不同就诊方式对小学生窝沟封闭效果的影响  

Effects of different visit ways on primary students receiving pit and fissure sealing treatment

作　　者：柴巧学[1,2] 陈敏红[1,2] 钟素兰[1,2] 李瑶[1,2] 宋慧婷[1,2] 石燕[1,2] 何绮汶 周静[1,2] 

机构地区：[1]广东省口腔医院 [2]南方医科大学附属口腔医院番禺分院牙体牙髓病科,广东广州512600

出　　处：《广东牙病防治》2015年第6期318-321,共4页Journal of Dental Prevention and Treatment

基　　金：广东省医学科研基金(A2014110)

摘　　要：目的研究不同就诊方式对小学生窝沟封闭效果的影响,探索提高窝沟封闭防龋效果和提高口腔保健意识的方法。方法随机抽取2012年7-10月检查的番禺区10所小学二、三年级学生的986颗第一恒磨牙,按照学生不同的就诊方式,分为门诊组(在医院接受窝沟封闭和"一对一"口腔健康教育)、学校组(在学校接受窝沟封闭和集体口腔健康教育)和对照组(未接受窝沟封闭和口腔健康教育),经过6个月、1年、2年复查,比较封闭操作时间、防龋效果及封闭剂的保留情况。结果两个试验组与对照组比较,门诊组窝沟封闭操作时间(3.9±1.9)min短于学校组(t=4.65,P<0.01),术后两年龋病发病率最低(2.7%),学校组其次(6.3%),对照组最高(18%)(χ2=47.011,P<0.01)。门诊组窝沟封闭剂2年保留率(88.68%)高于学校组(82.47%)(χ2=5.76,P=0.016)。结论有组织地进行口腔保健能达到理想的防龋效果。在医院接受窝沟封闭和"一对一"口腔健康教育效果优于在学校接受窝沟封闭和集体口腔健康教育。Objective To investigate the effects of different visit ways on primary students receiving pit and fissure sealing treatment.Methods Primary students of grade 2 and 3 from 10 schools in Panyu District were checked from July to October in 2012, and 986 first permanent molars were sampled randomly.According to different visit ways, the students were divided into 3 groups：outpatient group （ taking pit and fissure sealing treatment and“one to one oral health education” at hospital）, school group （ taking pit and fissure sealing treatment and “group oral health education at school） , control group （ not taking pit and fissure sealing treatment and no oral health education） .The operation time, anti-caries effects and sealant retention rate were analyzed after 6 months, 1 year, and 2 year recall, respectively.Re-sults The operation time of outpatient group was shorter than that of school group （t=4.65, P〈0.05）.The incidence of caries of outpatient group was the lowest among the 3 groups at the 2 year recall （outpatient group 2.7%, school group 6.3%, control group 18%, χ2 =47.01, P 〈0.01）.The rate of sealant retention of outpatient group was higher （88.68%） than that of school group （82.47%） （χ2 =5.76, P=0.016） at the 2 year recall.Conclusion It demon-strates that pit and fissure sealing treatment with“one to one oral health education” at hospital is more effective than pit and fissure sealing treatment with“group oral health education” at school.

关 键 词：窝沟封闭 龋病发生率 保留率 

分 类 号：R780.1[医药卫生—口腔医学]