东北地区5岁儿童乳牙患龋状况及影响因素的抽样调查分析.pdfVIP

上海13腔医学 2007年12月 第16卷 第6期 · 570· Shanghai Journal of Stomatology Vo1．16 No．6 December，2007 [文章编号]1006-7248(2007)06-0570．04 ·临床研究· Clinical Study 东北地区5岁儿童乳牙患龋状况及影响因素的抽样调查分析 张颖 ，程睿波 ，程敏 ，李岩 (1．中国医科大学口腔医学院 口腔预防教研室，辽宁沈阳 110002； 2．吉林大学口腔医学院 口腔预防教研室，吉林长春 130041： 3．黑龙江省口腔病防治院，黑龙江 哈尔滨 150001) 【摘要】目的：研究东北地区5岁儿童乳牙龋病患病情况，探讨影响龋患的因素。方法：采用多阶段分层等容量随机抽 样方法，对东北三省2353例5岁儿童进行患龋情况调查，并随机抽取 l191例儿童家长问卷。应用 SPSS12．0软件包 对影响乳牙龋的相关因素进行x 检验及Logistic回归分析。结果：东北地区5岁儿童乳牙患龋率为75．82％，高于全 国的平均水平。吉林省儿童患龋率最高，黑龙江与辽宁省较低，后两者无显著性差异(Jp0．05)。农村患龋高于城市。父 (母)的文化程度(尸0．001)~1孩子睡前进食甜点( 0．006)对乳牙龋有显著影响。结论：加强对东北地区儿童家长的El 腔健康教育和口腔卫生指导，控制儿童睡前甜食和饮料摄入，是防止乳牙龋发生的有效途径。 【关键词】儿童；龋病；影响因素；东北地区 【中图分类号】R_780．1 【文献标识码】A The prevalence of dental caries in primary dentition and the risk factors of 5-year-old children in Northeast of Chi衄 ZHANG Ying。，CHENG Rui-bo ，CHENG Min ，LI Yan ． ．Department of Preventive Dentistry,School of Stomatology,China Medical Univemit~Shenyang 1lO002,Liaoning Province；2．Department of Preventive Dentistry, Stomatological College of Jilin University．Changchun 130041，Jilin Province；3．Heilon~iang Provincial Oral Disease Prevention Hospita1．Harbin 150001，Heilon~iang Province，China) 【Abstract】PURPOSE：To study the prevalence of dental caries in primary dentition of 5-year-old children in Northeast of China，and assess the risk factors for dental caries．METHODS：The representative samples were selected by multi- stage， stratified and random sampling from the three provinces of Northeast of China． Dental caries of 2353 children at five-year age were recorded according to WHO criteria．Th e questionnaire were f