摘要
目的综合评价我国3-6岁学龄前儿童龋病情况,为学龄前儿童龋病的防治提供依据。方法系统检索CNKI、VIP、WanFang Data、EBSCO-ASC+BSC、Science Direct、PubMed Central数据库,收集2000-2016年收录的有关我国学龄前儿童龋病发生情况的文献,采用Meta分析合并发生率,并按照区域、性别、年龄进行亚组分析,同时运用GIS技术对我国学龄前儿童龋病发生率进行空间差异性分析。结果最终纳入研究的文献25篇,总样本量为108 486名学龄前儿童,龋病合并检出率为53.00%[95%CI(48.00%,58.00%,P<0.01)]。亚组分析结果显示,我国学龄前儿童龋病检出率无明显性别差异;3、4、5、6岁儿童龋病合并检出率分别为35.77%、49.59%、52.22%、66.59%;东部地区学龄前龋病发生率高于中部和西部地区;辽宁、海南、广东学龄前儿童龋病检出率分列前3,山西最低。结论我国学龄前儿童龋病情况严重,需进一步加强口腔保健工作。
Objective To overall evaluate dental caries rate among preschool child between 3 to 6 years old in China,and to provide evidence for preventing dental caries. Methods We searched CNKI,Wan Fang Data,VIP,Pub Med Central,EBSCO-ASC + BSC and Science Direct database to collect the studies that were included between 2000 and 2016 about the dental caries rate among preschool child between 3 to 6 years old in China. GIS technology was used to analyze the spatial difference of the incidence of dental caries in preschool children in China. Results Twenty-five studies were selected with a total sample size of 108486. The incidence of dental caries was 52. 75% [95% CI( 47. 90%,57. 58%) ]. Subgroup analysis showed the following results: dental caries in preschool children in China had no obvious difference between gender. There were 35. 77%,49. 59%,52. 22%,66. 59% of 3,4,5,6 years old children with caries respectively. The caries rate of eastern region preschool was higher than that of the central and Western regions. The highest detection rates were in Liaoning,Hainan,Shanxi preschool children,with the lowest in Henan. Conclusion Dental caries in preschool children in China is serious. Comprehensive measures should be adopted to strengthen the oral prophylaxis and hygiene.
引文
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