儿童乳牙龋病患病状况及相关因素分析与预防探讨  

Prevalence of primary dental caries in children and analysis of related factors and prevention

作　　者：潘东颖 程雪丽 纪璇 Pan Dongying;Cheng Xueli;Ji Xuan(Department of Children's Stomatology,Tianjin Stomatology Hospital,Tianjin 300041,China)

机构地区：[1]天津市口腔医院,天津300041

出　　处：《首都食品与医药》2023年第20期21-24,共4页Capital Food Medicine

摘　　要：目的分析儿童乳牙龋病患病状况及相关影响因素并制定对应的预防措施。方法选择2022年1月-2022年12月到天津市口腔医院看牙齿的100例儿童作为研究对象,对所有儿童进行口腔检查、问卷调查,分析儿童乳牙龋病的发病状况及相关影响因素。结果100名儿童中共检出34名龋病患儿,发生率为34.00%,且龋病的发生年龄主要集中在5-6岁的儿童中;单因素分析显示:儿童性别、睡前进食、定期口腔检查、初始刷牙年龄、使用含氟牙膏、儿童主要照护人员与龋病的发生无关(P>0.05);喂养方式、睡前甜食、龋病家族遗传史、刷牙方式、家长文化程度、每天刷牙次数与儿童乳牙龋病的发生有一定关系(P<0.05);多因素Logistic回归分析发现:年龄5-6岁(不包含)、喂养方式、睡前甜食、龋病家族遗传史、刷牙方式、家长文化程度、每天刷牙次数是导致儿童乳牙龋病发生的独立影响因素(P<0.05)。结论儿童乳牙龋病的发病率较高,且与喂养方式、睡前甜食、龋病家族遗传史、刷牙方式、家长文化程度、每天刷牙次数等多种因素有关,针对其相关影响因素,临床应当积极采取对应的干预措施,降低儿童龋病的患病率。Objective To analyze the prevalence of primary dental caries in children and its related influencing factors,and formulate corresponding preventive measures.Methods Select 100 children who came to our hospital to see teeth from January 2022 to December 2022 as the research object,and carry out oral examination and questionnaire survey on all children,to analyze the incidence of deciduous tooth caries in children and related influencing factors.Results A total of 34 children with dental caries were detected in 100 children,with an incidence of 34.00%,and the incidence of dental caries was mainly concentrated in children aged 5 to 6 years;Univariate analysis showed that children's sex,eating before bedtime,regular oral examination,initial brushing age,use of fluoride toothpaste,and main caregivers of children were not related to the occurrence of caries(P>0.05);there was a certain relationship between feeding mode,bedtime sweets,family genetic history of caries,tooth brushing mode,parents'education level,and the number of teeth brushing per day and the incidence of deciduous tooth caries in children(P<0.05);multivariate logistic regression analysis found that age 5-6 years old,feeding mode,bedtime sweets,family history of dental caries,brushing mode,parents'education level,and brushing times per day were independent influencing factors leading to the occurrence of primary dental caries in children(P<0.05).Conclusion The incidence rate of childhood deciduous tooth caries is relatively high,and which was related to many factors,such as feeding mode,sweet food before sleep,family genetic history of caries,brushing mode,parents'education level,and the number of brushing teeth every day.In view of its related influencing factors,clinical intervention measures should be taken actively to reduce the prevalence of childhood caries.

关 键 词：龋病 儿童 患病状况 影响因素 预防措施 

分 类 号：R788.1[医药卫生—口腔医学]