摘要
目的:建立幼儿园儿童的前瞻性队列,纵向研究低龄儿童龋的发病原因。方法:采用整群随机抽样方法,在上海市浦东新区城郊各抽取1所幼儿园,共240名小班儿童加入本研究。采用SPSS 21.0软件包中的χ2检验、方差分析、二项logistic回归模型和一般线性回归模型,对该队列儿童基线及随访1年后的龋患情况进行分析。结果:该队列研究前2年随访率为88.3%,基线和随访第1年儿童患龋率分别为58.3%,69.8%,龋均分别为3.1±4.2、4.5±4.9,56.1%的儿童发生新龋。Logistic回归分析显示,居住在郊区(P=0.010)和吃糖果频率较高(P=0.036)的儿童,新发龋率较高。一般线性回归方程结果显示,郊区儿童(P<0.001),未使用含氟牙膏(P=0.003)以及吃糖果频率较高(P=0.002)的儿童,新发龋均较高。结论:居住在郊区、未使用含氟牙膏以及进食糖果频率较高,是学龄前儿童新发龋的重要危险因素。
PORPOSE:To establish a prospective cohort of kindergarten children and longitudinally study the causes of early childhood caries.METHODS:Cluster random sampling was used to select a kindergarten in the urban and suburban areas of Pudong New District of Shanghai,a total of 240 small-class children joined the study.Chi-square test,analysis of variance,binomial logistic regression model and general linear regression model was used to analyze caries of the cohort children at baseline and 1 year after follow-up with SPSS 21.0 software package.RESULTS:In the first two years of this cohort study,the follow-up rate was 88.3%,the caries rate in the first year of baseline and follow-up were58.3%and 69.8%,and the mean dmft values were 3.1±4.2 and 4.5±4.9,respectively.56.1%of children had new caries.Logistic regression results showed that children who lived in the suburbs(P=0.010)and ate candy more frequently(P=0.036)had higher rates of new caries.The results of general linear regression equation showed that children in the suburbs(P<0.001),those who did not use fluoridated toothpaste(P=0.003)and those who ate candy more frequently(P=0.002)had higher new mean dmft values.CONCLUSIONS:Living in the suburbs,not using fluoride toothpaste and eating candy more frequently are important risk factors for new caries in preschool children in Pudong New District of Shanghai.
作者
吴日玥
曹桂芝
Vivien FENG
冯希平
陈曦
韩晓兰
WU Ri-yue;CAO Guizhi;Vivien FENG;FENG Xi-ping;CHEN Xi;HAN Xiao-lan(Department of Dentistry,The First Affiliated Hospital of AnHui Medical University.Hefei 230032,Anhui Province;Department of Preventive Dentistry,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011,China)
出处
《上海口腔医学》
CAS
CSCD
北大核心
2020年第4期405-409,共5页
Shanghai Journal of Stomatology
基金
上海市浦东新区卫生和计划生育委员会联合攻关项目(PW2015D-6)
上海市卫健委适宜技术项目(2019SY027)。
关键词
龋病
乳牙
危险因素
患龋率
发病率
队列研究
Dental caries
Deciduous teeth
Risk factors
Caries prevalence
Incidence
Cohort study
