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目的调查杭州市0~3岁儿童乳牙龋病流行病学情况,并对引起乳牙龋病的相关危险因素进行分析,为临床防治提供参考依据。方法选取2015年10月-2016年7月杭州口腔医院的2 300例儿童为研究对象,年龄0~3岁,采用调查问卷方式对儿童口腔检查结果、患儿一般状况、出生情况、口腔卫生习惯、喂养状况、饮食情况、母亲文化程度等内容进行统计,并进行相关检验分析。结果 0~3岁儿童患龋率、龋均、龋面均分别为33.9%、0.9、1.5;患乳牙龋病率、龋均、龋面均分别为10.7%、0.4、0.7。随着儿童的年龄增长,儿童相应的患龋率、患乳牙龋病率、龋均、龋面均呈增长趋势,0~3岁儿童患龋率、患乳牙龋病、龋均、龋面均之间比较,差异有统计学意义(P<0.05);不良喂养方式、母亲接受过高等教育、1年内母亲经口腔检查显示有龋、唾液检查出变链菌水平等是引起乳牙龋病的主要危险因素。结论杭州市0~3岁儿童随着年龄的增长,乳牙龋病发生率呈增长趋势;为减少乳牙龋病发生率,在儿童生活中应纠正儿童生活习惯、喂养方式,注重口腔卫生保护,加强口腔健康宣教。
Objective To investigate the prevalence of deciduous dental caries in children aged 0-3 years in Hangzhou and to analyze the related risk factors of deciduous teeth decayed caries to provide reference for clinical prevention and treatment. Methods A total of 2 300 children from Hangzhou Stomatological Hospital from October 2015 to July 2016 were selected as study subjects, aged 0 ~ 3 years old. The questionnaire was used to analyze children’s oral examination results, children’s general condition, birth status, oral health habits , Feeding status, diet, mother’s educational level and other content statistics, and related test analysis. Results The prevalence of caries, caries and caries in children aged 0-3 years were 33.9%, 0.9 and 1.5 respectively. The caries prevalence, caries per caries and caries were 10.7%, 0.4 and 0.7 respectively. With the increase of children’s age, the corresponding rate of caries-bearing children, caries prevalence rate, caries, caries surface all showed an increasing trend, children aged 0-3 years caries prevalence, deciduous caries, caries, caries surface (P <0.05); poor feeding methods, the mother received higher education, 1 year mother’s oral examination showed caries, saliva test streptococci level is the main cause of deciduous dental caries Risk factors. Conclusion The prevalence of deciduous dental caries in children aged 0-3 years in Hangzhou shows an increasing trend with age. In order to reduce the incidence of deciduous dental caries, children’s life habits and feeding patterns should be corrected in their children’s lives, oral hygiene protection should be strengthened and strengthened Oral health education.