海南省12-15岁学生恒牙龋病抽样调查报告(2015-2016年)  

A sampling survey report of permanent tooth caries among students aged 12-15 in Hainan Province(2015-2016)

作　　者：王媛媛[1] 谢莉莉[1] 郭冬梅[1] 郭秋云[1] 全涛 包柏成[2] WANG Yuan-yuan;XIE Li-li;GUO Dong-mei;GUO Qiu-yun;QUAN Tao;BAO Bai-cheng(Department of Stomatology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou 570311, China;Department of Orthodontics, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stornatology, Guangzhou 510055, China)

机构地区：[1]海南省人民医院·海南医学院附属海南医院口腔科,海南海口570311 [2]中山大学光华口腔医学院·附属口腔医院正畸科,广东省口腔医学重点实验室,广东广州510055

出　　处：《河北医科大学学报》2022年第4期429-432,438,共5页Journal of Hebei Medical University

基　　金：国家自然科学基金(81860195);海南省医药卫生科(18A200009);海南省重点研发计划项目(ZDYF2019216);海南省高等学校科学研究重点项目(Hnky2019ZD-22)。

摘　　要：目的了解海南省12~15岁学生恒牙龋病状况,为海南省口腔卫生预防保健工作提供信息支持。方法按照《第四次全国口腔健康流行病学调查方案》,采用多阶段分层等容量随机抽样的方法,抽取海南省城乡12~15岁常住人口3479人,使用社区牙周指数(community periodontal index probe,CPI)探针检查其全口恒牙冠的患龋情况。应用SPSS17.0软件对数据进行统计分析。结果海南省12~15岁学生患龋率为60.5%,恒牙龋均为1.95,患龋率和龋均呈现农村(63.9%、2.20)高于城市(57.3%、1.72),女性(66.1%、2.27)高于男性(54.9%、1.64),差异有统计学意义(P<0.05)。下颌第一磨牙患龋率最高,上颌中切牙患龋率高于上颌第一磨牙。龋补充填比为17.0%,窝沟封闭率为1.4%,龋补充填比和窝沟封闭率均呈现城市(20.5%、2.2%)高于农村(14.1%、0.5%),差异有统计学意义(P<0.05);性别差异无统计学意义(P>0.05)。结论海南省12~15岁学生恒牙患龋率高,龋齿充填率和窝沟封闭率低,需进一步加强口腔保健措施,尤其是农村地区。Objective To evaluate caries status of permanent teeth among students aged 12-15 in Hainan Province,and to provide information support for oral health prevention and health care in Hainan Province.Methods According to the Program of the Fourth National Epidemiological Survey of Oral Health,a total of 3479 children aged 12-15 years in Hainan Province were selected by an equal-sized stratified multistage randomly sampling.All of them underwent a dental examination using community periodontal index(CPI)probe.SPSS 17.0 software was used for statistical analysis.Results The prevalence of caries of students aged 12-15 years was 60.5%,with a mean decayed-missing-filled teeth(DMFT)of 1.95.The prevalence of caries and the mean DMFT were higher in rural areas(63.9%,2.20)than in urban areas(57.3%,1.72),and higher in females(66.1%,2.27)than in males(54.9%,1.64),suggesting significant difference(P<0.05).The prevalence of caries was the highest in mandibular first molars.The prevalence of caries in maxillary central incisors were higher than that in maxillary first molars.The filling rate of caries was 17.0%,and the rate of sealant was 1.4%.The filling rate of caries and the rate of sealant were higher in urban areas(20.5%,2.2%)than in rural areas(14.1%,0.5%),with significant difference(P<0.05),but no significant difference was found between males and females(P>0.05).Conclusion The prevalence of permanent teeth caries in students aged 12-15 years in Hainan Province is high,but the filling rate of caries and the rate of sealant are low.Oral health care measures should be further strengthened,especially in rural areas.

关 键 词：龋齿 恒牙 流行病学 抽样研究 

分 类 号：R781.1[医药卫生—口腔医学]