河南省儿童口腔疾病综合干预项目地区4868名学生牙周健康状况调查  

Periodontal Health Condition on 4 868 Students of Comprehensive Intervention Project of Oral Diseases of School-Age Children, Henan Province

作　　者：李凤娟[1] 许凤鸣 王丽茹 王旭[1] 王延鑫 张书芳[1] 何健[1] 杨汴生[1] 吉雅丽 LI Feng-juan;XU Feng-ming;WANG Li-ru;WANG Xu;WANG Yan-xin;ZHANG Shu-fang;HE Jian;YANG Bian-sheng;JI Ya-li(Henan Center for Disease Control and Prevention,Zhengzhou,Henan,450016,China)

机构地区：[1]河南省疾病预防控制中心,河南郑州450016

出　　处：《中国初级卫生保健》2022年第5期88-91,共4页Chinese Primary Health Care

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190703,LHG20200138);河南省科技攻关项目(222102310472)。

摘　　要：目的:了解河南省儿童口腔疾病综合干预项目实施5年后,项目学校和非项目学校5~6级学生牙周健康现状及其影响因素。方法:2020年采用随机整群抽样法在河南省参与2015年全国儿童口腔疾病综合干预项目的8个县(区)中抽取项目学校和非项目学校5~6年级学生共4 868人进行口腔检查。结果:4 868名受检者中,牙龈出血检出率为53.53%,牙石检出率为48.75%。儿童口腔疾病综合干预项目学校学生牙龈出血检出率(50.68%)低于非项目学校学生(56.35%),差异有统计学意义(χ^(2)=15.746,P<0.05)。2年级时牙齿进行过窝沟封闭的学生牙龈出血检出率(50.82%)低于未进行过窝沟封闭的学生(55.35%),差异有统计学意义(χ^(2)=9.642,P<0.05)。多因素logistic回归分析结果显示,城乡、干预学校类型、父亲最高学历、甜饮料摄入频率是牙龈出血的影响因素,城乡、性别、年级是牙石的影响因素。结论:河南省儿童口腔疾病综合干预项目地区儿童牙周健康状况有所改善,项目可能从一定程度上对儿童牙齿健康状况起到了保护作用。OBJECTIVE To examine the periodontal health condition and its influencing factors of 5~6 grade students in projectschools and non-project schools after 5 years of children oral disease comprehensive intervention program in Henan province. METHODS For the eight provincial regions attending the program in 2015, 4 868 students of 5~6 grade students in project schools andnon-project schools were selected by stratified cluster sampling for oral examination. RESULTS Among the 4 868 students, the preva-lence of gingival bleeding in these adolescents was 53.53%, its calculus existence was 48.75%. The prevalence of gingival bleedingon children oral disease comprehensive intervention program school students( 50.68%) was lower than non-program school students’( 56.35%)( χ^(2)=15.746, P<0.05). The prevalence of gingival bleeding on children whose first permanent molars were sealed withpit-and-fissure sealants when 2 grade( 50.82%) was lower than these children who had not sealed with pit-and-fissure sealants(55.35%), the difference was statistically significant( χ^(2)=9.642, P<0.05). Multivariate logistic regression showed that habitation,types of intervention schools, father’s highest education level, intake frequency of sweet drinks associated with gingival bleeding.Habitation, sex, grade were associated with dental calculus. CONCLUSION The periodontal health status of children in the compre-hensive intervention project area of children’s oral diseases in Henan province had improved, and the project might protect the den-tal health status of children to a certain extent.

关 键 词：中国儿童口腔疾病综合干预项目 5~6年级学生 牙龈出血 牙石 牙周健康 

分 类 号：R780.1[医药卫生—口腔医学]