社区婴幼儿口腔健康状况剖析及干预.docVIP

社区婴幼儿口腔健康状况剖析及干预 　　[摘要] 目的 分析社?^婴幼儿口腔健康状况，探讨干预方法。 方法 选取2013年2月～2015年3月北京市丰台区万年花城社区婴幼儿503名，作为干预组，对其建立口腔健康档案，包括牙体情况、口腔黏膜及相关软组织结构、牙齿咬合、喂养习惯、口腔不良习惯等个体化资料。有针对性地进行家庭相关知识指导，进行早期疾病诊断，追踪1.5～2年。选取同社区同年龄入幼儿园的未建立档案儿童502名，作为对照组。比较两组婴幼儿家长的婴幼儿口腔健康知识知晓率，两组婴幼儿的患龋率、龋均数以及口腔不良习惯情况。 结果 干预前对照组婴幼儿家长的婴幼儿口腔健康知识知晓率为76.10%（382/502），干预组为76.93%（387/503），差异无统计学意义（P 0.05）；经过建档护理干预后，干预组婴幼儿家长的婴幼儿口腔健康知识知晓率上升为86.08%（433/503），对照组为71.71%（361/502），差异有统计学意义（P 0.05）；经过建档护理干预后，干预组婴幼儿的患龋率为30.02%（151/503），龋均为0.62，对照组婴幼儿的患龋率为43.03%（216/502），龋均为0.98；干预组婴幼儿的患龋率、龋均数均明显低于对照组，差异均有统计学意义（均P 0.05）。在口腔不良习惯方面，进行护理干预后，干预组存在口腔不良习惯的婴幼儿比例为17.10%（86/503），对照组为32.07%（161/502），干预组的不良习惯出现率明显低于对照组，差异有统计学意义（P 0.05）。 结论 采用建立档案管理的方式可以明显降低婴幼儿口腔疾病的发生率，改善婴幼儿的口腔健康状况，具有积极意义。 　　[关键词] 婴幼儿；口腔健康；档案管理 　　[中图分类号] R780.1 [文献标识码] A [文章编号] 1673-7210（2017）01（b）-0066-04 　　Analysis and intervention of oral health status of infants in community 　　SHAO Ruoheng GUAN Fei WANG Mengxing ZHAO Liping LI Yuehua 　　Department of Stomatology， Childrens Hospital， Capital Institute of Pediatrics， Beijing 100020， China 　　[Abstract] Objective To analyze the oral health status of infants in community， and explore the intervention method. Methods 503 cases of infants in Wannianhuacheng Community of Fengtai District in Beijing City from February 2013 to March 2015 were selected as the intervention group， and their individual oral health records including dental conditions， oral mucosa and the related soft tissue structure， teeth， feeding habits， oral habits were established. The guidance of family related knowledge was carried out， and diagnosed the disease in early stage. All infants were followed up for 1.5 to 2 years. 502 cases of children in same age as the infants of intervention group were selected as the control group in kindergarten， who didnt have oral health records. The infant oral health knowledge awareness rate of parents， the caries rate and DMFT and bad oral habits were compared between the two groups. Results Before the intervention， the in