氟化泡沫与氟保护漆治疗对学龄前儿童第一恒磨牙龋齿的疗效及经济性分析

Effect and Economic Analysis of Fluorinated Foam and Fluorinated Protective Paint on the First Permanent Molar Caries in Preschool Children

目的探究氟化泡沫与氟保护漆对学龄前儿童第一恒磨牙龋齿的疗效及经济性分析。方法选取2020年5月—2022年9月玉门市中医医院收治的280例第一恒磨牙龋齿学龄前儿童,按随机数表法分为对照组和试验组,每组140例。对照组开展氟化泡沫治疗,试验组开展氟保护漆治疗,两组均治疗4次。对比两组临床指标、新增龋均、龋面均、总有效率、满意度水平。结果治疗前两组患者的龋均、龋面均比较,差异无统计学意义(P>0.05);治疗后两组患者的龋均、龋面均值均升高,并且治疗后试验组升高幅度小于对照组,差异均有统计学意义(P<0.05);治疗后试验组患者新增龋均、龋面均值均低于对照组相应值,差异有统计学意义(P<0.05)。试验组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05)。试验组患者治疗满意度高于对照组,但是差异无统计学意义(P>0.05)。结论临床上氟保护漆对学龄前儿童第一恒磨牙龋齿治疗有重要意义,既可改善该磨牙龋齿相关指标,又能提高儿童治疗总有效率,家属满意度水平,应用价值显著。

Objective To explore the efficacy and economic analysis of fluorinated foam and fluorine protected paint on dental caries of the first permanent molars in preschool children.Methods A total of 280 preschoolers with caries in the first permanent molars admitted to Yumen Hospital of Traditional Chinese Medicine,Gansu Province from May 2020 to September 2022 were randomly divided into control group and experimental group with 140 cases in each group.The control group received fluorinated foam treatment and the experimental group received fluorinated protective lacquer treatment.Both groups were treated 4 times.The clinical indexes,average number of new caries,average caries surface,total effective rate and satisfaction level were compared between the two groups.Results There was no significant difference between the two groups before treatment(P>0.05).After treatment,the average caries and the average caries surface of the two groups increased,and after treatment,the increase in the experimental group was less than that in the control group,with significant differences(P<0.05);After treatment,the average of newly added caries and the average of caries surface in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05);The total effective rate of patients in the experimental group was higher than that in the control group,with a statistically significant difference(P<0.05);The treatment satisfaction of patients in the experimental group was higher than that of the control group,but the difference was not statistically significant(P>0.05).Conclusion Fluoride protector is of great significance in clinical treatment.It can not only improve the caries related indicators of the first permanent molars of preschool children,but also improve the total effective rate of children,the satisfaction level of family members,and has significant promotion value.