上海市3岁儿童婴幼儿龋患病现状和特点分析  

Status of Early Childhood Caries of 3 Year-old Children in Shanghai

作　　者：曹新明 许世梃[2] 冯靳秋 董宏伟[2] 李存荣 

机构地区：[1]上海市口腔病防治院,上海200001 [2]同济大学儿童口腔医学研究所

出　　处：《广东牙病防治》2010年第12期643-646,共4页Journal of Dental Prevention and Treatment

基　　金：上海市儿童发展研究课题(2008SHET15)

摘　　要：目的调查上海市3岁儿童婴幼儿龋(early childhood caries,ECC)患病现状和特点,为上海市婴幼儿的龋病防治工作提供参考依据。方法采用多阶段分层随机抽样方法抽取上海市中心和非中心城区600名3岁儿童进行检查,并对检查结果进行统计学分析。结果受检600名儿童龋均为2.17±3.18,龋面均为2.99±5.30,龋蚀严重度指数为6.53±10.91;ECC患病率为49.00%,重度婴幼儿龋(severe early childhood caries,SECC)患病率为27.83%(167/600),SECC患龋儿童占患龋总人数的56.80%(167/294)。中心城区和非中心城区儿童ECC患病率分别为42.33%和55.67%,差异有统计学意义(χ2=10.671,P=0.001)。非中心城区儿童ECC龋均明显高于中心城区,差异有统计学意义(F=4.307,P<0.05);非中心城区儿童ECC龋蚀严重度指数明显高于中心城区,差异有统计学意义(F=4.400,P<0.05)。ECC龋齿充填构成比为3.92%,中心城区和非中心城区分别为5.44%和2.74%,差异有统计学意义(χ2=6.211,P=0.013)。上海市3岁儿童ECC龋蚀牙位分布以上颌乳中切牙和下颌乳磨牙为主。结论上海市3岁儿童ECC患病状况严重,应加强对上海市婴幼儿龋病的早期干预。Objective To investigate the status of Early childhood caries（ECC） of 3 year-old children in Shanghai for better prevention and control of ECC.Methods A sample of 600 3 year-old children was drawn for oral health check from urban and rural districts in Shanghai with a multistage,stratified,equal sized,simple random sampling method.Results The prevalence of ECC was 49.00% with a mean dft of 2.17±3.18,mean dfs of 2.99±5.30,and CSI of6.53±10.91.A higher prevalence of ECC was found in rural districts（55.67%） compared to urban districts（42.33%）,same with mean dft and CSI index.The total filling rate was 3.92%.Significant difference was found of filling rate in rural districts（2.74%） and urban districts（5.44%）.The most prevalent teeth of ECC were upper middle incisor and lower molars.Conclusion The status of ECC in Shanghai was severe.This finding reinforces the importance of early intervention in reducing ECC in younger children.

关 键 词：婴幼儿龋 乳牙 儿童 

分 类 号：R780.1[医药卫生—口腔医学]