›› 2018, Vol. 38 ›› Issue (2): 166-171.

• 调查研究 • 上一篇    下一篇

母亲与婴儿患龋风险的关系

卓文剑,哈茜,陆海霞,冯希平   

  1. 上海交通大学医学院附属第九人民医院
  • 收稿日期:2017-08-16 修回日期:2017-10-16 出版日期:2018-02-28 发布日期:2018-02-07
  • 通讯作者: 卓文剑 E-mail:zwj62399172@126.com
  • 基金资助:
    国家自然科学基金青年项目

Relation between mothers and infants’ risk of dental caries

  • Received:2017-08-16 Revised:2017-10-16 Online:2018-02-28 Published:2018-02-07

摘要: 目的 比较母亲不同社会人口学背景、自身口腔健康习惯、喂养习惯及口腔健康状况对一月龄婴儿罹患龋病的风险的影响。方法 通过问卷调查和口腔临床检查了解上海市黄浦区一月龄婴儿及其母亲的情况,并同时收集母亲和婴幼儿的口腔内菌斑样本以检测母亲和婴儿患龋风险的水平。结果 共165对母子/女参与本次调查。有10.3%的婴儿和41.9%的母亲口腔患龋风险水平为高危。母亲DMFS最大值为26,最小值为0,均值为2.7±3.9;母亲的VPI和BOP均值分别为0.42±0.19、0.14±0.15。多因素Logistic分析结果显示,婴儿龋病高风险的影响因素包括低体重儿(OR=6.5,95% CI=1.5-29.3),每天使用奶瓶次数在5次及以上(OR=5.1,95% CI=1.3-19.5)和母亲BOP阳性位点百分比在25%以上(OR=4.7,95% CI=1.3-16.8),其余社会人口学背景、母亲自身口腔健康行为和状况及母亲对婴儿的喂养情况无显著性相关(P>0.05)。 结论 上海市黄浦区有部分婴儿在一个月时即处在龋病风险高危水平。出生时是否低体重、每天使用奶瓶次数及母亲口腔牙龈状况与婴儿一个月龋病风险水平存在显著性相关。

关键词: 儿童早期龋, 龋病风险, 母亲, 多因素分析

Abstract: Objective To assess the influence of mothers’ different sociodemographic backgrounds, their own oral health habits, feeding habits and oral health status on their onemonth infants’ risk of dental caries. Methods Onemonth infants and their mothers from Huangpu district in Shanghai were involved in the study. Information was collected using questionnaires. Oral clinical examinations were performed and Plaque samples of mothers and their infants were also collected to assess their level of risk on dental caries. Results A total of 165 onemonth infants and their mothers participated in this study. 10.3% of onemonth infants and 41.9% of mothers were in the high risk of dental caries. DMFS of mothers ranged from 0 to 26 with a mean of 2.7±3.9. Mean values of VPI and BOP were 0.42±0.19 and 0.14±0.15.The result of the multivariable Logistic analyses indicated that the infants who were born underweight (OR=6.5, 95% CI=1.5-29.3), fed with nursing bottle more than 5 times every day (OR=5.1,95% CI=1.3-19.5), and their mothers who had more than 25% of site with bleeding (OR=4.7, 95% CI=1.3-16.8) were in the high risk of dental caries. No other sociodemographic background, oral health habits, and feeding habits were significantly associated with onemonth infants’risk of dental caries (P>0.05). Conclusions A number of onemonth infants have high risk of dental caries. Underweight when they were born, frequency of feeding with nursing bottles and mothers with serious gingivitis are associated with onemonth infants’ risk of caries.

Key words: early childhood caries, risk of dental caries, mother, multivariable analysis

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