南京市儿童牙病病人就医行为的调查分析

An analysis of children′s dental care seeking behavior in Nanjing city

目的:了解南京市儿童牙病患儿就诊原因和就医行为,以便有针对性地开展口腔健康教育、儿童心理辅导。方法:对来我院儿童牙科就诊的3～12岁儿童牙病患儿或家长进行问卷调查423例,幼儿园3～6岁儿童家长问卷调查216例。调查内容包括就医原因、末次就诊接受的口腔治疗项目、6岁以下儿童中过去1年内未就医原因。结果:儿童牙病以牙痛和有口腔问题而检查者居多,分别占56.26%和17.26%,并以拔牙、龋病者居多,分别占29.08%和27.42%;定期检查和接受预防措施的较少;78.24%的6岁儿童过去1年内没有看过牙。结论:儿童牙病以龋病及其并发症为主要就诊原因,就医行为以牙病引起急、慢性牙痛和有口腔问题者居多,治疗以龋病治疗和拔牙为主。儿童和家长口腔健康教育有待加强。

AIM： To understand the reasons for children to see a dentist and the patterns of dental care seeking behavior in Nanjing city,and to provide clinical guidance for individual oral health education,nursing cooperation and psychological counseling for children.METHODS： Four hundred and twenty-three questionnaires from children or their parents visiting the hospital and 216 questionnaires from the parents of kindergarten children under 6 were collected.Questions included the reasons for their visits,the treatment they received in the last visit,and the reasons why the children under 6 did not go to the dentist for the past year.RESULTS： The main reasons for children to visit a dentist were toothache and other oral problems,with proportions of 56.26% and 17.26%,respectively.However,very few children went to a dentist for regular examination or preventive treatment.Among all the treatment items,tooth extraction came first（accounting for 29.08%）,followed by filling（27.42%）.78.24% of 6-year-old children did not go to the dentist in the past year.CONCUSION： Caries and its complications are the main reasons for children to go to the dentist.They visit dentist mainly for acute toothache,chronic toothache and other oral problems.The treatment consists mainly of extraction and filling.The awareness of children and their parents of the importance of dental care should be further promoted.