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大连地区学龄前儿童龋齿发生状况调查及相关因素分析 被引量:17

Investigation of caries incidence in preschool children in Dalian area and analysis of related factors
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摘要 目的调查大连地区学龄前儿童龋齿发生情况,并就其影响因素进行分析。方法随机选取2018年8月-2019年8月大连地区6所幼儿园共1 782例3~6岁学龄前儿童作为研究对象,均接受口腔检查并统计其龋齿发生率。根据有无龋齿分为患龋组与未患龋组,对两组儿童一般情况、家庭经济情况、父母情况、口腔卫生行为及饮食情况等进行统计学分析,并将筛查出的差异有统计学意义的因素纳入Logistic回归分析。结果 1 782例学龄前儿童中,发生龋齿908例,发生率为50.95%;经单因素分析显示,年龄、家长文化程度、家长关注牙齿保健知识、儿童开始刷牙时间、早晚刷牙、饭后漱口、定期口腔检查、进食甜食、饮用碳酸饮料及使用含氟牙膏与儿童发生龋齿密切相关(P<0.05);经多因素Logistic回归分析显示,儿童患龋的危险因素有开始刷牙时间晚、经常进食甜食及经常饮用碳酸饮料,保护因素有家长关注牙齿保健知识、早晚刷牙、饭后漱口、定期口腔检查及使用含氟牙膏。结论大连地区学龄前儿童龋齿发生率较高,故应做好此年龄段儿童的口腔保健工作,尽量规避危险因素,以减低学龄前儿童患龋率。 Objective To investigate the incidence of caries in preschool children in Dalian area and analyze the influencing factors.Methods A total of 1 782 preschool children aged 3-6 were randomly selected from 6 kindergartens in the region from August 2018 to August 2019,and all of them received oral examination and the incidence of caries was counted.According to the presence or absence of caries,the children were divided into caries group and non caries group.The general situation,family economic situation,parents’ situation,oral health behavior and diet of the two groups were statistically analyzed,and the statistical factors were included in logistic regression analysis.Results Among the 1 782 preschool children,908 had caries,the incidence rate was 50.95%;single factor analysis showed that age,parents’ education level,parents paying attention to dental health knowledge,when children start brushing their teeth,brushing teeth in the morning and evening,mouthwash after meals,regular oral examination,eating sweets,drinking carbonated drinks,and using fluoride toothpaste were closely related to children’s caries(P<0.05);the multivariate logistic regression analysis showed that the risk factors for children’s caries included late start of brushing,frequent sweets and carbonated drinks,and the protective factors included parents’ attention to dental health knowledge,brushing teeth in the morning and evening,mouthwash after meals,regular oral examination and using fluoride toothpaste.Conclusion The incidence of dental caries in preschool children in Dalian area is high,so it is necessary to do a good job in oral health care for children of this age and try to avoid risk factors,so as to reduce the incidence of dental caries in preschool children.
作者 由力 韩冰 YOU Li;HAN Bing(Dalian Women and Children Medical Center,Dalian,Liaoning 116037,China)
出处 《中国妇幼保健》 CAS 2021年第8期1841-1844,共4页 Maternal and Child Health Care of China
基金 辽宁省科学技术计划项目(2018217015)。
关键词 学龄前儿童 龋齿 相关因素 口腔保健 Preschool children Caries Related factors Oral health care
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