遵义市2504例农民工子女龋病现况调查及防治策略初步研究

发布时间：2018-02-21 20:55

本文关键词： 农民工子女龋病防治策略　出处：《遵义医学院》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过调查分析,了解遵义市农民工子女龋病现况,发现问题并提出防治策略;为遵义地区有针对性的开展口腔公益项目、口腔预防保健工作提供依据,从而总结更安全、有效、便捷、廉价的优良方案;为课题下一步进行农民工子女龋病风险评估提供基础资料。方法:(1)通过整群分层抽样的方法对遵义市9所小学的学生进行口腔检查。根据学校提供的农民工子女名单将检查的人群分为留守儿童研究组、流动儿童研究组,以及城市常住儿童对照组,三组数据对比分析,从而了解农民工子女龋病现况及影响因素。(2)采用分层随机抽样方法,从进行龋病体检的9所小学中随机抽取3所小学,以不同年级不同性别分别发放调查问卷,将调查结果做统计学分析。了解遵义市农民工子女口腔保健意识和行为,并了解其龋病诊疗情况及影响因素。结果:(1)农民工子女龋病检查结果农民工子女中,两个研究组留守儿童和流动儿童的患龋率、龋均、龋齿充填构成比分别为63.34%、3.22、2.39%和67.88%、2.60、6.49%,对照组城市常住儿童组的患龋率、龋均、龋齿充填构成比分别为66.97%、2.21、12.56%。三组被调查人群分别按牙列情况分为混合牙列期和恒牙列期,留守儿童、流动儿童、城市常住儿童混合牙列期的患龋率72.97%、70.06%、72.41%,龋均3.85、2.77、2.45,龋齿充填构成比2.00%、2.39%、13.89,恒牙列期的患龋率25.90%、47.67%、33.55%,龋均0.76、1.03、0.76,龋齿充填构成比10.32%、21.3%、21.19%。(2)农民工子女口腔健康调查问卷结果龋病的发生与家庭人均年收入、家长学历、每天食糖量、每天刷牙次数、睡前进食习惯、嚼口香糖习惯等因素有关。城市常住儿童和流动儿童相比较留守儿童去口腔医疗机构的次数较多。其中城市常住儿童和流动儿童看牙的主要原因为拔牙和补牙,留守儿童不去看牙的原因主要是就医不方便、觉得牙齿没有问题、认为乳牙不重要等。城市常住儿童较流动儿童和留守儿童有更多利于口腔健康的行为习惯,如少吃甜食、多嚼口香糖、睡前不进食、父母帮忙刷牙。结论:(1)遵义市农民工子女口腔健康状况比城市常住儿童稍差,患龋率和龋均高,龋齿充填构成比低,应增强口腔健康意识,减少患龋,增加龋齿充填率,改善农民工子女口腔健康状况。(2)遵义市农民工子女的口腔健康知识知晓率较城市常住儿童稍低,口腔健康行为和意识差,应广泛深入增加口腔健康知识宣教。(3)遵义市农民工子女对乳牙重要性的认识较城市常住儿童差,应加强乳牙重要性的宣教工作。(4)遵义市农民工子女的龋病防治应该采取综合防治策略,针对性进行口腔健康保健宣传教育。使农民工子女养成良好的口腔卫生习惯,坚持定期口腔健康检查,实施窝沟封闭、氟化物等龋病预防措施。
[Abstract]:Objective: to investigate the status of dental caries in children of migrant workers in Zunyi city, find out the problems and put forward the prevention and cure strategies, and provide the basis for the development of oral public welfare programs and oral preventive health care in Zunyi area, so as to summarize the safety of dental caries. Effective, convenient, cheap and excellent solution; To provide the basic data for the risk assessment of caries for the children of migrant workers. Methods the oral cavity of 9 primary school students in Zunyi city was examined by cluster stratified sampling. According to the children of migrant workers provided by the school, the oral cavity of the children of migrant workers was examined by cluster stratified sampling. The list divides the groups examined into study groups for left-behind children. The study group of migrant children and the control group of urban resident children were compared and analyzed in order to understand the status of caries of migrant workers' children and the influencing factors. Three primary schools were randomly selected from 9 primary schools for caries physical examination. Questionnaires were sent out according to different grades and different genders. The results were statistically analyzed to understand the awareness and behavior of oral health care of children of migrant workers in Zunyi city. Results the dental caries of the children of migrant workers were examined, and the caries rate and mean caries rate of the two study groups were studied, including the left behind children and the floating children in the two study groups, and the results showed that the caries rate of the children in the study group was higher than that of the migrant children. The ratio of dental caries filling was 63.34% and 67.88%, respectively. In the control group, the caries rate, caries average and caries filling ratio were 66.97 ~ 2.21 ~ 12.560.The three groups were divided into mixed dentition period and permanent dentition period according to the dentition condition. Migrant children, The caries rate of urban children in mixed dentition period was 72.97 / 70.061.The ratio of dental caries was 3.85 / 2.77 / 2.45, the ratio of dental caries filling was 2.00 to 2.399.The caries rate of permanent dentition was 25.90,47.67 and 33.555.The caries rate was 0.761.0330.76, the proportion of dental caries filling was 10.32 / 21.321.1921.1921.1921.192.45) the incidence of dental caries and the per capita income of families were measured. Parents' education, daily sugar consumption, number of times of brushing teeth per day, eating habits before bedtime, Chewing gum habits and other factors related to. Urban children and migrant children compared with children left behind to go to dental care institutions more times. Among them, urban children and migrant children to see the main reasons for tooth extraction and filling, The main reason why left-behind children do not go to see their teeth is that it is not convenient for them to seek medical treatment, they feel that they have no problems with their teeth, and they think that their deciduous teeth are not important. Compared with migrant children and left-behind children, children living in cities have more behavior habits that are conducive to oral health, such as eating less sweets. Conclusion the oral health status of children of migrant workers in Zunyi is a little worse than that of children living in the city, the incidence of caries and caries is higher, the ratio of dental caries filling is low, the awareness of oral health should be enhanced. Reducing the incidence of caries, increasing the filling rate of dental caries, improving the oral health status of the children of migrant workers.) the awareness rate of oral health knowledge of the children of migrant workers in Zunyi was slightly lower than that of the children living in the city, and the oral health behavior and consciousness were poor. The children of migrant workers in Zunyi have a worse understanding of the importance of deciduous teeth than that of urban children. The prevention and cure of caries of the children of migrant workers in Zunyi city should adopt comprehensive prevention and cure strategy, and carry out oral health care propaganda and education to make the children of migrant workers develop good oral hygiene habits, so as to strengthen the propaganda and education on the importance of deciduous teeth. Adhere to regular oral health examination, the implementation of pit and groove sealing, fluoride and other caries prevention measures.
【学位授予单位】：遵义医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R788.1

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