广东省先天性心脏病儿童口腔健康状况及就医行为初步调查

Study of oral health status and dental treatment in children with congenital heart disease in Guangdong Province

目的：了解广东省先天性心脏病儿童的口腔卫生现状，为先心病儿童的口腔卫生保健1作提供客观依据。方法：参照第二次全国口腔健康流行病学调查的相关内容及检查标准，选取广东省119名2～16岁先心病儿童调查其龋病、叮视菌斑指数及相关口腔就诊信息。结果：先心病儿童患龋率为72.3％，龋均、龋面均分别为（4．9±5．2）、（10.3±14．8），可视菌斑指数为（48．1％±26．7％）。5-6岁年龄组龋均高于2。4岁组（P=0．002）。检出588颗龋齿，8颗已行充填治疗，龋齿充填率仅1．4％。14名儿童曾就诊牙医，因口腔问题就诊者占78．6％。结论：广东省先心病儿童口腔卫生状况差，患龋率高，龋患情况严重，但牙科治疗率低，与其父母缺乏口腔预防保健意识有关，提示加强和重视先心病儿童口腔卫生教育的必要性。

Objective：To evaluate the oral health status and behaviors of children with congenital heart disease （CHD）, aiming to provide necessary information for oral health care plans. Method：The study comprised 119 children with CHI） whose mean age was 5.8 years. Based on the methodology used in the 3rd national oral health survey,data of dental caries and dental treatment information were collected with dental examination and a questionnaire. Result：The caries prevalence in CHD children was 72.3 %. The mean of dmft/DMFT and dmfs/DMFS were （4.9±5.2） and （10.3±14.8）. The visible plaque index was 48.1%. In each age group,the mean draft in 5-6 years old group is higher than 2~4 years old group （P =0.002）. Among total 588 carious teeth,only 8 had been filled. Fourteen children had visited the dentist, and 78.6 % visited the den- tist only when they had oral problems. Conclusion：Compared with the results of the 3rd national oral health survey,children with CHD have higher caries prevalence and poorer oral health status,but fewer of them had received dental treatment. It is suggested that we should pay more attention to CHD children/s oral education.