浙江省景宁畲族自治县2014年中学生龋患调查分析

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目的了解景宁县畲汉族中学生龋齿患病情况,为学生口腔保健工作提供依据。方法用分层整群抽样法,从景宁县5所学校的中学生中,随机抽34个班畲汉两族学生1 336人,进行龋齿检查和问卷调查。结果景宁县中学生患龋率(恒牙)为45.5%,其中补牙率25.5%,失牙率9.5%,平均龋齿1.36颗、平均补牙1.81颗、平均失牙1.45颗。患龋率:男生42.9%,女生48.1%;畲族生52.6%,汉族生44.6%;初中生45.9%,高中生44.0%;13~14岁组36.3%,15~16岁组48.3%,17~18岁组49.5%,≥19岁组44.8%。logistc回归分析结果显示:吃糖/甜食(OR=3.16)、吃饼干/巧克力(OR=1.80)和吃零食(OR=3.08)是龋齿患病的主要影响因素。结论景宁县畲汉族中学生恒牙龋患情况较10年前更严重,应积极开展口腔保健工作,做好畲汉中学生的口腔卫生工作。 Objective To understand the prevalence of dental caries among middle-school students of She-Han nationality in Jingning County, and to provide basis for the oral health care work of students. Methods By stratified cluster sampling method, 1 336 students from 34 families of She and Han were randomly selected from 5 middle school students in Jingning County for dental caries examination and questionnaire survey. Results The prevalence rate of dental caries was 45.5% in middle school students in Jingning County. The rate of dental malnutrition was 25.5%. The average rate of dental malnutrition was 9.5%. The mean number of dental caries was 1.36. The average number of dental caries was 1.81 and the average number of lost teeth was 1.45. The rate of caries was 42.9% for boys and 48.1% for girls, 52.6% for shes and 44.6% for Han students, 45.9% for middle school students, 44.0% for high school students, 36.3% for 13-14 years old, 48.3% 49.5% of 18-year-old group, 44.8% of ≥19-year-old group. Logistc regression analysis showed that eating sugar / sweets (OR = 3.16), eating biscuits / chocolate (OR = 1.80) and eating snacks (OR = 3.08) were the main influencing factors of dental caries. Conclusion The prevalence of dental caries in She Han nationality middle school students in Jingning County is more serious than that of 10 years ago. Oral health care should be actively carried out to improve the oral health of She Han middle school students.
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