石家庄市区3岁儿童乳牙患龋与家庭喂养习惯的相关性分析  

Analysis of the correlation between dental caries and family feeding habits in 3-year-old children in Shijiazhuang

作　　者：刘红英[1] 李敬萱 吕炳建 张润超 刘志峰[2] 王凯旋 LIU Hong-ying;LI Jing-xuan;LV Bing-jian;ZHANG Run-chao;LIU Zhi-feng;WANG Kai-xuan(Department of Pediatric Dentistry,School and Hospital of Stomatology Hebei Medical University,Shijiazhuang 050017,China)

机构地区：[1]河北医科大学口腔医院儿童口腔科,石家庄050017 [2]河北医科大学口腔医院正畸科,石家庄050017 [3]衡水市第四人民医院口腔二科

出　　处：《北京口腔医学》2024年第4期271-275,共5页Beijing Journal of Stomatology

基　　金：河北省卫生健康委员会医学科学研究课题计划指导性课题(20201198)。

摘　　要：目的了解石家庄地区3岁儿童龋齿的患病状况,探讨其与家庭喂养习惯的关系,对其预防和早期干预提供依据。方法在石家庄市区抽取1680名3岁儿童进行临床口腔检查并向接受检查的儿童监护人发放调查问卷,最终统计分析调查数据。结果共有1104名儿童患龋,患龋率为66.67%。单因素分析结果显示患龋儿童与未患龋儿童在孩子长牙后是否有含奶头或奶瓶入睡、长牙后孩子喂奶或进食后是否及时清洁牙面、孩子现在是否经常吃零食方面相比,差异均具有统计学意义(P<0.05);在对孩子采取的喂养方式以及母亲是否与孩子共用餐具两方面相比,差异均无统计学意义(P>0.05)。多因素分析结果显示孩子长牙后含奶头或奶瓶入睡、孩子现在经常吃零食是3岁儿童患龋的危险因素,孩子长牙后喂奶或进食后及时清洁牙面是3岁儿童患龋的保护因素。结论石家庄市区3岁儿童患龋率较高,孩子长牙后含奶头或奶瓶入睡、孩子现在经常吃零食均是低龄儿童龋的危险因素,应加强口腔护理。Objective To investigate the prevalence of dental caries in 3-year-old children in Shijiazhuang area and its relationship with family feeding habits.Methods A total of 16803-year-old children were selected and questionnaires were distributed to the children's guardians.The data were statistically analyzed.Results A total of 1104 children had caries,with a caries prevalence rate of 66.67%.There were significant differences between children with and without dental caries in whether they slept with nipples or bottles after their teeth had grown,whether their teeth were cleaned promptly after feeding or eating,and whether their children now frequently snack(P<0.05).There was no significant difference in the feeding methods adopted for the child and whether the mother shared tableware with the child(P>0.05).Multi-factor analysis results showed that children falling asleep with nipples or bottles after teething,and children now often eating snacks were the risk factors for 3-year-old children with caries.Timely cleaning of the tooth surfaces after breastfeeding or eating was a protective factor for caries in 3-year-old children.Conclusions The 3-year-old children in Shijiazhuang have a high rate of caries.Children falling asleep with nipples or bottles after teething,and children now often eating snacks are susceptible population for caries.

关 键 词：乳牙 患龋率 低龄儿童龋 喂养习惯 危险因素 

分 类 号：R788.1[医药卫生—口腔医学]