【摘要】：目的目前國內(nèi)外對牙本質(zhì)敏感的研究逐漸增多,有關(guān)流行病學(xué)調(diào)查也證實(shí)碳酸飲料的飲用與牙本質(zhì)敏感有密切關(guān)聯(lián),而很多報(bào)道研究顯示青年人群的牙本質(zhì)敏感發(fā)病率在逐年上升,有報(bào)道稱在運(yùn)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(xué)生運(yùn)動員牙本質(zhì)敏感情況與飲用碳酸飲料習(xí)慣的關(guān)系,分析在采取干預(yù)措施以后的牙本質(zhì)敏感情況變化,探討不同飲用方式對牙本質(zhì)敏感的影響。方法選擇合肥市三所高校的運(yùn)動隊(duì)隊(duì)員作為研究對象,以整群抽樣的方法抽取600人進(jìn)行牙本質(zhì)敏感的問卷調(diào)查和臨床檢查,問卷調(diào)查采取現(xiàn)場問并專人記錄的方法,根據(jù)問卷結(jié)果,對有飲用碳酸飲料習(xí)慣的465名學(xué)生進(jìn)行牙本質(zhì)敏感的臨床檢查,再將有牙本質(zhì)敏感且有飲用碳酸飲料習(xí)慣的294名同學(xué)完全隨機(jī)分組,A組空白對照組,不作任何干預(yù),B組讓同學(xué)每次飲用碳酸飲料后立即用清水漱口,C組讓同學(xué)改用吸管喝碳酸飲料,分別觀察3個(gè)月、6個(gè)月后檢查其牙本質(zhì)敏感的變化,但其中有2名學(xué)生分別因正畸和外傷將參照牙拔除和行根管治療,所以實(shí)際研究學(xué)生292名。最后用SPSS19.0統(tǒng)計(jì)分析各組之間的差異。結(jié)果600名接受調(diào)查的大學(xué)生運(yùn)動員中,從不飲用碳酸飲料的學(xué)生3.5%,極少飲用的學(xué)生19%,其余由飲用碳酸飲料習(xí)慣的學(xué)生共計(jì)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(xí)慣的學(xué)生中,49.7%的學(xué)生表示當(dāng)運(yùn)動強(qiáng)度增加時(shí)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(xué)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(xí)慣的學(xué)生進(jìn)行牙本質(zhì)敏感檢查,有牙本質(zhì)敏感的學(xué)生有305例,患病率達(dá)到65.5%,而因牙本質(zhì)敏感就醫(yī)的只有9.8%。在采取干預(yù)措施3個(gè)月后檢查牙本質(zhì)敏感情況,各組間差異沒有統(tǒng)計(jì)學(xué)差異,6個(gè)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(jì)學(xué)差異,C組和A、B組間均有統(tǒng)計(jì)學(xué)差異(P0.05)結(jié)論大學(xué)生運(yùn)動員中飲用碳酸飲料的比例較高,達(dá)77.5%。大部分學(xué)生直接飲用,對牙本質(zhì)敏感的了解及防患意識比較弱,需要增強(qiáng)這方面的衛(wèi)生宣教工作。干預(yù)措施顯示,喝完碳酸飲料后用立即清水漱口對改善牙本質(zhì)敏感沒有明顯幫助,用吸管飲用碳酸飲料對改善牙本質(zhì)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(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R781.2

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