新疆博州地区低龄儿童重度龋病危险因素调查分析  

Investigate the risk factors of severe early childhood caries in Bortala

作　　者：李培森 杨欢[1] 侯鑫山 曹宏飞 赵今[1] LI Peisen;YANG Huan;HOU Xinshan;CAO Hongfei;ZHAO Jin(The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011)

机构地区：[1]新疆医科大学第一附属医院,乌鲁木齐830011

出　　处：《现代口腔医学杂志》2018年第4期220-224,228,共6页Journal of Modern Stomatology

基　　金：国家自然科学基金(81360167);新疆研究生创新项目专项资金(XJGR12016080)

摘　　要：目的调查新疆博州地区3~5岁汉族、维吾尔族和蒙古族低龄儿童重度龋病的流行病学状况和相关危险因素,为该地区儿童龋病防治策略的制定提供依据。方法采用多阶段、分层、整群抽样的方法 ,随机抽取博州地区8所幼儿园中3~5岁的汉族、维吾尔族、蒙古族儿童1089名,在统一标准下进行口腔检查,同时对儿童家长进行问卷调查,包括儿童的饮食习惯、口腔保健行为等,并采用SPSS 22.0软件进行统计分析。结果 Logistic回归分析表明年龄更大、早产儿、甜饮摄食频率越高、刷牙后/睡前进食或夜间喂食越频繁、定期拜访牙医间隔越久均是低龄儿童重度龋病的危险因素,而人工喂养、家长辅助刷牙频率和家庭收入越高则是其保护因素。结论博州地区儿童龋病发生与饮食习惯,口腔保健习惯,社会经济因素以及看电视时间长短有关,此外婴幼儿时期贫血病和佝偻病会增加乳牙龋病发生风险。Objective To investigate the epidemiological status and related risk factors of dental caries among children aged 3~5 years old in Han, Uygur and Mongolian children in Bortala, and to provide fundamental prevention of dental caries for the children in this area. Methods Using the multiple stratified and cluster sampling method, 1089 Han, Uygur and Mongolian children in 8 kindergartens in Bortala were randomly selected, and oral examination was carried out under uniform standard by investigators. The questions include children＇s eating habits, oral health behavior and so on were obtained from parents by a questionnaire survey. And SPSS 22.0 software was used for statistical analysis.Results Logistic regression analysis showed that the older age, preterm, the higher frequency intake of sweet beverage,more frequently feeding after brush teeth or at night, irregular visits to the dentist are the risk factors of severe early childhood caries. However, artificial feeding, the higher frequency of auxiliary brushing and the high family income are its protective factor. Conclusion The incidence of childhood dental caries in Bortala is related to eating habits, oral health habits, socioeconomic factors and the duration of watching TV. In addition, anemia and rickets in infants and young children increase the risk of deciduous dental caries.

关 键 词：博州地区 低龄儿童 龋病 危险因素 

分 类 号：R781.1[医药卫生—口腔医学]