陈琦雯, 施乐, 陆佳琪, 袁爽. 上海市静安区3岁儿童患龋状况及口腔清洁行为分析[J]. 上海预防医学, 2020, 32(10): 788-792. DOI: 10.19428/j.cnki.sjpm.2020.20003
引用本文: 陈琦雯, 施乐, 陆佳琪, 袁爽. 上海市静安区3岁儿童患龋状况及口腔清洁行为分析[J]. 上海预防医学, 2020, 32(10): 788-792. DOI: 10.19428/j.cnki.sjpm.2020.20003
CHEN Qi-wen, SHI Le, LU Jia-qi, YUAN Shuang. Dental caries and oral cleaning behavior of 3-year-old children in Jing′an District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2020, 32(10): 788-792. DOI: 10.19428/j.cnki.sjpm.2020.20003
Citation: CHEN Qi-wen, SHI Le, LU Jia-qi, YUAN Shuang. Dental caries and oral cleaning behavior of 3-year-old children in Jing′an District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2020, 32(10): 788-792. DOI: 10.19428/j.cnki.sjpm.2020.20003

上海市静安区3岁儿童患龋状况及口腔清洁行为分析

Dental caries and oral cleaning behavior of 3-year-old children in Jing′an District, Shanghai

  • 摘要:
    目的 调查上海市静安区3岁儿童的患龋状况,并分析口腔清洁行为对儿童龋病发生的影响。
    方法 整群随机抽取上海市静安区12所幼儿园600名3岁儿童进行口腔检查,并对家长进行儿童口腔清洁行为问卷调查。采用SPSS 22.0软件对数据进行统计学分析。
    结果 600名儿童中,总患龋率为41.33%,龋均为1.76±2.92。没有刷牙习惯的儿童患龋率较高(80.0%),差异有统计学意义(χ2=29.995,P < 0.001)。每次刷牙时间超过3 min的儿童,患龋率较低(32.8%),差异有统计学意义(χ2=3.918,P=0.048)。家长每天帮助刷牙的儿童患龋率较低(30.7%),差异有统计学意义(χ2=8.718,P=0.013)。logistic回归分析结果显示,开始刷牙的年龄、每天刷牙的次数和每次刷牙的时间长短都与儿童患龋率高低相关(P < 0.05)。
    结论 对于3岁儿童的龋病预防与控制工作,正确的口腔清洁行为非常重要,应将家长列为儿童口腔清洁行为的重点执行人群,学校应加强对家长口腔保健的宣教,医疗机构应加强对家长正确刷牙的指导,从家庭、学校、医疗机构三方面入手,降低学龄前儿童的患龋率。

     

    Abstract:
    Objective To investigate dental caries in 3-year-old children in Jing′an District of Shanghai and analyze the influence of oral cleaning behavior on caries in children.
    Methods Six hundread 3-year-old children from 12 kindergartens in Jing′an District, Shanghai were randomly selected by cluster sampling method for oral examination, and a self-administered questionnaire survey on children′s oral cleaning behavior was completed by parents.SPSS 22.0 software package was used for statistical analysis.
    Results Among the 600 children, the prevalence of dental caries was 42.50%, and the average dmft index was 1.76±2.92.Children who did not brush their teeth had a statistically significant increase in rate of dental caries(χ2=29.995, P < 0.001).Children who brushed their teeth for more than three minutes each time had a statistically significant lower rate of caries(χ2=3.918, P=0.048).Children whose parents helped their children brush their teeth every day had a lower rate of caries than those who brushed teeth by themselves, and the difference was statistically significant (χ2=8.718, P=0.013).Logistic regression analysis showed that age of beginning brushing teeth, times of brushing teeth per day and length of brushing teeth per time were all influence factors for caries in children (P < 0.05).
    Conclusion For the prevention and control of dental caries in 3-year-old, proper oral cleaning behavior is very important.We should make parents as a priority group for doing oral hygiene in children.Schools should strengthen oral health education for parents.Medical institutions should guide and monitor the effectiveness of oral hygiene in children.It is important to reduce the rate of dental caries in preschool children from three aspects:family, school and medical institutions.

     

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