连地区学龄前儿童龋齿发生状况调查及相关因素分析[J].中国妇幼保健,2021,36(8):1841-1844.
[17] 郝玉娥,咏 梅.5岁儿童龋病现状及与其父母口腔健康知信行的关联性研究[J].医学研究杂志,2016,45(12):51-53.
[18] 庞艳蕾,冯 昊,张惠兰,等.学龄前儿童口腔健康相关行为现状调查与分析[J].中国妇幼保健,2015,30(29):5037-5039.
[19] Suprabha BS,Dsouza V,Shenoy R,et al.Early childhood caries and parents challenges in implementing oral hygiene practices:A qualitative study[J].Int J Paediatr Dent,2021,31(1):106-114.
[20] 张金婷,车团结,何祥一.甘草及黄芪浸出液对致龋菌的体外菌抑作用[J].陕西中医,2009,30(3):341-343.

备注/Memo

备注/Memo:
基金项目:国家卫生健康委员会公益性行业科研专项项目(201502002)
更新日期/Last Update: 2022-05-05