学龄前儿童乳牙龋齿现状及其影响因素分析  

Analysis on the current situation of deciduous dental caries in preschool children and its influencing factors

作　　者：蒋林燕 JIANG Lin-yan(Department of Stomatology,Gaishan Town Health Center of Cangshan District,Fuzhou 350007,China)

机构地区：[1]福州市仓山区盖山镇卫生院口腔科,350007

出　　处：《中国现代药物应用》2024年第23期30-33,共4页Chinese Journal of Modern Drug Application

摘　　要：目的观察学龄前儿童乳牙龋齿发生情况,分析可能导致乳牙龋齿发生的危险因素。方法随机抽取辖区内两所幼儿园中200名学龄前儿童作为本次研究对象,入组的学龄前儿童均接受口腔保健检查,观察并比较发生与未发生乳牙龋齿学龄前儿童的一般资料,分析可能导致儿童乳牙龋齿发生的危险因素。结果入组200名学龄前儿童发生乳牙龋齿130名(65.00%),将其纳入发生组,余下70名(35.00%)未发生乳牙龋齿的学龄前儿童纳入未发生组。发生组学龄前儿童睡前/刷牙后吃零食、喝奶(是),甜饮料/甜食摄入频率(≥3次/周),长期、规律进行口腔保健(否),监护人对龋齿危害明确情况(不明确)占比分别为61.54%、57.69%、46.15%、69.23%,均较未发生组的28.57%、28.57%、14.29%、14.29%高(P<0.05);发生组与未发生组性别、年龄、婴幼儿喂养情况、良好的刷牙习惯情况、饭后漱口情况、刷牙次数比较无明显差异(P>0.05)。将学龄前儿童乳牙龋齿发生情况作为因变量(1=发生,0=未发生),将单因素分析中差异有统计学意义的指标作为自变量,经Logistic回归分析结果显示,学龄前儿童睡前/刷牙后吃零食、喝奶(是),甜饮料/甜食摄入频率(≥3次/周),长期、规律进行口腔保健(否),监护人对龋齿危害明确情况(不明确)是导致学龄前儿童乳牙龋齿发生的独立危险因素因素(OR>1,P<0.05)。结论学龄前儿童乳牙龋齿发生率普遍较高,针对睡前/刷牙后吃零食、喝奶(是),甜饮料/甜食摄入频率(≥3次/周),长期、规律进行口腔保健(否),监护人对龋齿危害明确情况(不明确)的高危学龄前儿童应警惕乳牙龋齿的发生,可采取针对性干预手段降低乳牙龋齿发生风险。Objective To observe the occurrence of dental caries in preschool children and analyze the influencing factors that may lead to dental caries.Methods 200 preschool children from two kindergartens were randomly selected as the research subjects.All the preschool children in the group received oral health examination,and the general data of preschool children with and without dental caries were observed and compared,and the risk factors that might lead to dental caries in children were analyzed.Results Among the 200 preschool children,130 preschool children(65.00%)had dental caries,and they were included in the occurrence group,while the remaining 70 preschool children(35.00%)without dental caries were included in the non-occurrence group.The percentages of preschool children eating snacks before going to bed/after brushing teeth,drinking milk(yes),taking sweet drinks/sweets(≥3 times/week),long-term and regular oral health car(no)and guardian's knowing the harm of dental caries(unclear)in the occurrence group were 61.54%,57.69%,46.15%and 69.23%,which were higher than 28.57%,28.57%,14.29%and 14.29%in the non-occurrence group(P<0.05).There was no significant difference between the occurrence group and the non-occurrence group in comparison of gender,age,infant feeding status,good brushing habit,mouth rinsing after meals,and the number of brushing(P>0.05).Logistics regression analysis was performed with the occurrence of dental caries in preschool children as the dependent variable(1=occurrence,0=non-occurrence),and the indicators with statistically significant differences in univariate analysis as the independent variables,and the results showed that eating snacks before going to bed/after brushing teeth,drinking milk(yes),frequency of sweet drinks/sweets intake(≥3 times/week),long-term and regular oral health care(no)and guardian's knowing the harm of dental caries(unclear)were the independent risk factors of dental caries in preschool children(OR>1,P<0.05).Conclusion The incidence of dental caries in preschool

关 键 词：学龄前儿童 乳牙 龋齿 影响因素 

分 类 号：R788.1[医药卫生—口腔医学]