两种龋病活跃性检测法的比较研究  

A comparative study of two tests for caries activity

作　　者：许世梃[1] 石四箴[1] 梁勤[1] 

机构地区：[1]同济大学儿童口腔医学研究所,上海200032

出　　处：《上海医学》2010年第7期663-666,共4页Shanghai Medical Journal

摘　　要：目的评价上海龋病活跃性检测法(SCAT)和Cariostat两种龋病活跃性检测法在反映患龋现状及预测龋病进展方面的效果。方法以360名3～5岁幼儿为研究对象,均经口腔检查和上述两种方法的检测,1年后再行相同的检查和检测。结果两次SCAT和Cariostat法检查各度间患龋率、龋补牙数(dft)、龋补牙面数(dfs)和龋蚀严重度指数(CSI)的差异均有统计学意义(P值均<0.01)。SCAT法和Cariostat法各度间在1年后患龋率增加幅度的差异无统计学意义(P>0.05),SCAT和Cariostat法各度间dft增量、dfs增量和CSI增量的差异均有统计学意义(P值均<0.01)。SCAT和Cariostat法首次检测及1年后检查结果与dft、dfs和CSI均呈正相关(P值均<0.01),首次检测结果与dft、dfs和CSI增量均呈正相关(P值均<0.01)。结论 SCAT和Cariostat法在反映龋病的现状和预测其进展方面的检测效果相当。SCAT应用国产试剂,价格低廉,便于在国内推广应用。Objective To evaluate the efficacies of two tests for caries activities （Shanghai caries activity test [SCAT] and Cariostat） in reflecting caries statuses and predicting caries progression.Methods Oral examination and two caries activity test （CATs） detection were conducted in 360 children aged 3-5 year-old at baseline and the same examination were done again 1 year later.Results Significant differences were found in caries prevalence,dft,dfs and CSI among each degree of two CATs at baseline and 1 year later （all P0.01）. Significant differences were found in the decayed and filled teeth （dft）,decayed and filled teeth surface （dfs） and caries severity index （CSI） increment of 1 year later among each degree of two CATs at baseline （P0.01）,and no difference was found in caries prevalence increment （P0.05）. Each degree of two CAT was found to be highly correlated with dft,dfs and CSI; the same results were found between CAT degrees at baseline and dfs and CSI increment 1 year later （all P0.01）. And correlation was also found in dft increment （all P0.01）. Conclusion The efficacies of the two CATs are equal in reflecting caries status and predicting caries progression in children. Since SCAT reagent is made in China and its price is cheaper,it is widely recommended in Chinese children.

关 键 词：龋病活跃性 上海龋病活跃性检测法 Cariostat 幼儿 

分 类 号：R788.1[医药卫生—口腔医学]