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浦东新区儿童第一恒磨牙窝沟封闭质量及效果
引用本文:涂斌,樊英姿,汪旭东,陈芳荣.浦东新区儿童第一恒磨牙窝沟封闭质量及效果[J].中国学校卫生,2017,38(7):1030-1032.
作者姓名:涂斌  樊英姿  汪旭东  陈芳荣
作者单位:上海市浦东新区眼病牙病防治所,201399
基金项目:上海市浦东新区眼病牙病防治所所内科研资助项目
摘    要:评价浦东新区儿童第一恒磨牙窝沟封闭的质量及效果,为儿童第一恒磨牙窝沟封闭技术推广实施提供依据.方法 随机抽取浦东新区2012-2014年接受第一恒磨牙窝沟封闭公共卫生服务项目的605名儿童为研究对象,评价研究对象窝沟封闭涂膜保留率;随机抽取2012年未接受第一恒磨牙窝沟封闭的176名儿童作为对照组,评价接受和未接受窝沟封闭儿童第一恒磨牙患龋情况差异.结果 605名儿童实施窝沟封闭1~3年后的涂膜保留率分别为80.26%,70.83%,60.43%,差异有统计学意义(x2=16.46,P<0.01);实施第一恒磨牙窝沟封闭3年后,干预组儿童第一恒磨牙患龋率(4.10%,29/708)低于对照组(7.20%,51/708)(x2=6.41,P<0.05).结论 窝沟封闭作为公共卫生措施可以有效减少儿童第一恒磨牙龋齿的发生.

关 键 词:磨牙    龋齿    患病率    儿童

Quality and effect of pit and fissure sealants applied to the first permanent molar among children in Pudong New Area
Abstract:Objective To evaluate the quality and effect of pit and fissure sealants applied to the first permanent molar among children in Pudong New Area,and to provide basis for popularizing pit and fissure sealants applied to the first pemanent mular among children.Methods Totally 605 children who had received pit and fissure sealant in the first permanent molar in Pudong New Area during 2012-2014,and 176 children who had not received pit and fissure sealant in 2012,were randomly selected.Retention of the pit and fissure sealants and prevalence of first permanent molar caries was evaluated.Results The retention rate of pit and fissure sealant among children of grade 1-3 was 80.26%,70.83% and 60.43%,respectively;The difference was statis tically significant(x2 =16.46,P<0.01).Prevalence of first permanent molar caries was significantly lower in intervention group than that of the control group(4.10% vs 7.20%,x2 =6.41,P<0.05).Conclusion As one of the free public health services,the pit and fissure sealants among children can effectively prevent the occurrence of the first permanent molar caries.
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