目的 了解北京市海淀区1~5岁儿童乳牙患龋状况, 为北京市海淀区儿童龋病预防提供参考依据。方法 按照《第三次全国口腔健康流行病学调查方案》中临床检查方法 和标准, 采用多阶段分层等容量随机整群抽样的方法 , 调查了北京市海淀区1 498名1~ 5岁儿童的乳牙患龋情况。结果 北京市海淀区1~5岁儿童乳牙龋患病率44.86%, 龋均1.91±2.96, 充填率26.13%。患龋率、龋均、患龋者龋均都随年龄增长而逐年增高, 充填率也随年龄增长呈增高趋势。结论 0~3岁是龋病预防和控制的最佳时期, 关注低龄儿童龋高危人群, 培养低龄儿童良好的饮食和口腔习惯, 有效降低低龄儿童乳牙患龋率。
Abstract
Objective To investigate the status of primary teeth caries among 1~5 years old children in Haidian District in Beijing City and to provide scientific basis for the establishment of oral health care. Methods An multistage, stratified and cluster random sampling design was applied to obtain a representative sample group which consisted of 1 498 children aged 1~5 years old in Haidian district, Beijing city, with male 748 and female 750.The caries on the crowns of primary teeth were assessed according to 《The Guideline for the 3rd National Oral Health Survey》.The primary teeth caries prevalence, mean decayed, missing, filled teeth(dmft) were calculated by software SPSS13.0. Results The primary teeth caries' prevalence, mean decayed-missing-filled tooth (dmft) and filled teeth rate were 44.86%, 1.91±2.96 and 26.13%, respectively.These three indexes were increased by ages. Conclusion It is a best period during 0~3 years old to prevent and control primary teeth caries by performing effective measures for the high-risk groups, increasing oral health services, strengthening oral health education in children and parents and improving healthy food styles and oral habits.
关键词
乳牙龋病 /
患龋率 /
充填率 /
龋失补牙数 /
口腔流行病学调查
Key words
primary teeth caries /
primary teeth caries prevalence /
filled teeth rate /
mean decayed, missing, filled teeth(dmft) /
oral epidemiology
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 石四箴.儿童口腔医学[M].2版.北京:人民卫生出版社, 2003:80-81.
[2] 齐小秋.第三次口腔流行病学调查[R].北京:人民卫生出版社, 2008.
[3] 全国牙病防治指导组.第二次全国口腔健康流行病学抽样调查[R].北京:人民卫生出版社, 1999:18.
[4] 李静, 秦满, 谢盼.北京市幼儿园3~4岁儿童龋齿活动性研究[J].现代口腔医学杂志, 2006, 20(6):640-642.
[5] 邓辉, 徐征.北京市1~4岁儿童龋流行情况调查及其危险因素的初步研究[J].现代口腔医学杂志, 2006, 20(4):418-421.
[6] 朱宗刚.2011年北京市昌平区学龄前儿童龋病调查分析[J].湖南中医药大学学报, 2012, 32(10):67-68.
[7] 俞少玲, 文秦, 李妲.南京市学龄前儿童乳牙龋病的流行病学调查及其相关因素分析[J].牙体牙髓牙周病学杂志, 2011, 21(7):405-407.
[8] 李杨, 张晔, 邹静, 等.厦门市3~6岁儿童患龋危险因素分析[J].国际口腔医学杂志, 2009, 36(6):635-638.
[9] 文萍, 刘寿桃, 郝高峰, 等.深圳市1008名3岁儿童患龋状况抽样调查[J].口腔医学, 2011, 31(10):620-621, 640.
[10] 阙国鹰, 侯雯.长沙市开福区2~4岁儿童龋病流行病学调查分析[J].中南大学学报, 2009, 34(1):76-80.
[11] American Academy of Pediatric Dentistry.Guideline on infant oral health care[R].Clinical Guidelines, 2005-2006:68-71.
[12] 段多默, 尙临娟, 沈舒宁, 等.西安市2829名学龄前儿童乳牙龋患率调查[J].牙体牙髓牙周病学杂志, 2011, 21(11):641-643.
[13] 董宏伟, 曹新明, 李伟明, 等.澳门两幼儿园2~6岁幼儿患龋状况与龋病活跃性[J].上海医学, 2012, 35(7):613-616.
[14] Macek MD, Heller KE, Selwitz RH, et al.Is 75 percent of dental caries really found in 25 percent of the population?[J].J Public Health Dent, 2004, 64(1):20-25.
[15] American Academy of Pediatric Dentistry.Guideline on caries-risk assessment and management for infants, children, and adolescents[J].Pediatric Dent, 2013, 35(5):157E-164E.
[16] 魏利敏, 王剑锋.饮食、口腔卫生习惯、父母口腔卫生知识与乳牙龋齿的关系[J].牙体牙髓牙周病学杂志, 2007, 17(8):467-469.
[17] American Academy of Pediatric Dentistry.Policy on oral health care programs for infants, children, and adolescents[J].Pediatric Dent, 2009, 31(6):21.
[18] 胡德渝.我国口腔健康、疾病趋势及发展方向[J].中国实用口腔科杂志, 2009, , 2(9):513-516.
[19] 王萍, 吴坚, 唐倩, 等.学龄前儿童乳牙龋病与相关因素的分析[J].广东牙病治, 2006, 14(1):43-44.