摘要
目的了解2010-2018年西安市儿童口腔疾病综合干预项目实施质量,为保证龋齿预防效果提供参考。方法采用整群随机抽样法,2010-2018年从西安市各地区抽取5 871名窝沟封闭时间超过3个月的7~9岁儿童,进行窝沟封闭质量检查。结果西安市窝沟封闭完好率逐年提高(χ^2=1 326.39,P<0.01),2018年达92.57%;农村地区窝沟封闭完好率和保留率(64.25%,76.83%)差于主城区(84.17%,90.80%)和城郊结合区(84.21%,91.88%)(χ2值分别为310.58,296.52,P值均<0. 01);医疗机构窝沟封闭完好率和保留率排序为三级医院(87. 28%,91. 07%)、民营医院(84. 60%,91.43%)、一级医院(84.42%,92.02%)、二级医院(72.79%,84.45%),差异均有统计学意义(P值均<0.01)。结论西安市儿童窝沟封闭质量达到国家要求,但是仍存在城乡差距明显、各类医疗机构质量参差不齐的现象。今后应加大培训和监管力度。
Objective To analyze the quality of the first permanent molars pit and fissure sealant for school-aged children in Xi’an from 2010 to 2018, and to provide a reference for preventing dental caries. Methods A total of 5 871 children were selected from different regions from 2010 to 2018 by cluster random sampling method for the quality inspection of pit and fissure sealant. Results The quality of pit and fissure sealant has been improved by year in Xi’an( χ^2= 1 326.39, P<0.01). The rate of intact sealant was 92.57% in 2018. The quality of project and reservation rate in rural areas( 64.23%, 76.83%) were worse than those in urban( 84.17%, 90.80%) and suburban areas( 84.21%, 91.88%)( χ^2= 310.58, 296.52, P<0.01);The quality of pit and fissure sealant was highest in tertiary hospitals( 87.28%, 91.07%), followed by private hospitals( 84.60%, 91.43%), primary hospitals( 84.42%, 92.02%), secondary hospitals( 72.79%, 84.45%)( P<0.01). Conclusion The quality of pit and fissure sealant in Xi’an reached the national requirement, but there is obvious gap between town and country, the quality of project varied substantially across medical institutions.Training and supervision should be strengthened in the future work.
作者
王蕾
李骏
王燕波
WANG Lei;LI Jun;WANG Yanbo(Xi'an Center for Disease Control and Prevention.Xi'an 710054,China)
出处
《中国学校卫生》
CAS
北大核心
2020年第2期292-294,共3页
Chinese Journal of School Health
基金
陕西省科学技术研究发展计划项目(2017SF-067)。
