慢病管理模式在低龄儿童龋中的应用  

Application of chronic disease management model in early childhood caries

作　　者：张宁 王翔宇[1,2] 侯如霞 刘君瑜 刘佳佳 ZHANG Ning;WANG Xiangyu;HOU Ruxia;LIU Junyu;LIU Jiajia(Department of Dental Disease in Children,Shanxi Medical Uni-versity School and Hospital of Stomatology,Taiyuan 030001,China;Shanxi Province Key Laboratory of Oral Diseas-es Prevention and New Material,Taiyuan 030001,China)

机构地区：[1]山西医科大学口腔医学院·口腔医院儿童口腔科,山西太原030001 [2]口腔疾病防治与新材料山西省重点实验室,山西太原030001

出　　处：《口腔疾病防治》2022年第9期670-674,共5页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：国家自然科学基金(82101078);山西省高等学校科技创新项目(2020L0217);山西省卫生健康委员会科技兴医创新计划(2020XM08);山西医科大学口腔医院科研课题(KY201905)。

摘　　要：低龄儿童龋(early childhood caries,ECC)对儿童的口腔乃至全身都会产生危害,ECC防治受到政府及相关卫生部门的日益重视,但目前应对ECC的主要措施还是传统的充填修复治疗。慢病管理模式可以对慢性非传染性疾病及其风险因素进行定期检测,为患者提供长期且有效的专业管理,由医生、护士和药师共同监护及建议,在减缓慢病发展、提高患者生活质量以及节约公共卫生资源上均有较好效果。ECC作为一种常见慢性非传染性疾病,适合通过慢病管理方式对其进行防治。近年来慢病管理模式也越来越多应用于龋病管理中,目前常见的慢病管理模式包括慢病照护模式、慢病创新照护、英国慢病管理系统模式等,以上模式在低龄儿童龋的管理中均有一定的应用。如何建立适合我国诊疗模式的龋病风险评估系统,通过逐级防控网络筛选高患龋风险儿童进行个性化预防尚有待进一步研究。Early childhood caries(ECC) is not only harmful to children’s oral cavity and even the whole body,the government and relevant health departments pay more and more attention to the prevention and treatment of early childhood caries.However,at present,the primary treatment for ECC is the traditional filling therapy.The chronic disease management model can conduct regular testing of chronic non-communicable diseases and their risk factors,and provide long-term and effective professional management to patients by supervision and advice by doctors,nurses and pharmacists.This model has a good effect on slowing down the development of the disease,improving the quality of life of patients and saving public health resources.As a common chronic non-communicable disease,ECC is very suitable for prevention and treatment through chronic disease management.In recent years,chronic disease management models have also been increasingly used in the management of caries.The current common chronic disease management models include the chronic care model,innovative care for chronic condition,and British chronic disease management system models.And above models have certain applications in the management of ECC.How to establish the caries risk assessment system suitable for the diagnosis and treatment model of our country,and how to screen the children with high risk of caries by step-by-step prevention and control network for personalized prevention needed to be further studied in the future.

关 键 词：儿童 乳牙 龋病 低龄儿童龋 预防 慢病管理 风险评估 口腔健康管理 行为管理 

分 类 号：R78[医药卫生—口腔医学]