廊坊12岁儿童口腔健康状况及相关危险因素调查

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1、廊坊12岁儿童口腔健康状况及相关危险因素调查[摘要]目的调查河北省廊坊市12岁儿童口腔健康状况及相关危险因素，为有针对性地开展口腔健康促进项目提供依据。方法采用横断面研究，采用分层、多阶段、整群抽样的方法从廊坊市广阳区、三河市、永清县、大厂回族自治县和文安县获得12岁儿童907名，进行口腔临床检查和结构式问卷调查。结果儿童患龋率为28%，龋失补牙数为0.51，龋补充填率为18%，第一恒磨牙窝沟龋坏占所有龋坏的77%，牙石检出率为29%。问卷调查结果显示，44%的儿童每天刷牙2次，45%的儿童报告有牙龈出

2、血，认为自己有牙龈炎的比例是8%。有33%的学生报告从学校获取口腔卫生知识。结论12岁儿童龋坏主要集中在窝沟，建议在适龄儿童中筛选高危人群开展窝沟封闭项目。儿童口腔卫生差，迫切需要口腔卫生指导。学校应该成为12岁儿童口腔健康教育的有效平台。[关键词]12岁儿童；龋齿；牙龈出血[中图分类号]R780.1[文献标识码]A[文章编号]1673-7210（2014）05（a）-0100-05Investigationonoralhealthstatusof1216years-oldschoolchildreni

3、nLangfangCityanditsassociatedriskfactorsLIUMin1GAOPing2SUNPeng1HANYongcheng1▲1.DepartmentofPreventiveDentistry,BeijingStomatologicalHospitalAffiliatedtoCapitalMedicalUniversity,Beijing100050,China;2.LangfangMaternalandChildHealthCareCenter,HebeiProvince,

4、Langfang065000,China[Abstract]ObjectiveToinvestigatetheoralhealthstatusandassociatedriskfactorsof12years-oldschoolchildreninLangfangCity,HebeiProvince,inordertoprovidebasisfordevelopmentoftargetedoralhealthpromotionproject.MethodsCross-sectionalstudywasa

5、dopted.Amultiplestratifiedandclusterrandomizedsamplingmethodwasusedtogain90712years-oldschoolchildrenfromGuangyangDistrict,SanheCity,YongqingCounty,HuiAutonomousCountyofDachangandWen’anCountyofLangfangCity.Oralhealthexaminationandstructuredquestionnairew

6、ereusedtocollectrelatedinformation.ResultsTheprevalenceofpermanentcarieswas28%,DMFTwas160.51,thepercentageoffilledteethamongfilledanddecayedteethwas18%.Thepitandfissurecariesoffirstmolarconsistedof77%,andthepercentageofchildrenwithdentalcalculuswas29%.Qu

7、estionnairesurveyresultsshowedthat44%ofchildrenreportedtobrushedteethtwiceaday;thepercentageofchildrenreportedgumbleedingwas45%;however,only8%ofchildrenrecognizedtheyhadgingivitis.33%ofchildrenclaimedtheycouldgainoralhealthknowledgeinschool.ConclusionSea

8、lantprogramisrecommendedforhighcaries-risksubgroupof12years-oldschoolchildrenbasedonthehighprevalenceofpitandfissurecariesinfirstmolar.School-basedandintegratedoralhygieneinstructionprogramareurgentlyneeded.[Keywords]12yea