学龄前儿童龋齿与母亲孕期、儿童相关因素的关联研究  

Relationship study between preschool children′s dental caries and maternal pregnancy and child related factors

作　　者：邓晓娟[1] 黄文敏 崔有足 DENG Xiao-juan;HUANG Wen-min;CUI You-zu(Department of Stomatology,Boluo County People＇s Hospital in Guangdong Provinee,Boluo 516100,China;Depart-ment of Stomatology,Shuikou People＇s Hospital of Huieheng District in Huizhou City of Guangdong Provinee,Huizhou 516001,China)

机构地区：[1]广东省博罗县人民医院口腔科,广东博罗516100 [2]广东省惠州市惠城区水口人民医院口腔科,广东惠州516001

出　　处：《中国当代医药》2018年第17期42-45,共4页China Modern Medicine

基　　金：广东省惠州市科技局立项项目(20170499)

摘　　要：目的分析学龄前儿童龋齿与母亲孕期、儿童相关因素的关联。方法采用整群抽样方式选取2017年1~12月,选择博罗县17个镇68所幼儿园3~6岁龋齿患儿218例作为观察组,选择同期在我院接受健康体检的学龄前正常儿童200例作为对照组。收集并分析两组受检儿童与母亲的临床资料。结果观察组孕妇临床资料情况的比较,差异有统计学意义(P<0.05)。两组儿童临床资料情况的比较,差异有统计学意义(P<0.05)。经Logistic回归分析显示,孕妇龋齿、孕期未补充足够营养、孕妇不良妊娠史、孕妇吸一手或二手烟、孕妇有口腔症状、孕妇有合并症、孕妇文化程度在大专及以下、孕妇有牙痛是学龄前儿童是否患有龋齿的孕妇方面高危因素(P<0.05);早产儿、嗜食甜食、无早晚2次刷牙习惯及儿童刷牙起始年龄≥2岁均为学龄前儿童患有龋齿的儿童方面高危因素,差异有统计学意义(P<0.05)。结论学龄前儿童龋齿与早产儿、早晚2次刷牙率、嗜食甜食、母亲学历、母亲孕期牙痛、孕期合并症、一手或二手烟、孕晚补充充足营养、母亲龋齿发生率等因素有关。Objective To analyze the association of preschool children′s dental caries with maternal and child-related factors.Methods From January to December,2017,218 children aged 3 to 6 with caries in 68 kindergartens in 17 towns of Boluo County were selected as the observation group by cluster sampling,and 200 normal preschool children who underwent health examination in our hospital at the same time were selected as the control group.The clinical data children and mothers in two groups of were collected and analyzed.Results The clinical data of pregnant women in the observation group were compared with each other,and the difference was statistically significant（P〈0.05）.There was statistically significant difference between the two groups in children′s clinical data（P〈0.05）.Logistic regression analysis showed that pregnant women′s caries,inadequate nutrition during pregnancy,pregnant women′s poor pregnancy history,pregnant women′s first or second hand smoke,pregnant women′s oral symptoms,pregnant women′s complications,pregnant women′s educational level at or below the tertiary level,pregnant women′s toothache were high-risk factors for pregnant women whether preschool children suffered from caries or not（P〈0.05）.Premature infants,preference for sweets,no brushing habits twice in the morning and evening,and children′ s brushing starting age ≥ 2 years old were all high-risk factors for children with dental caries in preschool children,and the differences were statistically significant（P〈0.05）.Conclusion Preschool children have relationship with preterm infants,brushing rate 2 times in the morning and evening,sweet tooth food,maternal education,maternal toothache during pregnancy,complications during pregnancy,first-hand or second-hand smoke,adequate nutrition during pregnancy,and incidence of mother′s caries.

关 键 词：学龄前儿童 母亲 孕期 相关因素 

分 类 号：R788[医药卫生—口腔医学]