苏州市小学生第一恒磨牙窝沟封闭项目实施质量评价  

Quality evaluation of pit and fissure sealants program of the first permanent molar for children age from 7-9 years of Suzhou

作　　者：潘灏[1] 周伟华[2] 朱晔[1] 

机构地区：[1]苏州卫生职业技术学院口腔系,江苏215002 [2]苏州市疾病预防控制中心

出　　处：《中国学校卫生》2016年第6期882-884,共3页Chinese Journal of School Health

基　　金：苏州市科协软科学课题项目(2014B-19)

摘　　要：目的了解苏州市适龄儿童（7～9岁）第一恒磨牙免费窝沟封闭项目实施1年后效果,为有效开展小学生龋齿防治工作提供合理化建议。方法 2014年底整群抽取苏州市20所小学,对其中接受过2013年窝沟封闭的学生进行复查。以封闭剂保留率作为主要指标,评估项目实施的效果。结果小学生第一恒磨牙总体封闭剂保留率为71.1%;可疑龋牙齿封闭剂保留率（68.58%）及深而窄窝沟牙齿封闭剂保留率（69.89%）低于一般深窝沟牙齿封闭剂保留率（71.98%）（χ^2=6.481,P〈0.05）;不同学校封闭剂保留率差异有统计学意义（χ^2=81.451,P〈0.05）;不同颌位封闭剂保留率差异无统计学意义（χ^2=3.784,P〉0.05）。结论小学生第一恒磨牙总体封闭剂保留率不高,窝沟封闭的效果除了受材料性能、临床操作及适应证选择的影响,合理的组织管理也是重要影响因素。项目还需从多个方面进行完善。Objective To survey the effect of pit and fissure sealants program sponsored by the government for children age from 7-9 years of Suzhou city one year ago, and to investigate the factors influencing the effect of project, then provide reasonable suggestions for subsequent work. Methods Cluster sampling 20 primary schools in 2014, review the sealants retention of the teeth of the children received pit and fissure sealants in 2013. Based on the results, the effectiveness of pit and fissure sealants as a government-sponsored public health program was evaluated. Results The retention rate of sealants was 71.1%. The sealants retention rate of teeth which had suspicious caries（ 68.58%） or deep and narrow grooved chewing teeth（ 69.89%） was lower than that of the teeth which had average nest deep groove（ 71.98%）. The retention rates of different schools had significant difference（ P〈0.05）. The retention rates was no statistically significant difference between the Maxillary molars and Mandibular molars（ P〉0.05）. Conclusion The retention rate of sealants after one year is not high, reasonable organization and management are important factors influencing the effect of program, in addition to the material properties, the clinical operation and the selection of indications. The effect of the program should to be improved from several aspects.

关 键 词：磨牙 龋齿 治疗结果 学生 

分 类 号：R195.4[医药卫生—卫生统计学] R783.4[医药卫生—卫生事业管理]