光明区2~8岁儿童龋活性检测、口腔检查状况及其与患龋状态的关系分析  

Analysis on Caries Activity Test and Oral Examination Status of Children Aged 2-8 Years in Guangming District and Their Relationship with Caries Prevalence

作　　者：黄淑琼 邱宁宁 苏爱缨 Huang Shu-qiong;Qiu Ning-ning;Su Ai-ying(Department of Stomatology,University of Chinese Academy of Sciences Shenzhen Hospital(Guangming),Shenzhen 518106,Guangdong Province,China;Xinwei Community Health Service Center,University of Chinese Academy of Sciences Shenzhen Hospital(Guangming),Shenzhen 518106,Guangdong Province,China)

机构地区：[1]中国科学院大学深圳医院(光明)口腔科,广东深圳518106 [2]中国科学院大学深圳医院(光明)新围社区健康服务中心,广东深圳518106

出　　处：《中国社区医师》2022年第36期31-34,共4页Chinese Community Doctors

基　　金：光明区科技创新局软科学研究项目(2021R01069)。

摘　　要：目的:分析光明区2~8岁儿童龋活性检测(CAT)、口腔检查状况及其与患龋状态的关系。方法:于2021年7月-2022年1月采用多阶段随机抽样方法抽取光明区150例2~8岁儿童为研究对象。150例儿童均进行龋活跃性检查、口腔卫生检查,评估儿童CAT值、软垢指数(DI)、牙石指数(CI)、探诊出血(BOP)和患龋状态,分析CAT值、口腔卫生检查状况与患龋状态的关系。结果:150例2~8岁儿童中,总患龋人数71名,患龋率为47.33%,龋均(dmft)为(1.61±0.53);CAT值≤1的儿童82名(54.67%),CAT值>1的儿童68名(45.33%);DI为0的儿童87名(58.00%);DI为1~2的儿童63名(42.00%)。CI为0的儿童118名(78.67%);CI为1的儿童32名(21.33%)。BOP(-)儿童111名(74.00%);BOP(+)儿童39名(26.00%)。不同性别儿童患龋率、dmft、CAT值、DI、CI和BOP比较,差异无统计学意义(P>0.05);不同年龄儿童患龋率、dmft、CAT值、DI、CI和BOP比较,差异有统计学意义(P<0.05)。不同CAT值、DI和CI儿童的患龋率、dmft比较,差异有统计学意义(P<0.05);不同BOP儿童的患龋率、dmft比较,差异无统计学意义(P>0.05)。相关性分析结果显示,CAT值、DI、CI均与dmft呈正相关(P<0.05)。结论:光明区2~8岁儿童患龋状态与年龄、CAT值及口腔检查状况相关,应重视2~8岁儿童口腔检查,强化龋病防治干预措施。Objective: To analyze the caries activity test(CAT) and oral examination status of children aged 2-8 years in Guangming District and their relationship with caries prevalence. Methods: From July 2021 to January 2022, 150 children aged 2-8 years in Guangming District were selected as the study subjects by multi-stage random sampling method. All 150 children received CAT and oral health examination. CAT value, debris index(DI), calculus index(CI), bleeding on probing(BOP) and caries prevalence of children were evaluated. The relationship between CAT value, oral health examination status and caries prevalence was analyzed. Results: Among 150 children aged 2-8 years, a total of 71 children developed caries, with a caries incidence of47.33% and the mean number of decayed, missing, and filled teeth(dmft) of(1.61±0.53). There were 82(54.67%) children with CAT value ≤ 1, 68(45.33%) children with CAT value > 1;87(58.00%) children with DI of 0, 63(42.00%) children with DI of 1-2;118(78.67%) children with CI of 0, 32(21.33%) children with CI of 1;111(74.00%) children negative for BOP, and 39(26.00%)children positive for BOP. There was no significant difference in the incidence of caries, dmft, CAT value, DI, CI or BOP between children of different genders(P>0.05), but there were statistically significant differences in the incidence of caries, dmft, CAT value, DI, CI and BOP among children of different ages(P<0.05). The incidence of caries and dmft in children with different CAT values, DI and CI showed statistically significant differences(P<0.05). There was no significant difference in the incidence of caries and dmft between children with different BOPs(P>0.05). Correlation analysis results showed that CAT value, DI and CI were positively correlated with dmft(P<0.05). Conclusion: Caries prevalence in children aged 2-8 years in Guangming District is related to age, CAT value and oral examination status. Attention should be paid to oral examination of children aged 2-8 years, and the prevention and control measures for

关 键 词：儿童 口腔健康 龋齿 龋活性检测 

分 类 号：R788.1[医药卫生—口腔医学]