高陵区300名3~5岁儿童患龋情况及相关因素分析

Status and related factors of caries in 300 children aged 3-5 years old in Gaoling district

目的了解高陵区3~5岁儿童乳牙患龋情况及相关影响因素,为有效制定儿童乳牙龋病预防及干预措施提供参考。方法采用随机抽样法,在本地区托幼机构中选取300名3~5岁儿童进行口腔健康检查,并对儿童家长进行问卷调查,分析儿童乳牙患龋情况及相关影响因素。结果高陵区3~5岁儿童乳牙患龋率、龋均、龋面均分别为57.67%、2.57、4.46,均随年龄增长呈逐步增加的趋势,不同性别儿童间无明显差异。多因素Logistic回归分析显示,开始刷牙年龄、刷牙次数、使用含氟牙膏为乳牙患龋的保护因素,进食甜食、饮料次数及睡前、刷牙后进食为乳牙患龋的危险因素(P<0.05)。结论高陵区3~5岁儿童患龋率高、充填率低,应提倡儿童养成良好的口腔卫生行为习惯,以降低儿童乳牙患龋率。

Objective To investigate the status and related influencing factors of caries in children aged 3-5 years old in Gaoling district,so as to provide reference for effective formulation of prevention and intervention measures for children's deciduous tooth caries.Methods A random sampling method was used to select 300 children aged 3-5 years old from nurseries in the region for oral health examination,and a questionnaire survey was conducted among the parents of the children,the status and related influencing factors of children's deciduous tooth caries were analyzed.Results The caries rate of deciduous teeth,the average number of missing teeth and the average number of missing teeth surfaces of children aged 3-5 years old in Gaoling district were 57.67%,2.57 and 4.46,respectively,which showed a gradual increase with age,and there was no significant difference between children of different genders.Multivariate Logistic regression analysis showed that age at the beginning of brushing,frequency of brushing and use of fluoride toothpaste were protective factors for deciduous teeth caries,while eating sweets,drinks times and eating before going to bed and after brushing teeth were risk factors for deciduous teeth caries(P<0.05).Conclusion Children aged 3-5 years old in Gaoling district have a high caries rate of deciduous teeth and low filling rates.Children should be encouraged to develop good oral hygiene habits to reduce the caries rate of deciduous teeth.