石家庄市重度低龄儿童龋相关危险因素分析  

Risk factors of severe early childhood caries in Shijiazhuang,Hebei

作　　者：范伟笑 平雅坤[1] 李健[1] 赵彩云 吕炳建[1] 齐喜娟 赵军伟 周永川 FAN Weixiao;PING Yakun;LI Jian;ZHAO Caiyun;LV Bingjian;QI Xijuan;ZHAO Junwei;ZHOU Yongchuan(School and Hospital of Stomatology Hebei Medical University,Hebei Key Laboratory of Stomatology,Hebei Clinical Research Centerfor Oral Diseases,Shijiazhuang 050017)

机构地区：[1]河北医科大学口腔医学院·口腔医院,儿童口腔科,河北省口腔医学重点实验室,河北省口腔疾病临床医学研究中心,石家庄050017

出　　处：《现代口腔医学杂志》2021年第5期334-337,共4页Journal of Modern Stomatology

基　　金：河北省卫生健康委科研基金项目(ZL20140316)。

摘　　要：目的调查石家庄市3~5岁患重度低龄儿童龋(S-ECC)儿童与无龋儿童患龋的影响因素,为乳牙龋病的防治提供指导。方法抽取963名3~5岁儿童[男性496名,女性467名,平均年龄(4.275±0.966)岁]进行龋病检查,并且对其家长进行口腔健康知识问卷调查。按dmft指数分成S-ECC组(dmfs≥4的3岁儿童、dmfs≥5的4岁儿童、dmfs≥6的5岁儿童,n=500)和无龋组(dmft=0,n=463)。再采用SPSS21.0软件进行数据统计分析。结果Logistic回归分析表明睡前喝奶、吃甜点或喝甜饮料(OR=5.462,95%CI:2.142~13.924,P=0.000)、咀碎食物喂孩子(OR=3.247,95%CI:1.505~7.006,P=0.003)、母亲怀孕时身体(OR=3.857,95%CI:1.382~10.763,P=0.035),是S-ECC的危险因素。结论加强儿童口腔行为及饮食习惯教育,提高家长口腔健康知识水平,以降低低龄儿童患龋风险。Objective In order to investigate the influencing factors in 3~5 years old children with severe early childhood caries(s-ECC)and children without caries,and provide guidance for the prevention and treatment of deciduous tooth caries.Methods A total of 963 children aged 3~5 years[496 males,467 females,mean age:(4.275±0.966)years]were selected for dental caries examination,and their parents were investigated by oral health knowledge questionnaire.According to DMFT index,the children were divided into S-ECC group(3-year-olds with DMFS≥4,4-year-olds with DMFS≥5,and 5-year-olds with DMFS≥6,n=500)and caries-free group(dmft=0,n=463).SPSS21.0 software was used for data statistical analysis.Results Logistic regression analysis showed that drinking milk before bed,eating dessert or sweet drink(OR=5.462,95%CI:2.142~13.924,P=0.000),chewing food to feed children(OR=3.247,95%CI:1.505~7.006,P=0.003)and maternal pregnancy(OR=3.857,95%CI:1.382~10.763,P=0.035)were risk factors for S-ECC.Conclusion It’s vital to reduce the risk of dental caries in young children,so as to strengthen the education of oral behavior and eating habits and improve the oral health knowledge of parents.

关 键 词：重度低龄儿童龋 口腔健康行为 乳牙 危险因素 

分 类 号：R780.1[医药卫生—口腔医学]