366例小学生口腔健康行为与龋齿发病的相关因素分析

Analysis of the Relationship in Oral Health Behavior and the Dental Caries in 366 Pupils

目的对小学生口腔健康行为与龋病发病影响因素进行研究,为制定相关报告及建议提供依据。方法选择天山区1所小学的7~12岁自愿参与(家长签订知情同意书)的小学生366人检查口腔健康,男生190人,女生176人。对儿童龋病进行临床检查,并通过问卷调查其家长取得儿童口腔健康行为数据,了解儿童龋齿患病及口腔行为危险因素情况。结果总体患龋率为42.62%,龋均为2.60,不同家长职业的儿童龋齿率分布不同,差异有统计学意义(χ~2=22.081,P<0.05),家长学历不同,儿童龋齿率不同,其差异有统计学意义(χ~2=12.925,P<0.05);龋病发病与进食碳酸饮料(χ~2=27.18)、进食甜点心(χ~2=36.87)、及是否睡前吃甜点(χ2=24.28)、刷牙方式(χ~2=20.39)、是否使用含氟牙膏(χ~2=12.25)、是否做过窝沟封闭(χ~2=11.37)有关,差异有统计学意义(P<0.05)结论小学生口腔健康行为与龋病发病情况存在相关性,应加强对儿童的口腔健康教育,促进儿童口腔健康。

Objective To conduct a survey among pupil＇s oral health behavior and dental caries for providing evidence to relevant reports and suggestions. Methods 366 pupils with 7～12 years old from a school of Tianshan area were conducted the oral cavity,including 190 boys and 176 girls. To understand the risk factors of dental caries and oral behavior, the clinical examination of caries was carried out and the data of oral health behaviors of children were obtained through questionnaires. Results The total dental caries rate was42.62%, caries were 2.60. The dental caries rate of different parents professional was different, the difference was statistically significant（χ^2=22.081, P〈0.05）. Children＇ dental caries rate of parent＇s different education was different, the difference was statistically significant（χ^2=12.925, P〈0.05）. The occurrence of dental caries were associated with eating carbonated soft drinks（χ^2=27.18）, eating dessert before sleeping（χ^2=36.87）, and eating dessert（χ^2=24.28）, brushing way（χ^2=20.39）, using fluoride toothpaste（χ^2=12.25）, nest groove closed（χ^2=11.37）, the differences were statistically significant（P〈0.05）. Conclusion The occurrence of dental caries are associated with pupil＇s oral health behavior. We should strengthen oral health education for children to promote children＇ oral health.