摘要
目的探讨在石家庄地区对儿童预防性应用氟化泡沫的防龋疗效。方法前瞻性选取石家庄地区(6个区)2014年3月至2015年4月3~6岁儿童共2 000例,随机将其分为观察组、对照组和空白组。观察组采取4个月1次氟化泡沫预防龋病,对照组6个月1次氟化泡沫,空白组6个月进行假氟化保护牙齿。干预两年后,比较3组儿童龋病疗效、不良反应发生率及监护人满意度。结果 2 000例儿童共1 030例发生龋齿,龋齿患病率51.5%,共1 538颗病牙。干预两年后,观察组和对照组龋齿发生率分别为53.92%,54.93%,均较空白组(61.80%)低,差异具有统计学意义(P<0.05)。其中观察组龋齿新增2.71%,对照组新增3.09%,空白组新增率最高,达10.35%,空白组与观察组、对照组比较,差异均有统计学意义(P<0.05),观察组和对照组龋齿新增率差异无显著性(P>0.05)。龋病好发牙齿依次为:上中切牙,下颌第一乳磨牙,下第二乳磨牙,上侧切牙,上第一乳磨牙,上颌尖牙,上颌第二磨牙,下颌乳侧切牙,下颌乳中切牙,下颌尖牙。左右侧龋齿发生率差异无显著性(P>0.05)。观察组与对照组满意度均较高,两组比较差异无显著性(P>0.05)。在操作过程中儿童未发生任何恶心、呕吐、误吞等现象,也未出现氟中毒症状。结论氟化泡沫可有效预防幼儿龋病,6个月1次与4个月1次疗效相当。
Objective To explore the prevention effect observation of fluoride foam for children caries in Shijiazhuang area.Methods From March 2014 to April 2015,a total of 2 000 cases of 3 ~ 6 years old children were randomly divided into observation group and control group and blank group.Observation group take bubble fluoride to prevent tooth decay 4 months once,control group 6 months once,blank group 6 months false fluoride.The incidence of caries disease curative effect and adverse reaction were compared.Results A total of 1 030 cases occurred dental caries,dental caries prevalence was 51.5%,there was a total of 1 538 sick teeth.Intervention in two years later,the incidence of caries in the observation group and control group was 53.92%,54.93%,was lower than that of blank group 61.80%,the difference was statistically significant(P < 0.05).Caries increased 2.71% in observation group,3.09% in control group,most in blank group 10.35%,with significant difference between blank group and observation group,control group(P < 0.05),but there was no significant difference between observation group and control group(P >0.05).Dental caries:high cutting teeth and mandibular first molars,the second molars,upper incisor,the first milk teeth and maxillary canines,maxillary second molars and mandibular lateral incisors,mandibular incisor in milk,jaw teeth.There was no significant difference about caries incidence(P > 0.05).The satisfaction of observation group and control group were higher,there was no significant difference between the two groups(P >0.05).In the process of operation,there was no any phenomenon such as nausea,vomiting,ingestion and the symptom of fluorosis appeared.Conclusion Fluoride foam can effectively prevent early childhood caries disease,6 months treatment 1 and 4 months once.
出处
《临床和实验医学杂志》
2018年第2期185-188,共4页
Journal of Clinical and Experimental Medicine
基金
石家庄市科学技术和知识产权局项目(编号:161460973)
关键词
儿童
龋病
氟化泡沫
预防
Children
Dental decay
Fluoride foam
Prevention
