联合应用氟制剂预防学龄前儿童龋齿的效果观察  

Clinical effect of fluoride agents in prevention of caries in preschool children

作　　者：黎曙光 徐高洋 黎红 

机构地区：[1]杭州口腔医院口腔科,浙江省杭州310006

出　　处：《中国基层医药》2016年第8期1219-1222,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：评价氟化泡沫和氟保护漆预防对4～5岁学龄前儿童龋齿的效果。方法选取幼儿园4～5岁学龄前儿童700名，在征求监护人意见下进行预防研究，按随机分配原则分为观察组与对照组，对照组350名学龄前儿童每半年进行1次常规基础口腔保健措施和给予氟化泡沫治疗。观察组350名学龄前儿童在对照组的基础上加用每半年用氟制剂护理牙齿，进行研究2年后，对两组学龄前儿童的乳牙患龋率及龋面进行分析评估。结果在进行儿童龋齿预防24个月后，观察组儿童乳牙患龋率及龋面显著降低，且较对照组明显减少（观察组乳牙患龋率为11．3％，龋均数0．85；对照组乳牙患龋率为36．1％，龋均数1．77），两组儿童乳牙患龋率及龋面数差异有统计学意义（乳牙患龋率比较χ2＝4．3391，龋均数比较χ2＝3．0168，均P＜0．05）。结论对学龄前儿童定期使用氟制剂即氟化泡沫和氟保护漆可明显预防龋齿，较之常规基础口腔保健措施更为有效。Objective To evaluate the clinical effect of fluoride agents in prevention of caries in preschool 4 to 5 years old children.Methods 700 kindergartens 4 -5 years old children were selected to conduct prevention study with the agree of guardian.The children were randomly divided into observation group and control group. 350 preschool children in the control group received regular oral health measures and fluoride foam treatment every six months.350 preschool children in the observation group received fluoride products every six months on the basis of the control group.After two years study,the deciduous caries and caries rate of the two groups were analyzed.Results After prevention of dental caries 24 months,the prevalence of dental caries and caries of deciduous teeth surface in the observation group significantly reduced,and were significantly lower than the control group （ observation group：caries prevalence 11.3%,caries mean 0.85;control group：caries prevalence 36.1%,caries mean 1.77）,the deciduous caries rate and the number of surface caries between the two groups had statistically significant differences （χ2 =4.339 1,3.016 8,all P〈0.05）.Conclusion Child deciduous dental caries in China is still at a relatively high inci-dence of disease,regular use of fluoride foam and fluoride products namely fluor protector can significantly prevent dental caries,oral health measures than on a regular basis is more effective,and significantly reduce deciduous caries among children,protection of children＆#39;s oral health,and it is worth further clinical application.

关 键 词：氟制剂 龋齿 儿童 氟化泡沫 氟保护漆 

分 类 号：R788.1[医药卫生—口腔医学]