武汉市6~ 10岁儿童磨牙-切牙矿化不全的现状及影响因素分析  

Current situation and influencing factors of molar-incisor hypomineralization among children aged 6-10 years in Wuhan city

作　　者：张乾 邢育珍 夏天[1] 刘进 邓晶 ZHANG Qian;XING Yu-zhen;XIA Tian;LIU Jin;DENG Jing(Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北武汉430022

出　　处：《实用预防医学》2020年第10期1199-1202,共4页Practical Preventive Medicine

基　　金：湖北省自然科学基金(项目编号:2016CFB670)。

摘　　要：目的探究武汉市6~10岁儿童磨牙-切牙矿化不全(molar-incisor hypomineralization,MIH)的现状及相关影响因素分析。方法应用分层整群随机抽样调查方法,选择2016年6月—2019年3月期间933例6~10岁儿童作为研究对象,根据口腔筛查结果,将研究对象分成MIH组(n=47)和正常组(n=886)。多因素回归分析发生MIH的影响因素并建立其预测模型。结果在933例6~10岁儿童调查对象中,MIH发病率为5.04%(47/933)。logistic回归分析表明喜欢碳酸饮料(OR=2.782,95%CI:1.142~6.772)、每日刷牙次数(0~1次)(OR=2.721,95%CI:1.245~5.948)、出生低体质量(OR=1.842,95%CI:1.149~2.955)、抗生素频繁使用(OR=2.392,95%CI:1.331~4.298)及主要抚养人了解口腔疾病(OR=0.371,95%CI:0.206~0.669)等5项指标是发生MIH的独立影响因素(均P<0.05)。结论武汉市933例6~10岁儿童MIH患病率为5.04%,喜欢碳酸饮料、每日刷牙次数、出生低体质量、抗生素频繁使用和主要抚养人了解口腔疾病等因素是MIH发生的独立影响因素。Objective To explore the current status of molar-incisor hypomineralization(MIH)and its related influencing factors among children aged 6-10 years in Wuhan city.Methods With the stratified cluster random sampling method,we selected 933 children aged 6-10 years to serve as the research subjects from June 2016 to March 2019.According to the results of oral screening,the subjects were divided into the MIH group(n=47)and the normal group(n=886).Multivariant logistic regression analysis was performed to identify factors influencing the occurrence of MIH,and the forecast model was established.Results Among the 933 children aged 6-10 years,the prevalence rate of MIH was 5.04%(47/933).Logistic regression analysis showed that having a preference for carbonated drinks(OR=2.782,95%CI:1.142-6.772),the number of daily tooth-brushing(0-1 times/day)(OR=2.721,95%CI:1.245-5.948),low birth weight(OR=1.842,95%CI:1.149-2.955),frequent use of antibiotics(OR=2.392,95%CI:1.331-4.298)and understanding of oral diseases by major caregivers(OR=0.371,95%CI:0.206-0.669)were the independent factors influencing the occurrence of MIH(all P<0.05).Conclusions The prevalence rate of MIH in 933 children aged 6-10 years in Wuhan city was 5.04%,and the independent factors influencing the occurrence of MIH were having a preference for carbonated drinks,the number of brushing teeth per day,low birth weight,frequent use of antibiotics and understanding of oral diseases by major caregivers.

关 键 词：儿童 磨牙-切刀矿化不全 碳酸饮料 刷牙 影响因素 

分 类 号：R179[医药卫生—妇幼卫生保健]