摘要
目的探讨对孕妇在孕前半年及孕期行口腔健康保健的效果,为孕前、孕期门诊口腔保健工作的开展提供依据。方法产科门诊长期设立口腔保健处对孕前及孕期妇女进行口腔健康检查及保健指导。对2 092例常规完成孕前及孕期检查、入院待产的孕妇进行问卷调查,了解其孕前及孕期口腔保健的施行情况及孕期口腔不适的发生情况。结果2 092例孕妇中,参加孕前口腔健康保健452例(21.61%),孕期口腔健康保健1 554例(74.28%);不同学历、家庭月收入孕妇孕前及孕期口腔健康保健率比较,差异有统计学意义(均P<0.01);孕期发生口腔不适1 381例(66.01%),孕前和孕期参加口腔健康保健孕妇口腔不适发生率显著低于未参加者(均P<0.01)。结论孕前和孕期口腔健康保健非常重要,应关注低学历、低收入孕妇的口腔健康保健工作;建议将口腔健康保健列为优生优育保健内容之一。
Objective To explore the effect of an oral health intervention 6 months before and during pregnancy, and to provide references for peri-gestational oral health intervention at obstetric outpatient clinic. Methods An oral health service office was built at the obstetric outpatient clinic and provided oral check-up and oral health intervention for females who were having a pre-pregnan- cy physical examination, who were having antenatal check-ups, or who were admitted for a delivery. A total of 2 092 females who had received the intervention were surveyed for how the intervention had been implemented, and whether there had been any oral discomfort during pregnancy. Results Among the 2 092 cases, 452 （21. 61%） had received oral intervention at pre-pregnancy stage, 1 554 （74.28%）during pregnancy. Females who had different education backgrounds, and who had different monthly in- comes, had different levels of involvement （not involved at all versus involved） in the oral health intervention （P〈0.01 for both）. Totally, 1 381 （66.01%） reported oral discomfort during pregnancy. Those who participated in the intervention reported less oral discomfort than those who did not （P〈0.01 for both）. Conclusion Oral health care before and during pregnancy is very important and we should concern pregnant women who have low education levels, and who have low incomes. We recommend that oral health care should be added into the prenatal and postnatal care content.
基金
湖北省自然科学基金项目(2009CDB028)
关键词
妊娠
口腔健康保健
孕前干预
孕期干预
优生优育
pregnancy
oral health care
pre-pregnancy intervention
gestational intervention
well-bear and well-rear
