社区综合干预对改善患龋学生就医行为的效果评价

Effects of community comprehensive intervention on health seeking behavior among pupils with caries

目的观察社区综合干预对患龋小学生接受口腔治疗的影响效果,为社区口腔保健提出有意义的建议。方法通过分层整群随机抽样方法,从辖区内小学中抽取1所公办和1所民办学校,通过口腔卫生检查,共检查出947名患龋学生,再将患龋学生按班级整群随机分为干预组(460人)和对照组(487人)。对干预组开展社区综合干预,对照组只进行一般社区口腔卫生管理,比较干预组、对照组小学生接受口腔治疗的情况变化。结果治疗率、充填率、窝沟封闭率干预后干预组(分别为56.30%,56.18%,16.96%)均高于对照组(分别为33.06%,36.15%,4.52%)和干预前(分别为30.87%,30.12%,4.57%),差异均有统计学意义(P值均<0.01);干预后对照组治疗率和窝沟封闭率与干预前差异无统计学意义(χ2值分别为2.12,0.02,P值均>0.05)。结论社区综合干预对患龋小学生接受口腔治疗有促进作用,可以运用于社区口腔卫生保健中。

Objective To assess the effect of community comprehensive intervention on caries among pupils, and to provide valuable suggestion for community-based oral health care. Methods All the pupils were selected by stratified random sampling method. Oral examination was carried out among selected pupils. Pupils with dental caries were randomly divided into intervention and control group. Comprehensive community intervention was given to the intervention group. Dental therapy was compared between intervention group and control group. Results The treatment rate, filling rate and sealant use rate in intervention group （56.30%, 56.18%, 16.96%） were all higher than that of control group （33.06%, 36.15%, 4.52%） and before intervention （30.87%,30.12% ,4.57%）. The differences in treatment rate and sealant use rates of control group before and after intervention were not statistically significant（χ^2=2.12,0.02,P〉0.05）. Conclusion Community-based comprehensive intervention could promote dental treatment among pupils with caries. It could be encouraged in routine community oral health care.