發(fā)布時(shí)間：2018-02-12 12:32

  本文關(guān)鍵詞： 乳牙 患齲率 齲失補(bǔ)指數(shù)(dmft) 顯著性齲均指數(shù)(SiC) 發(fā)病率 監(jiān)測(cè)　出處：《復(fù)旦學(xué)報(bào)(醫(yī)學(xué)版)》2014年06期 　論文類型：期刊論文

【摘要】：目的了解我國東部地區(qū)兒童3~5歲期間乳牙齲病的流行現(xiàn)況和變化趨勢(shì),為改善兒童口腔健康提供科學(xué)依據(jù)。方法采用多階段分層整群抽樣方法,抽取我國東部地區(qū)北京、上海、廣東三省(市)2010年新入園的3歲兒童建立了乳牙齲病監(jiān)測(cè)隊(duì)列(n=896),連續(xù)3年檢查隊(duì)列兒童牙齒狀況。結(jié)果本隊(duì)列隨訪率為79.8%(n=715)。715名兒童3歲、4歲、5歲時(shí)患齲率分別為41.4%、55.0%、63.9%,患齲率逐年增加(Z=-8.535,P0.05);齲均分別為1.76、2.54、3.31,年均增加0.78顆(F=33.886,P0.05),每年的顯著性齲均指數(shù)(significant caries indices,SiC)分別是當(dāng)年整體齲均的2.9倍、2.6倍、2.4倍。3~4歲、4~5歲齲齒年發(fā)病率分別為43.6%、46.9%,2年累積發(fā)病率為62.7%。農(nóng)村兒童累積發(fā)病率大于城市兒童(P0.05),基線患齲兒童2年累積發(fā)病率大于無齲兒童(P0.05)。上頜中切牙、下頜乳磨牙的患病率和發(fā)病率均較高。結(jié)論東部地區(qū)兒童3~5歲期間患齲率高,發(fā)病率高,一級(jí)預(yù)防應(yīng)從喂養(yǎng)早期開始;應(yīng)針對(duì)無齲兒童、高患齲水平區(qū)域、高患齲水平個(gè)體、好發(fā)牙位進(jìn)行綜合防治。
[Abstract]:Objective to investigate the prevalence and trend of deciduous dental caries in children aged 3 to 5 years in eastern China, and to provide a scientific basis for improving children's oral health. Methods the multistage stratified cluster sampling method was used to select Beijing and Shanghai in the eastern part of China. In 2010, three provinces (cities) of Guangdong established a primary dental caries monitoring cohort 896 to check the tooth status of the children in the cohort. Results the follow-up rate of this cohort was 79.8%, 7155.715 children aged 3 years, 4 years old and 5 years old, the prevalence rate of caries was 41.4 55.0% and 63.9%, respectively. The incidence rate of caries increased year by year, the average caries were 1.762.544 / 3.31, the average annual increase was 0.78 FG 33.886N / P 0.05, and the significant caries indicessil (sic) was 2.9 times of that of the whole caries in the year. The annual incidence of caries in 4years old was 43.66.9. the cumulative incidence of caries in 4years was 46.90.The annual incidence of caries was 2.9-fold of that of the whole caries of the whole year. The incidence of caries in 4years of age was 43.66.9. the cumulative incidence rate of caries was 46.9in the year as a whole, and the cumulative incidence of caries in each year was 2.9-times that of the whole caries. The cumulative incidence rate of rural children was higher than that of urban children (P 0.05), and that of baseline children with caries was higher than that of children without caries (P 0.05). Conclusion the prevalence rate of dental caries in children in the eastern region is high and the incidence rate is high. The primary prevention should begin at the early stage of feeding, and should be aimed at the areas with high caries level and the individuals with high caries level in the areas without caries. The predilection teeth were treated with comprehensive prevention and treatment.
【作者單位】： 復(fù)旦大學(xué)公共衛(wèi)生學(xué)院流行病學(xué)教研室-公共衛(wèi)生安全教育部重點(diǎn)實(shí)驗(yàn)室;
【基金】：國家衛(wèi)生和計(jì)劃委員會(huì)資助項(xiàng)目~~
【分類號(hào)】：R788.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前9條

1 苗江霞;李文s，

本文編號(hào)：1505641