南京市600例学龄前儿童乳牙龋病现状及影响因素分析
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摘要
目的调查南京市600例学龄前儿童乳牙龋病现状及影响因素。方法采用分层整群抽样方法,于2017年12月选取南京市650例学龄前儿童进行研究,并对所有学龄前儿童进行口腔检查以及问卷调查。分析不同性别、年龄、居住地学龄前儿童乳牙龋病的发生率;分析学龄前儿童乳牙龋病与睡前进食、定期口腔检查、家长文化程度、开始刷牙年龄、每天刷牙次数、家庭年收入、使用含氟牙膏的关系;分析学龄前儿童乳牙龋病的影响因素。结果所发放的650份问卷调查共收回有效问卷600份,城市学龄前儿童乳牙患龋率低于乡镇学龄前儿童,且3～<4岁学龄前儿童乳牙患龋率低于4～<5岁、5～<6岁学龄前儿童,而4～<5岁学龄前儿童乳牙患龋率低于5～<6岁学龄前儿童(均P <0.05)。600例学龄前儿童乳牙龋病颗数为1246颗,且好发于下颌左侧第二乳磨牙。家长文化程度、每天刷牙次数、家庭年收入均是学龄前儿童乳牙龋病率的影响因素(均P <0.05)。经多因素Logistic回归分析发现,年龄、居住地为乡镇、家长文化程度为高中以下、每天刷牙次数<2次、家庭年收入<5000元均是学龄前儿童乳牙龋病的独立危险因素(均P <0.05)。结论南京市600例学龄前儿童乳牙龋病率较高,且年龄、居住地为乡镇、家长文化程度为高中以下、每天刷牙次数<2次、家庭年收入<5000元均会增加乳牙龋病发生风险,值得临床重点关注。
Objective To investigate the status and influencing factors of the primary tooth caries in 600 preschool children in Nanjing City. Methods A total of 650 preschool children in Nanjing were selected for study in December 2017 by stratified cluster sampling method. Oral examination and questionnaire survey was conducted on all preschool children. The incidence of primary tooth caries of preschool children with different genders, ages and places of residence was analyzed, and the relationship between primary tooth caries of preschool children and eating before bed, regular oral examination, parents′ educational level, age at which they began to brush their teeth, number of teeth brushing times per day, annual household income and the use of fluoride toothpaste were analyzed, and the influencing factors of primary tooth caries in preschool children were analyzed. Results A total of 650 questionnaires were collected and 600 valid questionnaires were retrieved. Preschool children′s primary tooth caries rate of the city was lower than the preschoolers of villages and towns, and primary tooth caries rate of 3-<4 years old preschool children was lower than 4-<5 years old,5-<6 years old preschool children, and preschool children′s primary tooth caries rate of 4-<5 years old was lower than5-<6 years old preschool children(all P < 0.05). The number of primary tooth caries in 600 preschool children was1246, and most of them occurred in the second deciduous molar on the left side of the mandible. Parents′educational level, frequency of brushing teeth every day and family income were all the influencing factors of the primary tooth caries rate in preschool children(all P < 0.05).Multivariate Logistic regression analysis found that age,place of residence for townships, parental education below high school, daily brushing times <2 times, family annual income < 5000 yuan were independent risk factors for primary tooth caries of preschool children(all P < 0.05).Conclusion The incidences of primary tooth caries in 600 preschool children in Nanjing is high, and the age, the place of residence, the education level of the parents, the number of brushing teeth <2 times a day and the annual family income < 5000 yuan all increase the risk of primary tooth caries, which is worthy of clinical attention.
Objective To investigate the status and influencing factors of the primary tooth caries in 600 preschool children in Nanjing City. Methods A total of 650 preschool children in Nanjing were selected for study in December 2017 by stratified cluster sampling method. Oral examination and questionnaire survey was conducted on all preschool children. The incidence of primary tooth caries of preschool children with different genders, ages and places of residence was analyzed, and the relationship between primary tooth caries of preschool children and eating before bed, regular oral examination, parents′ educational level, age at which they began to brush their teeth, number of teeth brushing times per day, annual household income and the use of fluoride toothpaste were analyzed, and the influencing factors of primary tooth caries in preschool children were analyzed. Results A total of 650 questionnaires were collected and 600 valid questionnaires were retrieved. Preschool children′s primary tooth caries rate of the city was lower than the preschoolers of villages and towns, and primary tooth caries rate of 3-<4 years old preschool children was lower than 4-<5 years old,5-<6 years old preschool children, and preschool children′s primary tooth caries rate of 4-<5 years old was lower than5-<6 years old preschool children(all P < 0.05). The number of primary tooth caries in 600 preschool children was1246, and most of them occurred in the second deciduous molar on the left side of the mandible. Parents′educational level, frequency of brushing teeth every day and family income were all the influencing factors of the primary tooth caries rate in preschool children(all P < 0.05).Multivariate Logistic regression analysis found that age,place of residence for townships, parental education below high school, daily brushing times <2 times, family annual income < 5000 yuan were independent risk factors for primary tooth caries of preschool children(all P < 0.05).Conclusion The incidences of primary tooth caries in 600 preschool children in Nanjing is high, and the age, the place of residence, the education level of the parents, the number of brushing teeth <2 times a day and the annual family income < 5000 yuan all increase the risk of primary tooth caries, which is worthy of clinical attention.
引文
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[10]张凯强,程睿波,李健,等.辽宁省3~5岁儿童乳牙患龋情况抽样调查报告(2015-2016年)[J].中国实用口腔科杂志,2018,11(7):435-438.
[11]刘菊华,王琦,郭仰峰,等.儿童龋病与人体质量指数的相关性研究[J].中华口腔医学研究杂志:电子版,2017,11(1):36-40.
[12]陈满花,严新凤,杨丽珍,等.深圳市龙华区儿童龋病抽样调查结果分析[J].应用预防医学,2018,24(2):145-146.
[13]储雯,王冰,叶玮,等.昆明市3~5岁儿童乳牙患龋状况[J].昆明医科大学学报,2018,39(1):59-62.
[14] Quan JK,Wang XZ, Sun XY,et al. Permanent Teeth Caries Status of 12-to 15-year-olds in China:Findings from the4th National Oral Health Survey[J]. Chin J Dent Res,2018,21(3):181-193.
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[16]贾松菠,姜明,孙同正,等.青岛市4~6岁儿童龋病及其相关危险因素分析[J].牙体牙髓牙周病学杂志,2018,28(7):400-404.
[17]仇颖莹,沈红,刘怡然,等.江苏省5岁、12岁青少年儿童龋病流行现状及影响因素分析[J].口腔医学,2018,38(4):352-357.
[18]刘伟,熊莉华,林蓉,等.2015年广州市5岁儿童重度龋病危险因素的病例对照研究[J].中华疾病控制杂志,2018,22(2):183-186.
[19]陈媛,付琢惠,陈悦,等.学龄前儿童乳牙患龋相关危险因素分析[J].口腔疾病防治,2018,26(10):652-656.
[20]徐美玉,赵旭,潘秋华,等.厦门市16所公立幼儿园儿童龋病流行病学及相关因素的研究[J].中国妇幼保健,2017,32(13):3021-3023.
[21]张松杰,李骏,王蕾,等.西安市12005名3~7岁儿童乳牙患龋情况调查分析[J].现代预防医学,2017,44(1):73-76.
[22] Alsadat FA,El-Housseiny AA,Alamoudi NM,et al. Dental fear in primary school children and its relation to dental caries[J]. Niger J Clin Pract,2018,21(11):1454-1460.
[2]熊正慧,韩光政,陈亚明,等.苏州市姑苏区7~9岁儿童龋病流行病学调查[J].口腔医学,2018,38(9):830-833.
[3]邵佳琪,邹明媛,傅融,等.学龄前儿童患龋率与家庭背景因素相关性研究[J].全科口腔医学电子杂志,2018,5(9):13-15.
[4]吴海燕,袁嘉璐,葛文娟,等.学龄前儿童乳牙色素沉着与乳牙龋关系研究[J].实用口腔医学杂志,2018,34(2):253-256.
[5]易昆,张莉,张雪莉,等.北京地区不同年龄段少年儿童第一恒磨牙患龋现状调查及防治[J].现代仪器与医疗,2018,24(2):126-128.
[6]陈珊珊,吕亚林.口腔疾病与心血管疾病关系的研究进展[J].中国医刊,2018,53(7):706-709.
[7]苗江霞,荣文笙,王文红,等.北京市海淀区1743名0~2岁儿童患龋状况分析[J].中国妇幼健康研究,2017,28(7):761-762.
[8]林琳,刘伟佳,熊莉华,等.广州市2008与2015年儿童乳牙患龋状况比较[J].中国学校卫生,2018,39(3):415-417.
[9]王颖,郭晓龄,曹思远,等.辽宁大连甘井子区809例4~5岁儿童乳牙患龋情况调查[J].中国实用医药,2018,13(4):194-195.
[10]张凯强,程睿波,李健,等.辽宁省3~5岁儿童乳牙患龋情况抽样调查报告(2015-2016年)[J].中国实用口腔科杂志,2018,11(7):435-438.
[11]刘菊华,王琦,郭仰峰,等.儿童龋病与人体质量指数的相关性研究[J].中华口腔医学研究杂志:电子版,2017,11(1):36-40.
[12]陈满花,严新凤,杨丽珍,等.深圳市龙华区儿童龋病抽样调查结果分析[J].应用预防医学,2018,24(2):145-146.
[13]储雯,王冰,叶玮,等.昆明市3~5岁儿童乳牙患龋状况[J].昆明医科大学学报,2018,39(1):59-62.
[14] Quan JK,Wang XZ, Sun XY,et al. Permanent Teeth Caries Status of 12-to 15-year-olds in China:Findings from the4th National Oral Health Survey[J]. Chin J Dent Res,2018,21(3):181-193.
[15]舒成军,潘莉萍.余姚市城区3~6岁儿童龋齿状况及其影响因素调查分析[J].中国农村卫生事业管理,2018,38(5):640-642.
[16]贾松菠,姜明,孙同正,等.青岛市4~6岁儿童龋病及其相关危险因素分析[J].牙体牙髓牙周病学杂志,2018,28(7):400-404.
[17]仇颖莹,沈红,刘怡然,等.江苏省5岁、12岁青少年儿童龋病流行现状及影响因素分析[J].口腔医学,2018,38(4):352-357.
[18]刘伟,熊莉华,林蓉,等.2015年广州市5岁儿童重度龋病危险因素的病例对照研究[J].中华疾病控制杂志,2018,22(2):183-186.
[19]陈媛,付琢惠,陈悦,等.学龄前儿童乳牙患龋相关危险因素分析[J].口腔疾病防治,2018,26(10):652-656.
[20]徐美玉,赵旭,潘秋华,等.厦门市16所公立幼儿园儿童龋病流行病学及相关因素的研究[J].中国妇幼保健,2017,32(13):3021-3023.
[21]张松杰,李骏,王蕾,等.西安市12005名3~7岁儿童乳牙患龋情况调查分析[J].现代预防医学,2017,44(1):73-76.
[22] Alsadat FA,El-Housseiny AA,Alamoudi NM,et al. Dental fear in primary school children and its relation to dental caries[J]. Niger J Clin Pract,2018,21(11):1454-1460.