重庆市窝沟封闭项目对城乡儿童口腔健康的影响

发布时间：2018-01-12 10:41

本文关键词：重庆市窝沟封闭项目对城乡儿童口腔健康的影响　出处：《中国学校卫生》2016年02期 　论文类型：期刊论文

【摘要】：目的评估重庆市窝沟封闭项目的干预效果,为有效预防儿童龋病提供依据。方法采取分层随机整群抽样的方法,对重庆市干预组(2 321人)与对照组(2 025人)的12岁儿童进行自填式问卷调查与口腔健康检查。口腔健康检查由经统一培训的牙科医生采用一次性CPI探针进行,数据采用SPSS 19.0进行统计分析。龋均比较采用独立样本t检验,正确刷牙率、龋患率、牙龈出血率与牙结石检出率比较采用χ~2检验。结果儿童正确刷牙率城市干预组(38.40%)略高于对照组(36.99%),差异无统计学意义(χ~2=0.44,P0.05);而农村为干预组(12.76%)高于对照组(10.04%),差异有统计学意义(χ~2=4.21,P0.05)。城市干预组第一恒牙龋患率(14.23%)、恒牙龋患率(21.35%)均高于对照组(10.27%,11.06%),差异均有统计学意义(P值均0.05)。农村儿童第一恒牙龋患率、恒牙龋患率均为对照组(37.69%,53.04%)高于干预组(22.08%,33.44%),差异均有统计学意义(P值均0.05)。城市干预组与对照组恒牙龋均分别为0.43与0.18,差异有统计学意义(t=6.69,P0.01);农村干预组与对照组分别为0.83与1.64,差异有统计学意义(t=10.43,P0.01)。结论儿童窝沟封闭项目对于预防龋病是有效的,但重点应关注农村儿童。
[Abstract]:Objective To evaluate the effect of intervention on children ' s caries and to provide a basis for the effective prevention of dental caries in Chongqing . The method of stratified random cluster sampling was used to carry out self - filling questionnaire and oral health examination for 12 - year - old children in Chongqing intervention group ( 2,321 persons ) and the control group ( 25 persons ) . The results showed that the rate of teeth brushing was significantly higher than that in the control group ( 36.99 % ) . The difference was statistically significant ( 蠂 ~ 2 = 4.21 , P0.05 ) . The rate of dental caries in the first permanent teeth of the urban intervention group ( 21.35 % ) was higher than that in the control group ( 10.27 % , 11.06 % ) , and the difference was statistically significant ( P < 0.05 ) . Conclusion The children ' s fissure closure project is effective in preventing dental caries , but the emphasis should be paid to rural children .

【作者单位】：重庆市疾病预防控制中心慢病所;重庆医科大学附属口腔医院预防科;
【分类号】：R788.1
【正文快照】： 龋病是儿童青少年常见的疾病之一[1-2],根据第三次全国口腔健康流行病学调查结果,12岁男、女童恒牙患龋率分别为25.4%和32.6%,龋均为0.5[3]。林居红等[4]报道2002年重庆市城市与农村12岁儿童龋患率分别为37.07%与29.79%。胡峗等[5]2005年第三次全国口腔流行病学调查重庆市12岁

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