上海市静安区152名聋哑学生口腔状况及龋病相关影响因素分析

目的: 调查上海市静安区聋哑学生的口腔健康状况,分析聋哑学生龋病的相关影响因素。方法: 对上海市静安区内2所聋哑学校152名9~18岁学生进行口腔检查及问卷调查。采用SPSS 22.0软件包对数据进行统计学处理。结果: 152名聋哑学生中,总患龋率为53.3%,龋均为1.80±2.66,牙龈出血检出率为65.8%,牙石检出率为69.7%。第一恒磨牙患龋率为36.2%,窝沟封闭率为0.6%。其中,12~15岁年龄组患龋率为50.0%,龋均为1.69±3.13,牙龈出血检出率为68.5%,牙石检出率为70.4%,均高于第4次全国口腔健康流行病学调查报告中12~15岁年龄城市组的各项数据。Logistic回归分显示,每天刷牙次数（P=0.009）、刷牙牙面（P<0.001）、刷牙时间（P=0.005）、饮用甜饮料及碳酸饮料频率（P=0.003）和口腔保健知识知晓情况（P=0.036）都是聋哑学生龋病发生的相关影响因素。结论: 针对聋哑学生的龋病防控,应进一步加强口腔健康教育,同时推进局部涂氟、窝沟封闭、早期龋齿充填等干预措施的实施,从而有效控制聋哑学生龋病的发生和发展。

Analysis of oral condition and caries related factors of 152 deaf-mute students in Jing'an district,Shanghai

PURPOSE: To investigate the oral condition of deaf-mute students in Jing 'an district, Shanghai, and to analyze caries related factors among deaf-mute students. METHODS: Using general survey method, 152 students aging from 9 to 18 years old from two schools in Jing 'an district of Shanghai underwent oral examinations and questionnaire survey. SPSS 22.0 software package was used for statistical analysis of the data. RESULTS: Among the 152 deaf-mute students, caries rate was 53.3%, DMFT index was 1.80±2.66, detection rate of gingival bleeding was 65.8%, detection rate of calculus was 69.7%, caries rate of first molar was 36.2%, and percentage of pit and fissure sealant was 0.6%. Among children aging 12-15 years old, the caries rate was 50.0%, DMFT index was 1.69±3.13, detection rate of gingival bleeding was 68.5%, and the detection rate of calculus was 70.4%, all were significantly higher than those of urban group aging 12-15 years old during the Fourth National Oral Health Epidemiological Survey. According to logistic regression analysis, frequency of daily brushing（P=0.009）, dental surface of brushing（P<0.001）, brushing time（P=0.005）, frequency of drinking sweet drinks and carbonated drinks（P=0.003）, and the knowledge of oral health care（P=0.036） were all related factors affecting the occurrence of caries among deaf-mute students. CONCLUSIONS: For the prevention and control of caries in deaf-mute students, we should further strengthen oral health education and promote the implementation of intervention measures such as local fluoridation, pit and fissure sealant and early dental caries filling, so as to effectively control the occurrence and development of caries in deaf-mute students.