澳门两幼儿园2～6岁幼儿患龋状况与龋病活跃性  

Dental caries status and dental caries activity for 2—6 years old children in two kindergartens in Macao

作　　者：董宏伟[1] 曹新明 李伟明 石四箴[1] 

机构地区：[1]同济大学儿童口腔医学研究所,上海200032 [2]上海市口腔病防治院 [3]澳门儿童口腔牙科医学会

出　　处：《上海医学》2012年第7期613-616,共4页Shanghai Medical Journal

基　　金：澳门特别行政区政府卫生局课题资助项目(1491/Cont/2007)

摘　　要：目的了解澳门幼儿园幼儿的患龋状况、龋病活跃性表现及两者问的关系。方法连续3年对澳门地区两所幼儿园的2～6岁幼儿进行乳牙龋病检查和龋病活跃性检测（CAT），3年累计2564人次。计算患龋率、龋补牙数（dft）和龋蚀严重度指数（CSI），分析两所幼儿园受检幼儿的患龋状况及其与CAT的关系。结果两所幼儿园受检幼儿的3年总体患龋率为53．3％，dft为2．79±3．94，CSI为8．90±14.46。所有受检幼儿中男童与女童间患龋率（χ^2=2．560）、dft（F=0．548）、CSI（F=0．058）的差异均无统计学意义（P值均〉0．05）。2、3、4、5、6岁组受检幼儿的患龋率（χ^2=153．47）、dft（F=29．41）、CSI（F=27．13）的差异均有统计学意义（P值均〈0．001），患龋状况随幼儿年龄的增长而加重。永援、圣堡禄及两所幼儿园总体不同scAT度受检幼儿的患龋率（χ^2=181．276、157．734、300．68）、dft（F=87．778、96．782、193．49）、CSI（F=82．770、86．900、175．82）的差异均有统计学意义（P值均〈0．001），患龋状况随着sCAT度的增加而加重。永援、圣堡禄及两所幼儿园总体受检幼儿的SCAT度与患龋率（r=0．356、0．364、0．186）、dft（r=0．387、0．442、0．276）、CSI（r=0．395、0．445、0．248）均呈正相关（P值均〈0．01）。结论澳门地区幼儿园幼儿的患龋状况仍较严重，且随幼儿年龄的增长而加重。SCAT是对幼儿群体龋病活跃性进行横断性评价的有效方法。Objective To investigate the dental caries status and its relationship with caries activity for kindergarten children in Macao. Methods Totally 2564 person-times received dental caries examination and caries activity test （CAT） in the children aged from 2 to 6 years old for 3 consecutive years in 2 kindergartens （named Shengbaolu and Yongyuan） in Macao. Dental caries prevalence, decayed and filled teeth （dft） and caries severity index （CSI） were calculated. Dental caries status and its relationship with CAT were analyzed. Results The 3 years overall dental caries prevalence, rift and CSI were 53. 3%, 2.79 ± 3.94 and 8.91± 14.46, respectively. There was no significant difference in terms of dental caries prevalence （χ^2 = 2. 560）, dft （F = 0. 548） and CSI （F = 0. 058） between boys and girls （P〉0.05）. There were significant differences in dental caries prevalence （χ^2= 153.47）, dft （F = 29.41） and CSI （F = 27. 13） between the children aged from 2 to 6 years （P〈0. 001）. Dental caries aggravated when the children grew up. There were significant differences in dental caries prevalence （χ^2 = 181. 276, 157. 734, 300.68）, dft （F = 87. 778, 96. 782, 193.49） and CSI （F = 82.770, 86. 900, 175.82） for children with different SCAT degrees in Yongyuan, Shengbaolu, and both two kindergartens （P〈0. 001 ）. The dental caries status was more severe in the children with high SCAT degree. SCAT was positively correlated with dental caries prevalence （ r = 0. 356, 0. 364, 0. 186）, dft （ r = 0. 387, 0. 442, 0. 276） and CSI （ r = 0. 395, 0. 445, 0. 248） in Yongyuan, Shengbaolu and both two kindergartens （ P〈0.01 ）. Conclusion The dental caries of kindergarten children is still serious in Macao. Dental caries become worse inthe older children. SCAT is an effective measure for cross-sectional evaluation of dental caries activity.

关 键 词：乳牙 龋病 患龋状况 龋病活跃性 

分 类 号：G617[文化科学—学前教育学] R788.1[文化科学—教育学]