乌鲁木齐市6-10岁小学生六龄牙患龋和萌出情况的调查分析及龋病防治的探讨

发布时间：2018-09-17 15:04

【摘要】：目的：了解乌鲁木齐市6-10岁小学生六龄牙患龋和萌出情况,调查龋病危险因素,分析龋病病因,探讨防治六龄牙龋病的相关措施。方法：按照第三次全国口腔健康流行病学及健康教育抽样调查的要求,采用整群抽样方法对乌鲁木齐市5所小学6-10岁1183名小学生进行口腔健康检查和问卷调查,问卷内容包括儿童基本情况、口腔卫生习惯、饮食习惯、婴儿时的喂养方式、父母亲文化程度及经济收入等情况,并对检查及问卷调查结果进行统计学分析。结果：1、1183名儿童(维429,汉754),患龋率13.36%,女生(16.54%)高于男生(11.43%),维吾尔族(16.78%)高于汉族(11.41%),差异均有统计学意义(p0.05),患龋率随着年龄增高而上升。2、维、汉学生六龄牙萌出率随着年龄增长呈上升趋势,总萌出率92.41%,汉族六龄牙完全萌出率高于维吾尔族,维、汉六龄牙萌出状况有统计学差异p0.05)。3、Logistic回归分析患龋病因：刷牙年龄早、刷牙时间长、常喝牛奶是六龄牙的保护因素(OR1,α=0.05)；甜食和甜饮高频率食用是六龄牙患龋的危险因素(OR1,α=0.05)。结论：乌鲁木齐市6-10岁儿童六龄牙患龋较高,女生患龋率高于男生,维吾尔族患龋率高于汉族；乌鲁木齐市6-10岁儿童六龄牙萌出率整体略偏滞后,汉族完全萌出率高于维吾尔族；甜食和甜饮是龋病的主要危险因素,早刷牙和正确刷牙可以降低患龋的危险；乳牙患龋是六龄牙患龋的危险因素。预防六龄牙患龋应加强口腔健康教育宣传,采取适当的龋病防治措施,普及适龄儿童六龄牙窝沟封闭。
[Abstract]:Objective: to investigate the incidence of dental caries and eruption in primary school students aged 6 to 10 in Urumqi, investigate the risk factors of caries, analyze the etiology of caries, and explore the relevant measures for the prevention and treatment of dental caries in 6-10 years old in Urumqi. Methods: according to the requirements of the third National sampling Survey on Oral Health Epidemiology and Health Education, 1183 pupils aged 6 to 10 years old in 5 primary schools in Urumqi were examined and investigated by cluster sampling. The contents of the questionnaire included the basic situation of children, oral hygiene habits, eating habits, infant feeding patterns, parents' education and income, etc. The results of the examination and questionnaire were statistically analyzed. Results among 1183 children (Wei 429, Han 754), the caries rate of female students (16.54%) was higher than that of boys (11.43%), and that of Uygur nationality (16.78%) was higher than that of Han nationality (11.41%). The eruption rate of sixth instar teeth of Han nationality was higher than that of Uygur nationality (p 0.05) .3Logistic regression analysis showed that the cause of dental caries was earlier than that of brushing teeth, and the total eruption rate was 92.41%, and the complete eruption rate of Han nationality was higher than that of Uygur nationality, Uygur nationality and Han nationality. Drinking milk was the protective factor for sixth instar teeth (OR1, 伪 0. 05), and high frequency consumption of sweet food and sweet drink was the risk factor of dental caries (OR1, 伪 0. 05). Conclusion: the dental caries of 6-10 years old children in Urumqi is higher than that of boys, and the rate of dental caries in Uygur is higher than that of Han nationality, while the rate of eruption of 6-10 years old children in Urumqi is slightly lagging behind, and the incidence of dental caries is higher in girls than in boys, and higher in Uygur than in Han nationality. The rate of complete eruption of Han nationality is higher than that of Uygur, sweet food and sweet drink are the main risk factors of caries, brushing early and correctly brushing teeth can reduce the risk of caries, and caries of primary teeth is the risk factor of caries in sixth instar teeth. The prevention of dental caries at the sixth instar should strengthen the oral health education, take appropriate measures to prevent and cure caries, and popularize the fissures and furrows of the sixth instar children of the right age.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R788.1

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