發(fā)布時間：2018-10-31 12:26

【摘要】：目的目前國內外對牙本質敏感的研究逐漸增多,有關流行病學調查也證實碳酸飲料的飲用與牙本質敏感有密切關聯(lián),而很多報道研究顯示青年人群的牙本質敏感發(fā)病率在逐年上升,有報道稱在運動后飲用的頻率和量也有所增加,本研究的目的是了解合肥市大學生運動員牙本質敏感情況與飲用碳酸飲料習慣的關系,分析在采取干預措施以后的牙本質敏感情況變化,探討不同飲用方式對牙本質敏感的影響。方法選擇合肥市三所高校的運動隊隊員作為研究對象,以整群抽樣的方法抽取600人進行牙本質敏感的問卷調查和臨床檢查,問卷調查采取現(xiàn)場問并專人記錄的方法,根據問卷結果,對有飲用碳酸飲料習慣的465名學生進行牙本質敏感的臨床檢查,再將有牙本質敏感且有飲用碳酸飲料習慣的294名同學完全隨機分組,A組空白對照組,不作任何干預,B組讓同學每次飲用碳酸飲料后立即用清水漱口,C組讓同學改用吸管喝碳酸飲料,分別觀察3個月、6個月后檢查其牙本質敏感的變化,但其中有2名學生分別因正畸和外傷將參照牙拔除和行根管治療,所以實際研究學生292名。最后用SPSS19.0統(tǒng)計分析各組之間的差異。結果600名接受調查的大學生運動員中,從不飲用碳酸飲料的學生3.5%,極少飲用的學生19%,其余由飲用碳酸飲料習慣的學生共計465名,分別為每周飲用1-2次的有45.5%,每周飲用3-5次的有26%,每天飲用的6%。465名有飲用碳酸飲料習慣的學生中,49.7%的學生表示當運動強度增加時會增加飲用的量,在飲用行為方面,直接飲用的91.1%,偶爾使用吸管的有6.7%,每次均會使用吸管的僅2.2%。飲用后不漱口、不刷牙的89.9%,飲用后7.9%的學生用清水漱口,0.6%的會直接刷牙,1.5%的會先漱口再刷牙。對465名有飲用碳酸飲料習慣的學生進行牙本質敏感檢查,有牙本質敏感的學生有305例,患病率達到65.5%,而因牙本質敏感就醫(yī)的只有9.8%。在采取干預措施3個月后檢查牙本質敏感情況,各組間差異沒有統(tǒng)計學差異,6個月后檢查,A組有21例癥狀加重,2例減輕,B組17例加重,6例減輕,1例消失,C第3組3例加重,27例減輕,5例消失。A、B組間沒有統(tǒng)計學差異,C組和A、B組間均有統(tǒng)計學差異(P0.05)結論大學生運動員中飲用碳酸飲料的比例較高,達77.5%。大部分學生直接飲用,對牙本質敏感的了解及防患意識比較弱,需要增強這方面的衛(wèi)生宣教工作。干預措施顯示,喝完碳酸飲料后用立即清水漱口對改善牙本質敏感沒有明顯幫助,用吸管飲用碳酸飲料對改善牙本質敏感有幫助。
[Abstract]:Objective at present, the research on dentin sensitivity is increasing at home and abroad, and the epidemiological investigation also proves that the consumption of carbonated drinks is closely related to dentin sensitivity. Many studies have shown that the incidence of dentin sensitivity among young people is increasing year by year, and it has been reported that the frequency and quantity of drinking after exercise has also increased. The purpose of this study was to understand the relationship between dentin sensitivity and drinking habits of college athletes in Hefei, and to analyze the changes of dentin sensitivity after intervention. To explore the effect of different drinking ways on dentin sensitivity. Methods 600 sports team members from three colleges and universities in Hefei were selected by cluster sampling for dentin sensitive questionnaire and clinical examination. According to the results of the questionnaire, 465 students who had the habit of drinking carbonated drinks were tested for dentin sensitivity, and 294 students who had the habit of drinking carbonated drinks were randomly divided into two groups: group A, blank control group. Without any intervention, group B allowed students to gargle with clear water immediately after drinking carbonated drinks, group C allowed students to drink carbonated drinks through straw, and observed the changes of dentin sensitivity after 3 months and 6 months, respectively. But two of them were treated with tooth extraction and root canal therapy respectively because of orthodontics and trauma, so 292 students were studied. Finally, SPSS19.0 was used to analyze the differences among the groups. Results among the 600 college athletes surveyed, 3.5 students never drank carbonated drinks, 19 students rarely drank carbonated drinks, and 465 students had the habit of drinking carbonated drinks. Of the 66.465 students who drank carbonated drinks every day, 45.5 were drunk 1-2 times a week, 26 were drunk 3-5 times a week. 49.7% of the students said that the amount of drinking would increase when the intensity of exercise increased. In drinking behavior, 91.1% of the students drank directly, 6.7% occasionally used the straw, and only 2.2% of them used the straw every time. After drinking, 7.9% of the students gargled with clear water, 0.6% brushed their teeth directly and 1.5% brushed their teeth first. A total of 465 students with the habit of drinking carbonated drinks were examined for dentin sensitivity. 305 students with dentin sensitivity had a prevalence rate of 65.5, but only 9.8 were admitted to hospital because of dentin sensitivity. After 3 months of intervention, there was no statistical difference between the two groups. After 6 months, 21 patients in group A had aggravated symptoms, 2 patients had relieved, 17 patients in group B had aggravated, 6 patients had alleviated, and 1 patient had disappeared. In group C, 3 cases were aggravated, 27 cases alleviated and 5 cases disappeared. There was no statistical difference between group A and B, but there was significant difference between group C and group A (P0.05). Conclusion the proportion of carbonated drinks among college athletes is higher than that of group B (P0.05). Up to 77.5. Most students who drink directly have weak awareness of dentin sensitivity and prevention, and need to strengthen health education in this field. Intervention measures showed that rinsing with clear water immediately after drinking carbonated drinks did not significantly help to improve dentin sensitivity, but drinking carbonated drinks with straw was helpful to improve dentin sensitivity.
【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R781.2

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