上海市嘉定区家庭医师对妊娠期口腔疾病治疗的调查分析

Family physicians' knowledge regarding oral disease treatment during pregnancy in Jiading district, Shanghai city

目的:调查分析上海市嘉定区家庭医师对妊娠期口腔疾病治疗问题的认识。方法:采用问卷方式调查嘉定区家庭医师对妊娠期口腔保健知识的掌握度和口腔疾病治疗相关问题的认识,采用SPSS20.0软件包对数据进行统计学分析。结果:203名家庭医师参与问卷调查,共回收有效问卷192份。受调查者对于妊娠期口腔治疗安全期的知晓率为70.3%,知道口腔疾病可能导致不良妊娠结局的比例为90.1%,告知服务对象孕前进行口腔检查和治疗的比例为90.6%,认为孕期出现口腔疾病需要及时就诊的比例为93.8%。认为孕妇可以接受龋齿充填、冠修复、龈上洁治、根管治疗、龈下刮治和拔牙的比例分别为91.9%、60.4%、51.0%、40.1%和31.8%,认为孕妇可以接受口腔局麻以及牙科X线检查的比例为55.2%和31.8%,家庭医师的年龄、学历和技术职称是影响观点的主要因素(P值均<0.05)。结论:嘉定区家庭医师对妊娠期口腔保健知识知晓度较高,但对妊娠期口腔疾病治疗相关问题的看法存在差异,认为孕妇可以接受局麻和牙科X线片检查的医师多具备较高学历和高技术职称。

PURPOSE： This study was conducted to evaluate the knowledge of family physicians regarding oral disease treatment during pregnancy in Jiading district, Shanghai city. METHODS： A questionnaire was designed, involving the knowledge of oral health care and oral disease treatment during pregnancy. Data retrieved was entered into Excel database and analyzed using SPSS20.0 software package. RESULTS： 203 family physicians were involved in the investigation. 192 valid questionnaires were obtained in the study. 70.3% of respondents knew the safety period of oral treatment during pregnancy; 90.1% were aware of that oral diseases could lead to adverse pregnancy outcomes; 90.6% informed the clients that oral examination and treatment should be performed before pregnancy. 93.8% of the respondents supported that pregnant women need timely oral treatment. The proportions of the respondents who believed that pregnant women could receive dental caries filling and crown repair, supragingival scaling, root canal therapy, tooth extraction and subgingival scaling were 91.9%, 60.4%, 51.0%, 31.8%, and 40.1%, respectively. The proportions of the respondents holding out that pregnant women could receive local oral anesthesia and dental X-ray examination were 55.2% and 31.8%. Doctors＇ age,education, and technical title were the most important factors affecting their understanding（P〈0.05）. CONCLUSIONS：The present study demonstrates that family doctors in Jiading district are highly aware of oral health care knowledge during pregnancy. However, there are great differences in understanding of issues related to treatment of oral diseases during pregnancy. The majority of doctors believing that pregnant women can use local anesthetic drugs with routine dental X-ray examinations have higher academic qualifications and technical titles.