永康市0~2岁婴幼儿龋齿现状调查与风险评估  

Dental caries status and risk assessment in infants aged 0-2 years in Yongkang city

作　　者：陈慧清 胡建平 朱佩玉 刘欣欣 何益荣 CHEN Huiqing;HU Jianping;ZHU Peiyu;LIU Xinxin;HE Yirong(Department of Stomatology,Yongkang Maternity and Child Health Hospital,Yongkang 321300,China)

机构地区：[1]永康市妇幼保健院口腔科,浙江永康321300

出　　处：《健康研究》2023年第3期250-253,共4页Health Research

基　　金：永康市科技计划项目(202115)。

摘　　要：目的检测婴幼儿龋齿现状及患病风险,为预防婴幼儿龋病提供科学依据。方法调查永康市6200例0~2岁婴幼儿乳牙患龋情况,利用Cariostat龋易感性检测对儿童进行评估,探讨母亲口腔健康管理情况对婴幼儿患龋风险的影响因素。结果6200例0~2岁婴幼儿中患龋720例(11.61%),不同月龄婴幼儿间的患龋率、dmft差异有统计学意义(均P<0.05),19~24个月婴幼儿患龋率、dmft均最高。患儿年龄增长,患龋率高,dmft值高,且各数值区间之间差异有统计学意义(均P<0.001),其中510例(70.83%)Cariostat值分布在2.0~3.0区间,处于高危险域。Logistic回归分析结果显示,进食甜食≥2次/d、入睡前或夜间喝奶、没有在专业医院涂过氟为0~2岁婴幼儿患龋的高风险因素(均P<0.001)。结论永康市0~2岁婴幼儿患龋齿情况较为严重,但影响因素均可控,应当结合危险因素进行预防性干预,以控制龋病的发生发展。Objective To investigate the status and risk of dental caries in infants,and to provide a scientific basis for the prevention of dental caries in infants.Methods Caries in the primary teeth of 6,200 infants aged 0 to 2 years were investigated in Yongkang City.Cariostat was utilized to evaluate the caries susceptibility of children and the impact of maternal oral health management on infant caries risk was examined.Results There were 720 cases(11.61%)of 6200 children aged 0 to 2 years with caries.Significant differences in caries prevalence and decayed-missing-filled tooth index were observed among infants of different age groups(all P<0.05),with the highest values found in children aged 19 to 24 months.With increasing age,there was a corresponding increase in caries incidence and high decayed-missing-filled tooth index values,with statistically significant differences observed across all value ranges(P<0.001).Among the 510 cases examined(70.83%),Cariostat values were predominantly distributed within the range of 2.0 to 3.0,indicating a high-risk zone.The multivariate logistic regression analysis results indicated that children who consume sweets≥2 times/day before sleep are fed at night,and do not receive fluoride treatment in specialized hospitals are high-risk factors for caries in infants and young children(all P<0.001).Conclusions The prevalence of caries among infants aged 0-2 years in Yongkang City is relatively high,however,the contributing factors are controllable.A preventive intervention approach that addresses risk factors should be implemented to manage the incidence and progression of caries.

关 键 词：婴幼儿 Cariostat龋易感性检测 龋齿 健康调查 风险评估 

分 类 号：R179[医药卫生—妇幼卫生保健]