江苏省3～5岁儿童龋病流行病学抽样调查报告
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摘要
目的了解江苏省3～5岁儿童龋病流行现状,为江苏省儿童口腔卫生保健工作提供信息支持。方法按照第四次全国口腔健康流行病学调查方案,采用分层多阶段等容量随机抽样的方法,抽取江苏省3～5岁儿童1 337人,其中3岁组441人、4岁组455人、5岁组441人。使用CPI探针检查全口乳牙冠龋情况,计算患龋率、龋均、充填率等。结果 3、4、5岁人群乳牙患龋率分别为47.39%、60.22%和71.43%;龋均分别为2.22、2.94、4.05;龋齿充填率分别为0.72%、1.72%、2.63%。不同年龄组的患龋率和龋均不同(P<0.05),随年龄增长,患龋状况加重。患龋率和龋均在不同性别间的差异无统计学意义。3岁人群患龋率农村高于城市(P<0.01),4岁、5岁人群患龋率在城乡间差异无统计学意义。4岁人群龋均农村大于城市(P<0.05),3岁、5岁人群龋均在城乡间差异无统计学意义。不同样本地区儿童乳牙患龋状况不同。3、4、5岁儿童乳牙显著性龋均指数分别为6.01、7.44、9.03。乳牙患龋率最高的牙位是上颌乳中切牙和下颌乳磨牙。5岁儿童乳牙患龋率和龋均高于2005年,充填率仅有小幅提升。结论江苏省3～5岁儿童乳牙患龋状况严重,应针对高风险人群进行重点防治。
Objective To describe the caries status in 3-5-year-old children in Jiangsu Province and to provide information support for oral health care. Methods Referring to protocols of the fourth national oral health survey,the method of multistage,stratified,equal capacity,simple random sampling was used to draw a sample of 1 337 in Jiangsu Province. Subjects were divided into three different age groups( aged 3,4 and 5),with 441,455 and 441 children in each group. The dental caries in deciduous teeth were recorded using CPI probe. And then the prevalence,the mean dmft,the filling rate were calculated. Results The prevalence rates of dental caries in deciduous teeth in the three groups of aged 3,4,5 were 47.39%,60.22% and 71.43% respectively; the mean dmft were2.22,2.94,and 4.05 respectively; the filling rates were 0.72%,1.72%,and 2.63% respectively. There were significant differences in the prevalence,the mean dmft and the filling rate among different age groups and among different regions. There was no significant difference in the prevalence and mean dmft regarding the gender in each group. The prevalence in the group of aged 3 in rural areas was higher than that in urban areas( P<0.01),while no urban and rural differences were found in the groups of aged 4 and 5. The mean dmft in the group of age 4 in rural areas was higher than that in urban areas( P< 0.05),while no urban and rural differences were found in the groups of age 3 and 5. The Sic indexes of the three groups of age 3,4,5 were 6.01,7.44 and 9.03 respectively. The highest prevalence occurred on the upper middle incisors and the lower molars. The prevalence rate and mean dmft of 5-year-old children were higher than that in 2005,and the filling rate increased a little. Conclusions The 3-5-year-old children of Jiangsu Province have a high prevalence of dental caries in deciduous teeth. Prevention programs focusing on high risk population are urgently needed.
Objective To describe the caries status in 3-5-year-old children in Jiangsu Province and to provide information support for oral health care. Methods Referring to protocols of the fourth national oral health survey,the method of multistage,stratified,equal capacity,simple random sampling was used to draw a sample of 1 337 in Jiangsu Province. Subjects were divided into three different age groups( aged 3,4 and 5),with 441,455 and 441 children in each group. The dental caries in deciduous teeth were recorded using CPI probe. And then the prevalence,the mean dmft,the filling rate were calculated. Results The prevalence rates of dental caries in deciduous teeth in the three groups of aged 3,4,5 were 47.39%,60.22% and 71.43% respectively; the mean dmft were2.22,2.94,and 4.05 respectively; the filling rates were 0.72%,1.72%,and 2.63% respectively. There were significant differences in the prevalence,the mean dmft and the filling rate among different age groups and among different regions. There was no significant difference in the prevalence and mean dmft regarding the gender in each group. The prevalence in the group of aged 3 in rural areas was higher than that in urban areas( P<0.01),while no urban and rural differences were found in the groups of aged 4 and 5. The mean dmft in the group of age 4 in rural areas was higher than that in urban areas( P< 0.05),while no urban and rural differences were found in the groups of age 3 and 5. The Sic indexes of the three groups of age 3,4,5 were 6.01,7.44 and 9.03 respectively. The highest prevalence occurred on the upper middle incisors and the lower molars. The prevalence rate and mean dmft of 5-year-old children were higher than that in 2005,and the filling rate increased a little. Conclusions The 3-5-year-old children of Jiangsu Province have a high prevalence of dental caries in deciduous teeth. Prevention programs focusing on high risk population are urgently needed.
引文
[1]齐小秋.第三次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社,2008.
[2] Organization WH. Oral health surveys:Basic methods[M]. 5th ed. Geneve:World Health Organization,2013.
[3]第四次全国口腔健康流行病学调查技术组,中国疾病预防控制中心慢性非传染性疾病预防控制中心.公益性行业科研专项——第四次全国口腔健康流行病学调查(2015-2017)抽样工作手册[M].北京:中华口腔医学会,2015:9-28.
[4] Frencken JE,Sharma P,Stenhouse L,et al. Global epidemiology of dental caries and severe periodontitis-a comprehensive review[J]. J Clin Periodontol,2017,44(S18):S94-S105.
[5] Jones CM,Davies GM,Monaghan N,et al. The caries experience of 5 year-old children in Scotland in 2013-2014,and in England and Wales in 2014-2015. Reports of cross-sectional dental surveys using BASCD criteria[J]. Community Dent Hlth,2017,34(3):157-162.
[6]刘敏,石一谷,王鹏,等. 2013年北京市3~5岁儿童乳牙龋病患病状况调查报告[J].北京口腔医学,2015,23(5):282-287.
[7] Yin W,Yang YM,Chen H,et al. Oral health status in Sichuan Province:findings from the oral health survey of Sichuan,2015-2016[J]. Int J Oral Sci,2017,9(1):10-15.
[8]李剑波,范卫华,赵望泓,等.广东省3~5岁人群乳牙龋病抽样调查报告(2015—2016年)[J].口腔疾病防治,2017,25(11):693-696.
[9]张辉,韩永成,侯玮,等.北京市5岁儿童乳牙龋病抽样调查报告[J].北京口腔医学,2009,17(2):109-112.
[10] Dye BA,Vargas CM,Fryar CD,et al. Oral health status of children in Los Angeles County and in the United States,1999-2004[J].Community Dent Oral Epidemiol,2016,45(2):135-144
[11]杨忍忍,钱文昊,苏红如,等.上海市徐汇区学龄前儿童龋病状况调查[J].口腔医学,2018,38(2):1132-1136.
[12] Liu J,Zhang SS,Zheng SG,et al. Oral health status and oral health care model in China[J]. Chin J Dent Res,2016,19(4):207-215.
[13]沈家平,王林,陈宁,等.江苏省5~74岁自然人群龋病的现况调查[J].南京医科大学学报(自然科学版),2006,26(12):1283-1287.
[14] Marthaler TM. Changes in the prevalence of dental caries:how much can be attributed to changes in diet?[J]. Caries Res,1990,24(Suppl 1):3.
[15] Marthaler TM,O'Mullane DM,Vrbic V. The prevalence of dental caries in Europe 1990—1995. ORCA Saturday afternoon symposium 1995[J]. Caries Res,1996,30(4):237-255.
[16] Bratthall D. Introducing the Significant Caries Index together with a proposal for a new global oral health goal for 12-year-olds[J]. Int Dent J,2000,50(6):378-384.
[17] Pitts N,Amaechi B,Niederman R,et al. Global oral health inequalities:dental caries task group-research agenda[J]. Adv Dent Res,2011,23(2):211-220.
[18]胡德渝.氟化物在预防龋病中的作用[J].中华口腔医学杂志,2007,42(8):449-452.
[19]夏玉婷,叶云杰,刘茂,等. 2015年江苏省饮水型地方性氟中毒调查[J].环境与健康杂志,2017,34(8):682-685.
[20]邹晓璇,苗江霞,李文珺,等.母乳喂养对3岁儿童乳牙患龋病的影响[J].中国预防医学杂志,2012,13(6):451-453.
[2] Organization WH. Oral health surveys:Basic methods[M]. 5th ed. Geneve:World Health Organization,2013.
[3]第四次全国口腔健康流行病学调查技术组,中国疾病预防控制中心慢性非传染性疾病预防控制中心.公益性行业科研专项——第四次全国口腔健康流行病学调查(2015-2017)抽样工作手册[M].北京:中华口腔医学会,2015:9-28.
[4] Frencken JE,Sharma P,Stenhouse L,et al. Global epidemiology of dental caries and severe periodontitis-a comprehensive review[J]. J Clin Periodontol,2017,44(S18):S94-S105.
[5] Jones CM,Davies GM,Monaghan N,et al. The caries experience of 5 year-old children in Scotland in 2013-2014,and in England and Wales in 2014-2015. Reports of cross-sectional dental surveys using BASCD criteria[J]. Community Dent Hlth,2017,34(3):157-162.
[6]刘敏,石一谷,王鹏,等. 2013年北京市3~5岁儿童乳牙龋病患病状况调查报告[J].北京口腔医学,2015,23(5):282-287.
[7] Yin W,Yang YM,Chen H,et al. Oral health status in Sichuan Province:findings from the oral health survey of Sichuan,2015-2016[J]. Int J Oral Sci,2017,9(1):10-15.
[8]李剑波,范卫华,赵望泓,等.广东省3~5岁人群乳牙龋病抽样调查报告(2015—2016年)[J].口腔疾病防治,2017,25(11):693-696.
[9]张辉,韩永成,侯玮,等.北京市5岁儿童乳牙龋病抽样调查报告[J].北京口腔医学,2009,17(2):109-112.
[10] Dye BA,Vargas CM,Fryar CD,et al. Oral health status of children in Los Angeles County and in the United States,1999-2004[J].Community Dent Oral Epidemiol,2016,45(2):135-144
[11]杨忍忍,钱文昊,苏红如,等.上海市徐汇区学龄前儿童龋病状况调查[J].口腔医学,2018,38(2):1132-1136.
[12] Liu J,Zhang SS,Zheng SG,et al. Oral health status and oral health care model in China[J]. Chin J Dent Res,2016,19(4):207-215.
[13]沈家平,王林,陈宁,等.江苏省5~74岁自然人群龋病的现况调查[J].南京医科大学学报(自然科学版),2006,26(12):1283-1287.
[14] Marthaler TM. Changes in the prevalence of dental caries:how much can be attributed to changes in diet?[J]. Caries Res,1990,24(Suppl 1):3.
[15] Marthaler TM,O'Mullane DM,Vrbic V. The prevalence of dental caries in Europe 1990—1995. ORCA Saturday afternoon symposium 1995[J]. Caries Res,1996,30(4):237-255.
[16] Bratthall D. Introducing the Significant Caries Index together with a proposal for a new global oral health goal for 12-year-olds[J]. Int Dent J,2000,50(6):378-384.
[17] Pitts N,Amaechi B,Niederman R,et al. Global oral health inequalities:dental caries task group-research agenda[J]. Adv Dent Res,2011,23(2):211-220.
[18]胡德渝.氟化物在预防龋病中的作用[J].中华口腔医学杂志,2007,42(8):449-452.
[19]夏玉婷,叶云杰,刘茂,等. 2015年江苏省饮水型地方性氟中毒调查[J].环境与健康杂志,2017,34(8):682-685.
[20]邹晓璇,苗江霞,李文珺,等.母乳喂养对3岁儿童乳牙患龋病的影响[J].中国预防医学杂志,2012,13(6):451-453.