广西农村6岁儿童龋病调查及的影响因素分析.docVIP

广西农村6岁儿童龋病调查及的影响因素分析 　　摘要：目的 了解广西农村地区6岁儿童龋病患病现状，分析龋病患病情况与口腔保健行为的相关性，为开展农村地区牙病防治工作提供依据。方法 按随机整群抽样方法抽取广西农村地区1438 名6岁儿童，以口腔检查和问卷调查两种方式收集相关数据。结果 总患龋率为93.7%，龋均为8.35。龋病发病与儿童进食碳酸饮料次数、每次刷牙所用时间具有相关性，差异有统计学意义(P0.05)。结论 儿童龋病的患病情况与儿童的口腔保健行为存在相关性，应通过完善农村的医疗服务保障、加强口腔预防保健宣传教育等方法提高农村儿童的口腔健康水平。 　　关键词：儿童；龋病；影响因素 　　An Investigation of Dental Caries and the Correlative Factors Analysis in 6-year-old Children in the Rural Area in Guangxi 　　CHEN Bo-lin,LIN Wei-yuan,LI He,ZENG Xiao-juan 　　(College of Stomatology,Guangxi Medical University,Nanning 530000,Guangxi,China) 　　Abstract：ObjectiveTo understand the dental caries disease status of 6-year-old children in rural area in Guangxi,analyze the correlation between dental caries disease status and oral health behavior,to provide the basis for rural dental disease prevention and control work.MethodsAccording to random cluster sampling method to extract 1438 6-year-old children in Guangxi rural area,collect relevant data in the ways of oral cavity and questionnaire investigation.Results The total rate of dental caries was 93.7%,the DMFT were 8.35.Dental caries disease has the correlation with the number of childrens drinking carbonated drinks and the time of brushing teeth;the difference has statistical significance (P0.05).Conclusion Childrens dental caries disease status has correlation with oral health behavior.It can improve the oral health level of rural children through perfecting rural medical service and strengthening preventive oral health propaganda education. 　　Key words：Children;Dental caries;Correlative factors 　　口腔疾病是人类的常见病、多发病，其患病率高，涉及人群广泛，严重威胁和影响着城乡居民的生命健康和生活质量。儿童口腔健康作为全身健康的重要组成部分，对儿童身心健康的发展和发育是相当重要的[1]。龋病是由细菌、饮食、唾液和牙齿本身等多因素共同作用下引起牙体硬组织发生进行性破坏的儿童慢性口腔疾病[2]，是儿童口腔常见病。根据第三次全国口腔健康流行病学调查显示：广西5岁儿童乳牙患龋率为83.4%,高于全国66%的平均水平；12岁儿童恒牙患龋率42.4%,也高于全国平均水平（28.9%）。本研究通过对广西农村6岁儿童口腔健康状况的调查，了解其现状和特点，为分析口腔健康行为与龋病的关系、探讨适宜的农村口腔健康促进模式以及为卫生部门制订发展方针提供可靠依据。 　　1资料与方法 　　1.1一般资料本次调查开展时间为2012年9月~10月。调查选取了广西区内田东县、天等县、大化县、隆安县、靖西县五个县，按照随机整群抽样方法对每个县抽取5