比较两种不同干预方法预防儿童龋病的效果  

作　　者：谢乐 吴娟[2] 马杰[3] 

机构地区：[1]杭州市儿童医院,310003 [2]南京大学医学院附属口腔医院,210008 [3]南京医科大学附属妇产医院,210000

出　　处：《浙江临床医学》2018年第9期1551-1552,共2页Zhejiang Clinical Medical Journal

摘　　要：目的分析并比较氟化物防龋与免疫学防龋的临床效果。方法2016年3月至2017年3月因乳牙龋齿病就诊的5岁学龄前儿童100例，根据治疗方法不同，分为氟化物防龋治疗组（对照组）和免疫学防龋治疗纽（观察组），6个月治疗后，两组儿童通过口镜、龋齿探测仪对实验学龄前儿童做口腔检查，统计患龋率、计算龋均，描述龋病的严重程度，并对家长进行满意度调查及治疗过程儿童适应性分析。结果6个月治疗后，与治疗前，两组治疗后龋齿总数及平均龋齿数均显著减少。此外，与对照组比较，观察组治疗后龋齿总数及平均龋齿数也显著降低，差异有统计学意义（P〈0．01），且完全治愈的儿童数显著多于对照组（P〈0．05）。观察组家长满意人数显著高于对照组（P〈0.01），两组适应性差异无统计学意义（P〉0．05）。结论氟化物防龋和免疫学防龋均能有效起到防龋效果，但后者防龋的临床效果更优．操作方便，可行性强，值得社区防龋推广。Objective To analyze the clinical effect and feasibility of fluoride caries and anti-caries. Methods From March 2006 to March 2017, 100 preschool children aged 5 years were enrolled in the Department of Stomatology of the Dental Caries. According to different methods of treatment, they were divided into fluoride poisoning treatment group （ control group ） and Immunological anti-caries treatment group （ study group ） . After 6 months of treatment, two groups of children were examined by oral mirror and dental caries. The rate of caries and caries were calculated, the severity of caries were described, and the satisfaction survey of parents and the adaptability analysis of children in the treatment process were also carried out. Results After 6 months of treatment, before and after treatment, the total number of dental caries and the average number of caries were significantly reduced after treatment. In addition, compared with the control group, the total number of dental caries and the average number of caries were significantly lower in the study group （P〈0.01） , and the number of children was significantly higher than that of the control group （P〈0.05） . The number of parents in the study group was significantly higher than that in the control group （P〈0.01） . There was no significant difference between the two groups （ P〉0.05 ） . Conclusion Fluoride anti-caries and immunological anti-caries can effectively play the anti-caries effect, but the latter anti- caries clinical effect is better, easy to operate, feasible, worthy of community caries promotion.

关 键 词：儿童龋病 氟化物防龋 免疫学防龋 社区防龋 

分 类 号：R788.1[医药卫生—口腔医学]