云南省昭通高氟区中年人群氟斑牙和龋病患病情况调查研究  

Surveys on Fluorosis and Dental Caries of Middle Aged People in High Fluoride Areas of Zhaotong County,Yunnan

作　　者：王冰[1] 范群[1] 者丽萍[1] 王婉[1] 储雯[1] 季娟娟[1] 

机构地区：[1]昆明医学院第四附属医院口腔预防科,云南昆明650031

出　　处：《昆明医学院学报》2010年第6期89-92,共4页Journal of Kunming Medical College

基　　金：云南省科技厅-昆明医学院联合专项基金资助项目(2007C0038R)

摘　　要：目的调查云南省昭通高氟区35～44岁人群氟斑牙和龋病患病的流行情况,比较不同程度氟斑牙人群与正常人群患龋率及龋均的情况,探究不同程度氟斑牙龋病患病率、龋均之间的相关关系,为高氟区中年人的氟斑牙和龋病的防治提供理论依据.方法参考第三次全国口腔健康流行病学抽样调查的基本方法,龋病诊断标准及Dean氟牙症诊断及分类标准,抽取高氟区35～44岁中年人200名,调查其龋病和氟斑牙的患病情况,与正常人群组进行比较,记录分析结果.结果昭通高氟区35～44岁人群总患龋率为53%,氟斑牙患病率为100%,社区氟斑牙指数Fci为3.49,与正常组比较,轻度氟牙症龋病患病率及龋均均略低于正常人群,但差异无统计学意义(P>0.05);中度和重度氟牙症龋病患病率及龋均均高于正常人群,结果有统计学意义(P<0.05,P<0.01);重度氟牙症组、中度氟牙症组、轻度氟牙症组间循环比较患龋率和龋均,三组患龋率和龋均均差异无统计学意义(P>0.05).结论云南昭通高氟区中年人氟斑牙患病率极高,为氟斑牙重度流行区域;轻度氟牙症人群龋病患病率及龋均均略低于正常人群;中度组和重度组的患龋率及龋均高于于正常人群,结果有统计学意义;氟斑牙人群各分度间患龋率及龋均无差异.Objective To study the prevalence of fluorosis and dental caries in 35～44 years old people in high fluoride areas of Zhaotong conunty,Yunnan,to compare the prevalence rate of dental caries between people with fluorosis and healthy people,and between people with different degree of fluorosis,and to provide references for controlling fluorosis and caries in middle aged people in high fluoride areas.Methods According to the oral health survey basic methods of WHO,the diagnosis criteria of dental caries,and the diagnosis and classification criteria of dental fluorosis,200 35～44 years old people in high fluoride areas were sampled,and the prevalence of fluorosis and dental caries was investigated and compared with normal healthy people.The investigation results were recorded and analyzed.Results In the group of aged 35～44,the prevalence of dental fluorosis was 100%,The total Fci was 3.49.The total prevalence of dental caries was 53%.Compared with normal group,the prevalence of dental caries and Fci in people with slight dental fluorosis was lower,but there was no significant difference （P0.05）.The prevalence of dental caries and Fci in people with moderate and sever dental fluorosis was higher than normal healthy people there was significant difference （P 0.05,P 0.01）.There was no significant difference in the prevalence of dental caries and Fci among people with slight,moderate,and sever dental fluorosis （P0.05）.Conclusions Fluorosis is serious in ZhaotongYunnan.The prevalence of dental caries and Fci in people with slight dental fluorosis was lower than normal people,but there was no significant difference.The prevalence of dental caries and Fci in people with moderate and sever dental fluorosis was higher than normal healthy people there was significant difference.There was no significant difference in the prevalence of dental caries and Fci among people with slight,moderate,and sever dental fluorosis.

关 键 词：高氟区 氟斑牙 龋病 龋均 

分 类 号：R781.1[医药卫生—口腔医学]