江苏省3~5岁儿童龋病流行病学抽样调查报告

›› 2019, Vol. 39 ›› Issue (2): 152-157.

江苏省3~5岁儿童龋病流行病学抽样调查报告

刘怡然¹,沈红²,仇颖莹²,沈家平²

1. 南京医科大学口腔疾病研究江苏省重点实验室，南京医科大学附属口腔医院
2. 江苏省口腔医院

收稿日期:2018-06-26 修回日期:2018-08-07 出版日期:2019-02-28 发布日期:2019-03-05
通讯作者: 沈家平 E-mail:shennyd@163.com
基金资助:
公益性行业科研专项

An epidemiological investigation of caries status in 3~5 years old children in Jiangsu Province

¹,

Received:2018-06-26 Revised:2018-08-07 Online:2019-02-28 Published:2019-03-05

摘要/Abstract

摘要： 目的了解江苏省3~5岁儿童龋病流行现状，为江苏省儿童口腔卫生保健工作提供信息支持。方法按照第四次全国口腔健康流行病学调查方案，采用分层多阶段等容量随机抽样的方法，抽取江苏省3~5岁儿童1337人，其中3岁组441人、4岁组455人、5岁组441人。使用CPI探针检查全口乳牙冠龋情况，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47.39%、60.22%和71.43%；龋均分别为2.22、2.94、4.05；龋齿充填率分别为0.72%、1.72%、2.63%。不同年龄组的患龋率和龋均不同（P<0.05），随年龄增长，患龋状况加重。患龋率和龋均在不同性别间的差异无统计学意义。3岁人群患龋率农村高于城市（P<0.01），4岁、5岁人群患龋率在城乡间差异无统计学意义。4岁人群龋均农村大于城市（P<0.05），3岁、5岁人群龋均在城乡间差异无统计学意义。不同样本地区儿童乳牙患龋状况不同。3、4、5岁儿童乳牙SiC分别为6.01、7.44、9.03。乳牙患龋率最高的牙位是上颌乳中切牙和下颌乳磨牙。5岁儿童乳牙患龋率和龋均高于2005年，充填率仅有小幅提升。结论江苏省3~5岁儿童乳牙患龋状况严重，应针对高风险人群进行重点防治。

关键词: 乳牙, 龋病, 口腔流行病学, 横断面调查

Abstract: Objective To describe the caries status in 3~5 years old children in Jiangsu Province and to provide information support for oral health care．Methods Referring to protocols of the fourth national oral health survey, we used the method of multistage, stratified, equal capacity, simple random sampling to draw a sample of 1337 in Jiangsu Province. Subjects were from three different age groups (aged 3, 4 and 5), with 441, 455 and 441 children in each group. The dental caries in deciduous teeth were recorded using CPI probe. And then the prevalence, the mean dmft, the filling rate were calculated. Results The prevalence of dental caries in deciduous teeth in the three groups of aged 3, 4, 5 were 47.39%, 60.22%, and 71.43% respectively; the mean dmft were 2.22, 2.94, and 4.05 respectively; the filling rate were 0.72%, 1.72%, and 2.63% respectively. There were significant differences in the prevalence, the mean dmft and the filling rate among different age groups and among different regions. There was no significant difference in the prevalence and mean dmft regarding the gender in each group. The prevalence in the group of aged 3 in rural areas was higher than that in urban areas (P<0.01), while no urban and rural differences were found in the groups of aged 4 and 5. The mean dmft in the group of aged 4 in rural areas was higher than that in urban areas (P<0.05), while no urban and rural differences were found in the groups of aged 3 and 5. The Sic index of the three groups of aged 3, 4, 5 were 6.01, 7.44, and 9.03 respectively. The highest prevalence occurred on the upper middle incisors and the lower molars. The prevalence rate and mean dmft of 5?year?old children were higher than that in 2005, and the filling rate improved a little. Conclusions The 3?5?year?old children of Jiangsu Province had a high prevalence of dental caries in deciduous teeth. Prevention programs focusing on high risk population were urgently needed.

Key words: primary tooth, caries, oral epidemiology, cross-sectional survey

中图分类号:

R788.1

刘怡然沈红仇颖莹沈家平. 江苏省3~5岁儿童龋病流行病学抽样调查报告[J]. , 2019, 39(2): 152-157.

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