天津市乡镇地区氟牙症流行病学调查报告  

Epidemiology survey of dental fluorosis in rural area of Tianjin city

作　　者：胡静[1] 田宗蕊[1] 戴艳梅[1] 冯昭飞[1] 

机构地区：[1]天津市口腔医院口腔预防保健科,天津300041

出　　处：《口腔疾病防治》2017年第12期806-809,共4页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：天津市科协科技团体决策咨询资助项目(TJSKX2015-JC12)

摘　　要：目的通过调查天津市乡镇地区氟牙症流行病学状况及居民对于氟牙症的认知程度,为监测及控制天津市氟牙症患病水平提供依据。方法采用分层整群随机抽样方法进行抽样,采用口腔检查及问卷调查相结合的方式开展调查。结果 12~14岁和15岁学生氟牙症患病率分别为68.6%、64.5%,12~15岁学生氟牙症指数为1.48,属于中度流行水平;12~14岁组患病率较2005年天津市流行病学数据降低(x^2=21.62,P<0.001),3~5岁儿童氟牙症患病率为5.2%,氟牙症指数为0.10。35~74岁受检人群氟牙症患病率为68.2%,氟牙症指数为1.85。47.7%学生不清楚氟牙症是否影响到自己,54.2%的成年氟牙症患者不知道自己患有氟牙症,47.4%的受检者知道氟牙症的原因与水氟相关,18.8%的受检者认为氟牙症的发生与口腔清洁不到位有关。结论天津乡镇地区12~14岁学生氟牙症患病率较2005年12岁年龄组数据有所下降,但3~5岁儿童组乳牙氟牙症的出现,提示应进一步控制氟的摄入。受访乡镇居民对于氟牙症认知程度较低,应加强氟牙症口腔健康宣教工作。Objective To investigate the situation of dental fluorosis and residents awareness of dental flourosis in rural area of Tianjin, providing the basis for control of dental fluorosis prevalence level and continuous supervise of dental fluorosis prevalence. Methods The objectives were selected by stratified cluster sampling method. Health interview survey and oral examination were performed. Results The prevalence of dental fluorosis was 5.2% in 3-5 years children group, 68.6% in 12-14 years youth group, 64.5% in 15 years youth group, and 68.2% in 35-74 years group. The prevalence of dental fluorosis in 12-14 years group was lower than that in 2005（χ^2=21.62, P 〈0.001）. The community index of dental fluorosis（CFI） was 0.1 in 3-5 years children group, 1.48 in 12-15 years youth group, 1.85 in 35-74 years old group. 47.7% students knew nothing about dental fluorosis, and 54.2% adult dental fluorosis patients did not know they were suffering from dental fluorosis. 47.4% of the subjects knew the relationship between dental fluorosis and fluoride in drinking water, and 18.8% subjects considered dental fluorosis was related with tooth cleaning. Conclusion The prevalence of dental fluorosis in 12-14 years old students was lower than 12 years old at 2005, but the increase of prevalence of dental fluorosis in 3-5 years children indicates the intake of fluorosis should be more strictly controlled. The awareness of dental fluorosis in rural area residents is poor and oral health education about fluorosis should be enhanced.

关 键 词：氟牙症 随机抽样调查 水氟 口腔健康教育 

分 类 号：R781.2[医药卫生—口腔医学]