张家口市小学生患龋状况及其危险因素剖析.docVIP

张家口市小学生患龋状况及其危险因素剖析 　　【摘要】 目的 了解张家口市7～10岁小学生龋齿患病情况及其危险因素,为开展小学生口腔健康教育提供依据。方法 整群抽样调查张家口市3所小学共2 432名7～10岁小学生的龋齿患病情况,进行危险因素的问卷调查及Logistic回归分析。结果 调查对象的患龋率为38.69%,龋均0.82,患者龋均2.12。患龋的主要危险因素有喜甜食、出生地,而坚持刷牙、定期口腔检查、采用窝沟封闭术、餐后漱口则是保护性因素。结论 培养良好的口腔卫生习惯与健康的饮食习惯,加强口腔卫生知识的宣传教育,是降低儿童青少年患龋率的重要手段。 　　【关键词】 龋齿;患病率;因素分析,统计学;学生 　　【中图分类号】 R 781.1 【文献标识码】 A 【文章编号】 1000-9817(2010)07-0822-03 　　 　　Analysis of Risk Factors of Dental Caries Among Pupils in Zhangjiakou/SHI Bao-lin*, LI Jian-jun, WU Yan-hua, et al.* Hebei North University, Zhangjiakou(075000), Hebei Province, China 　　【Abstract】 Objective To investigate prevalence rate and risk factors of dental caries in pupils aged 7 to 10 years in Zhangjiakou, and to provide evidence for developing oral health education. Methods From three primary schools in Zhangjiakou, 2 432 primary scholars aged from 7 to 10 years were examined and inquired. Logistic regression was used to analyze the risk factors. Results Prevalence rate of dental caries in primary scholars was 38.69%, the average caries was 0.82 and the average caries of suffers was 2.12. Risk factors of dental caries were eating dessert and birthplace. Protective factors had habit of brushing teeth, mouths examining, fissure sealant and rinsing mouth after meals, the difference was significant(P0.05). Conclusion To bring up dental health and favorable food habit and development of health education on care of mouth are the crucial approach to reducing caries prevalence of pupils. 　　【Key words】 Dental caries; Prevalence; Factor analysis, statistical; Students 　　 　　龋齿是一种少年儿童的常见病和多发病之一,目前在我国发病呈上升趋势,严重影响青少年的生长发育。为了解张家口市低年级小学生龋齿患病情况及其主要危险因素,对张家口市3所小学7~10岁共2 432名小学生的龋齿患病情况及相关因素进行流行病学调查,为进一步开展小学生口腔健康教育、提高健康水平提供依据。 　　 　　1 对象与方法 　　 　　1.1 对象 采用随机整群抽样方法,调查张家口市3所小学一~四年级中7~10岁的小学生共2 432名,其中男生1 248名,女生1 184名。 　　1.2 方法 　　1.2.1 调查方法及内容 被调查者采取坐位,由经过统一培训的专业口腔医师在自然光线下用口腔专用检查器械(口镜、镊子、探针)进行检查,将被检者口腔分为4个象限,详细记录龋齿数量、位置等情况。同时,采用自行编制的《龋齿患病危险因素调查表》对调查对象的一般情况、生活习惯、饮食习惯等进行问卷调查。 　　1.2.2 诊断标准 采用世界卫生组织(W