| 杨静,杨芳.青岛市学龄前儿童 528名龋病情况调查及其社会生物学因素分析[J].安徽医药,2020,24(7):1313-1316. |
| 青岛市学龄前儿童 528名龋病情况调查及其社会生物学因素分析 |
| Investigation and sociobiological factor analysis of dental caries in preschool children in Qingdao city |
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| DOI：10.3969/j.issn.1009?6469.2020.07.011 |
| 中文关键词: 龋齿 儿童，学龄前 免疫球蛋白 A，分泌 刷牙 危险因素 回归分析 |
| 英文关键词: Dental caries Child,pre?school Immunoglobulin A,secretory Toothbrushing Risk factors Regression 2).,Theinciden,ceofdentalcariesi,npre?schoolchildren,analysis |
| 基金项目:国家自然科学基金委员会面上项目( 81670979) |
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| 中文摘要: |
| 目的调查青岛市学龄前(年龄范围 3～6岁)儿童龋病的发生情况，分析与其相关的社会及生物学因素，为儿童龋病干预和预防提供参考。方法选取 2017年 9月至 2018年 9月青岛市幼儿园学龄前儿童，年龄范围 3~6岁，年龄( 4.9±1.2)岁，调查其患龋情况。根据是否患龋病，采用多阶段分层随机抽样，将其分为患龋组和对照组，比较两组的基本信息、行为习惯、唾液指标等，分析影响因素，构建 logistic回归模型。结果发放 600份调查问卷，回收问卷 569份，回收率 94.83%，剔除未完成检查的儿童，最后共纳入 528名受试者，其中 280名儿童有龋齿，患龋率 53.03%。年龄较大［(4.24±1.65)比( 3.67±0.73)岁］、饮料摄入频率高［(3.58±0.79)比( 2.42±1.20)分］、睡前摄入甜品［(2.17±0.27)比( 1.22±0.34)分］、刷牙时长短［(2.91±1.23)比( 2.03±1.67)分］、刷牙次数少［(3.24±1.22)比( 1.35±0.62)分］、口腔健康知识了解程度低［(3.25±1.42)比( 1.98±0.92)分］、唾液分泌型免疫球蛋白 A含量低［(0.12±0.06)比( 0.32±0.21)mg/mL］和基质金属蛋白酶 ?2含量高［(149.28±19.32)比( 105.43±20.95)mmol/L］可能是影响龋齿发生的重要因素，其 OR(95%CI)分别为 1.240(1.013?1.678)、 3.473(2.435?5.672)、 11.012(2.783?27.002)、 3.145(1.226?5.965)、 2.889(1.305?4.516)、 10.870(5.137?23.724)、 0.100(0.092?0.653)、 2.173(1.473?4.522)。结论学龄前儿童的口腔龋齿发病率较高，需通过培养儿童健康刷牙习惯、饮食习惯，知识宣教，定期监测唾液情况等进行干预和改善。 |
| 英文摘要: |
| Objective To investigate the prevalence of dental caries in preschool children in Qingdao city and to explore sociobio?logical factors that influence the occurrence of dental caries，thus providing reference for the prevention and intervention of dental caries.Methods Preschool children in Qingdao kindergartens from September 2017 to September 2018，ranging in age from 3 to 6 years and aged(4.9+1.2)years，to investigate their caries status.Children were divided into caries group and control group by multi?stage stratified random sampling.The basic information，lifestyle and habits，and salivary indicators were collected to screen the pos? sible factors.Then，the logistic regression model was established.Results A total of 600 questionnaires were issued and 569 ques?tionnaires were recovered with the recovery rate of 94.83%.Pupils who did not complete the examination were excluded and a totalof 528 pre?school children were enrolled.A total of 280 participants suffered from dental caries and the caries rate was 53.03%.Old?er age［( 4.24±1.65)vs.(3.67±0.73)years］，higher drink intake frequency［( 3.58±0.79)vs.(2.42±1.20)points］，pre?bedtime in? take of desserts［(2.17±0.27)vs.(1.22±0.34)points］，shorter brushing duration［(2.91±1.23)vs.(2.03±1.67)points］，less times of brushing［( 3.24±1.22)vs.(1.35±0.62)points］，less knowledge of oral health［( 3.25±1.42)vs.(1.98±0.92)points］，lower IgA［(0.12±0.06)vs.(0.32±0.21)mg/mL］and higher MMP?2 in saliva［(149.28±19.32)vs.(105.43±20.95)mmol/L］may be indepen? dent factors affecting the occurrence of dental caries，with odds ratio(OR)and 95% confidence interval(95%CI)of 1.240(1.013?1.678)3.473(2.435?5.672)11.012(2.783?27.002)3.145(1.226?5.965)2.889(1.305?4.516)10.870(5.137?23.724)，0.100(0.092?0.653)，.173(1.473?4.522Conclusion is high.It is necessary for childrento develop healthy brushing andeating habits，receive education of oral health and monitor the salivary indicators regularly. |
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