新疆农三师伽师总场改水降氟后12~15岁少年氟斑牙的病情调查及相关因素分析  

Condition Survey and Analysis of Relevant Factors on 12~15 Years Old Youths with Dental Fluorosis after Water-improving and Defluoridation in Jiashi General Farm of the Third Agricultural Division of Xinjiang

作　　者：李希吉[1] 焦炳茹 李永胜 LI Xi-Ji;JIAO Bing-ru;LI Yong-sheng(Department of Stomatology,the Third People's Hospital of Huizhou City,Guangdong Province,Huizhou 516002,Guangdong,China;Department of Stomatology,Jiashi General Hospital,the Third Division of Xinjiang Production and Construction Corps,Kashi 844309,Xinjiang,China)

机构地区：[1]广东省惠州市第三人民医院口腔科,广东惠州516002 [2]新疆生产建设兵团第三师伽师总场医院口腔科,新疆喀什844309

出　　处：《中国美容医学》2020年第6期142-146,共5页Chinese Journal of Aesthetic Medicine

基　　金：惠州市科技计划项目(编号:20170408)。

摘　　要：目的:调查新疆农三师伽师总场改水降氟后12~15岁少年氟斑牙的患病特点,分析其相关因素,了解改水降氟对伽师总场地氟病的效果。方法:2018年对伽师总场下属的12个连队进行水氟检测,包括7个水氟合格连队和5个水氟未合格连队。检测所有连队12~15岁少年的氟斑牙及尿氟含量,对氟斑牙的相关因素进行Logistic回归分析。结果:共调查12~15岁少年1 148名,氟斑牙检出率为71.5%,氟斑牙缺损检出率为28.4%。水氟合格连队的氟斑牙检出率(50.7%vs 95.2%)、中重度斑检出率(3.1% vs 24.0%)、氟斑牙缺损检出率(0.0% vs 28.4%)均明显低于水氟未合格连队(P<0.05)。12~13岁少年的氟斑牙检出率(65.4% vs 76.9%)、中重度氟斑牙检出率(8.6%vs 16.7%)、氟斑牙缺损检出率(11.2%vs 15.2%)均明显低于14~15岁少年(P<0.05)。男性少年的中重度氟斑牙检出率(9.2% vs 16.8%)、氟斑牙缺损检出率(10.6% vs 16.3%)均明显低于女性少年(P<0.05)。水氟合格连队的尿氟含量[(1.5±0.4)mg/L vs (5.1±2.9)mg/L]、超标率(71.0% vs 95.5%)均明显低于水氟未合格连队(P<0.05),12~13岁少年的尿氟含量[(3.2±1.5)mg/L vs (4.4±2.6)mg/L]、超标率(79.5% vs 85.1%)均明显低于14~15岁少年(P<0.05)。氟斑牙检出率与尿氟含量呈明显正相关(r=0.615,P=0.000),尿氟含量随着氟斑牙严重程度的加重而不断增高,差异具有统计学意义(P<0.05)。水氟未合格连队的氟斑牙发生风险是水氟合格连队的15.462倍,尿氟超标少年的氟斑牙发生风险是尿氟未超标少年的2.584倍,14~15岁少年的氟斑牙发生风险是12~13岁少年的2.065倍,女性少年的氟斑牙(中重度)发生风险是男性少年的1.998倍。结论:改水降氟能够有效控制伽师总场12~15岁少年氟斑牙的流行,水氟、年龄、性别是氟斑牙发生的相关因素。Objective To investigate the prevalence characteristics of dental fluorosis on 12~15 years old youths with dental fluorosis after water-improving and defluoridation in Jiashi general farm of the third agricultural division of Xinjiang,analyze the relevant factors,and understand the effect of fluorosis on dental fluorosis after water-improving and defluoridation in Jiashi general farm.Methods In 2018,the water fluoride was detected in 12 companies affiliated to Jiashi general farm,including 7 companies with qualified water fluoride and 5 companies with unqualified water fluoride.Dental fluorosis and urine fluorosis content of 12~15 years old youths were detected in all companies,and the relevant factors of dental fluorosis was analyzed with Logistic regression analysis.Results A total of 1148 youths aged 12~15 years who were investigated.The detection rate of dental fluorosis was 71.5%and the detecti on rate of dental fluorosis defect was 28.4%.The detection rate of dental fluorosis(50.7%vs 95.2%),detection rate of moderate-severe dental fluorosis(3.1%vs 24.0%),detection rate of dental fluorosis defect(0.0%vs 28.4%)of companies with qualified water fluoride was significantly lower than that of companies with unqualified water fluoride(P<0.05).The detection rate of dental fluorosis(65.4%vs 76.9%),detection rate of moderate-severe dental fluorosis(8.6%vs 16.7%),detection rate of dental fluorosis defect(11.2%vs 15.2%)of 1213 years old youths were significantly lower than that of 14~15 years old youths(P<0.05).The detection rate of moderate-severe dental fluorosis(9.2%vs 16.8%),detection rate of dental fluorosis defect(10.6%vs 16.3%)of male youths were significantly lower than that of female youths(P<0.05).The urine fluorosis content[(1.5±0.4)mg/L vs(5.1±2.9)mg/L],over standard rate(71.0%vs 95.5%)of companies with qualified water fluoride was significantly lower than that of companies unqualified water fluoride(P<0.05).The urine fluorosis content[(3.2±1.5)mg/L vs(4.4±2.6)mg/L],over standard rate(71.0%vs 95.5%)of 1

关 键 词：地氟病 氟斑牙 改水降氟 病情调查 

分 类 号：R783[医药卫生—口腔医学]