绍兴市部分中学生恒牙龋病患病现状及影响因素分析  

Analysis on the prevalence of permanent teeth caries and influencing factors among some middle school students in Shaoxing city

作　　者：沈柯 冯晴[1] SHEN Ke;FENG Qing(School of Public Health Nanjing Medical University, Nanjing 211166, China)

机构地区：[1]南京医科大学公共卫生学院,江苏南京211166

出　　处：《口腔生物医学》2022年第1期45-49,共5页Oral Biomedicine

基　　金：江苏高校优势学科建设工程资助项目(2018-87)。

摘　　要：目的:了解绍兴市部分中学生恒牙龋病患病现状并分析其影响因素,探讨恒牙龋病预防措施,以提高中学生口腔保健水平。方法:选择2021年6~8月在杭州口腔医院绍兴分院进行口腔检查的12~20岁中学生1526人进行问卷调查,采用logistic回归分析与中学生恒牙龋病患病有关的影响因素。结果:受调查对象中恒牙龋病患病460人,患病率为30.46%。经多因素logistic回归分析,每日食用甜食(≥1次)(OR=1.955,95%CI:1.494~2.559)、经常或每晚睡前进食(OR=2.311,95%CI:1.770~3.019)、使用牙签、牙线或水牙线(OR=2.441,95%CI:1.739~3.426)、父母患龋(OR=1.802,95%CI:1.281~2.535)是中学生患恒牙龋病的危险因素(P<0.05);而每日食用新鲜水果(≥1次)(OR=0.527,95%CI:0.414~0.672)、每次刷牙时长(≥3 min)(OR=0.500,95%CI:0.372~0.672)、餐后漱口(OR=0.545,95%CI:0.360~0.824)、定期口腔检查(OR=0.577,95%CI:0.419~0.795)则是恒牙龋病的保护因素(P<0.05)。结论:绍兴市部分中学生恒牙龋病患病率较高,且受到多种因素影响,须针对性地进行健康教育,培养其形成合理的饮食结构和规范的护齿习惯,促进青少年口腔健康发展。Objective: To understand the current situation of permanent caries among some middle school students in Shaoxing city and analyze its influencing factors,and to explore preventive measures for permanent tooth caries,so as to improve the oral health care level of middle school students. Methods: We selected 1 526 middle school students aged 12 to 20 who underwent oral examinations in the Shaoxing Branch of Hangzhou Stomatological Hospital from June to August 2021 to conduct a questionnaire survey,and used logistic regression to analyze the influencing factors related to the prevalence of permanent tooth caries among middle school students. Results:Among the surveyed subjects,460 permanent dental caries were affected,and the prevalence of dental caries was 30.46%. Through multivariate logistic regression analysis,we found that daily consumption of sweets( ≥1 time)( OR = 1.955,95% CI: 1.494 ~ 2.559),eating often or before going to bed every night( OR = 2.311,95% CI: 1.770 ~ 3.019),the ability to use toothpicks and floss or water flossing habits( OR = 2.441,95% CI: 1.739 ~ 3.426) and parents suffering from dental caries( OR = 1.802,95% CI: 1.281 ~ 2.535)were risk factors for middle school students suffering from permanent dental caries( P<0.05). We also found that daily fresh fruit consumption( ≥1 time)( OR = 0.527,95% CI: 0.414 ~ 0.672),tooth brushing time( ≥3 min)( OR = 0.500,95% CI: 0.372 ~ 0.672),food post-gargle habit( OR = 0.545,95% CI: 0.360 ~ 0. 824) and regular oral physical examination( OR = 0. 577,95% CI: 0. 419 ~0.795) were protective factors for permanent dental caries( P<0.05). Conclusions: The prevalence of permanent tooth decay among some middle school students in Shaoxing city was high,and it was affected by many factors. It was necessary to carry out targeted health education to cultivate a reasonable diet structure and standardized tooth protection habits to promote the healthy development of adolescents’ oral cavity.

关 键 词：中学生 恒牙龋病 影响因素 

分 类 号：R781.1[医药卫生—口腔医学]