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广东省3~5岁人群乳牙龋病抽样调查报告(2015—2016年)
引用本文:李剑波,范卫华,赵望泓,黄少宏. 广东省3~5岁人群乳牙龋病抽样调查报告(2015—2016年)[J]. 广东牙病防治, 2017, 25(11). DOI: 10.12016/j.issn.2096-1456.2017.11.003
作者姓名:李剑波  范卫华  赵望泓  黄少宏
作者单位:1. 南方医科大学口腔医院,广东广州,510280;2. 南方医科大学南方医院,南方医科大学口腔医学院,广东广州 510080
基金项目:国家卫计委科教司2015年度公益性行业科研专项项目
摘    要:目的 了解广东省3~5岁人群乳牙龋病状况,为广东省口腔卫生保健工作提供信息支持.方法 采用多阶段分层等容量随机抽样的方法,抽取广东省3、4、5岁城乡常住人口各864人,男女各半,城乡各半.按照第四次全国口腔健康流行病学调查方案牙列检查方法和标准,使用CPI探针检查全口乳牙牙冠龋病情况.计算患龋率、龋均、充填率等.结果 3、4、5岁人群乳牙患龋率分别为58.33%、68.40%、78.47%,龋均分别为3.03、4.34、5.69,龋齿充填率分别为0.92%、1.47%、1.26%.3、4、5岁人群患龋率和龋均在城乡及年龄组间的差异有统计学意义,农村高于城市,随年龄增长,患龋状况加重;患龋率在不同性别间的差异无统计学意义,3岁人群龋均女性高于男性(t=2.04,P=0.042),4岁人群(t=0.15,P=0.882)、5岁人群(t=1.00,P=0.317)龋均在不同性别间的差异无统计学意义;5岁儿童患龋率(x2=23.123,P<0.001)和龋均(t=6.290,P<0.001)高于2005年,龋齿充填率提升不明显(x2=0.481,P=0.488).结论 广东省3~5岁儿童乳牙龋病患病状况较严重,98%以上的龋齿未经治疗,是龋病预防的重点人群,特别是农村儿童.

关 键 词:龋病  乳牙  口腔流行病学  学龄前儿童  横断面调查

A sampling survey of deciduous teeth caries in 3-5-year-old population in Guangdong Province (2015-2016)
LI Jianbo,FAN Weihua,ZHAO Wanghong,HUANG Shaohong. A sampling survey of deciduous teeth caries in 3-5-year-old population in Guangdong Province (2015-2016)[J]. Journal of Dental Prevention and Treatment, 2017, 25(11). DOI: 10.12016/j.issn.2096-1456.2017.11.003
Authors:LI Jianbo  FAN Weihua  ZHAO Wanghong  HUANG Shaohong
Abstract:Objective To explore the dental deciduous teeth caries among 3-5-year-old children in Guangdong Province and to provide information support for oral health care of Guangdong Province. Methods A cross-sectional survey was carried out among 2592 urban and rural residents in Guangdong. Subjects were from three different age groups (aged 3, 4 and 5), with 864 children in each group. Male and female were 1:1 in each group. An equal sized sampling with stratified multistage method was used. According to the criteria of clinical dentition examination of the fourth national oral health survey, the dental caries in deciduous teeth were recorded using CPI probe. And then the prevalence, the mean dmft (decayed-missing-filled tooth), the filled rate were calculated. Results The prevalence of dental caries in deciduous teeth in the three groups of aged 3, aged 4, aged 5 were 58.33%, 68.40%, and 78.47%inde-pendently;the mean dmft were 3.03, 4.34, and 5.69 independently;the filled rate were 0.92%, 1.47%, 1.26%indepen-dently. There were significant differences in the prevalence and the mean dmft between urban and rural areas and among different age groups. There was no significant difference in the prevalence regarding the gender in each group, The mean dmft in the group of aged 3 in female were higher than that in male, while no gender differences were found in the groups of aged 4 and aged 5. The prevalence and the mean dmft of 5-year-old children were higher than that in 2005. Conclusion The 3-5-year-old children of Guangdong Province had a really high prevalence of dental caries in deciduous teeth. More than 98%of the caries are unfilled, treatment need is extremely huge. The 3-5-year-old children are the main target for us to prevent the early childhood caries.
Keywords:Caries  Deciduous teeth  Oral epidemiology  Preschool children  Cross-sectional survey
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