江苏省5～74岁自然人群龋病的现况调查  

Cross-sectional study on dental caries among population aged 5 to 74 in Jiangsu Province

作　　者：沈家平[1] 王林[1] 陈宁[1] 沈洪兵[2] 王一均[1] 周红艳[1] 

机构地区：[1]南京医科大学口腔医学院,江苏南京210029 [2]南京医科大学公共卫生学院流行病与统计学系,江苏南京210029

出　　处：《南京医科大学学报（自然科学版）》2006年第12期1283-1287,共5页Journal of Nanjing Medical University(Natural Sciences)

基　　金：江苏省卫生厅预防医学科研课题基金(Y200412)资助

摘　　要：目的:了解江苏省自然人群龋病流行状况,为开展口腔预防保健提供基线资料及制定龋病防治规划提供参考依据。方法:参考世界卫生组织(WHO)《口腔健康调查基本方法》(第4版)和全国第3次口腔健康流行病学调查方法,采用多阶段、分层、等容量、随机抽样的方法,抽取江苏省城乡36个调查点共3164人,其中男性1583人,女性1581人;分5岁、12岁、35～44岁和65～74岁4个年龄组进行调查。结果:5岁年龄组乳牙患龋率和龋均分别为69.15%和3.49,两者男女间差异均无显著性(P>0.05);恒牙患龋率和龋均分别为0.51%和0.01。12岁年龄组恒牙患龋率和龋均分别为27.02%和0.47,女性显著高于男性(患龋率P<0.01,龋均P<0.05)。35～44岁年龄组恒牙患龋率和龋均分别为59.37%和1.76,女性显著高于男性(P<0.01)。65～74岁年龄组恒牙患龋率和龋均分别为77.75%和3.81,女性显著高于男性(患龋率P<0.05,龋均P<0.01)。4个年龄组患龋率、龋均均低于1995年全国平均水平。龋齿充填率均很低,乳牙为2.24%;恒牙龋充填率4个年龄组分别为0%、4.61%、18.39%和7.06%,平均为10.16%。结论:江苏省人群龋病的流行状况与全国第2次口腔健康调查(1995年)的结果相比患龋率和龋均均较低,12岁年龄组龋均<1.1,龋齿的充填率低。应加强口腔预防保健工作,提高龋病的治疗率。Objective： To describe the prevalence rate of dental caries in the communities of Jiangsu province, and to provide baseline data guide for oral health care and offer information for the prevention and cure of dental cares. Methods：Referring to WHO＇s ＂Oral Health Surveys Basic Methods＂ （Fourth Edition） and protocols of the third national survey, multistage, stratified, equal capacity and simple random sampling method was performed. A sample of 3 164 people in 36 communities in Jiangsu was chosen, 1 583 males and 1 581 females. The samples were subdivided into 4 groups as 5,12,35-44 and 65-74 years old, Results： The prevalence rate of deciduous teeth dental caries in 5-year-old children was 69.15% and the deciduous teeth Xdmft was 3.49, There was no difference between male and female （P 〉 0.05）. The prevalence rate of permanent teeth dental caries was 0.51% and the mean number of permanent teeth caries was 0.01. The prevalence rate of permanent teeth dental caries in 12, 35-44 and 65-74 year old people was 27.02%, 59.37% and 77.75% respectively. The mean number of permanent teeth dental caries in 12-35-44 and 65-74-year old was 0.47, 1.76 and 3.81 respectively. The prevalence rate of permanent teeth dental caries was higher in female than that in mate. The filled rate of deciduous teeth was 2.24%. The prevalence rate filled rate of permanent teeth in the four groups was 0%, 4.61%, 18.39% and 7.06%, respectively averaging 10.16%. Conclusion：Compared with the results of the second national health survey in 1995, the proportions of people in Jiangsu who get dental caries are lower. The mean number of dental caries in 12-year-old people is less than 1.1, which is recognized as very low according to the standard of WHO.

关 键 词：口腔 龋病 口腔健康调查 流行病学 

分 类 号：R181.81[医药卫生—流行病学]