上海口腔医学

上海口腔医学 ›› 2020, Vol. 29 ›› Issue (4): 405-409.doi: 10.19439/j.sjos.2020.04.014

• 论著 • 上一篇    下一篇

上海市浦东新区低龄儿童龋危险因素分析

吴日玥1, 曹桂芝2, Vivien FENG2, 冯希平2, 陈曦2,*, 韩晓兰1,*   

  1. 1.安徽医科大学第一附属医院 口腔科,安徽 合肥 230032;
    2.上海交通大学医学院附属第九人民医院 口腔预防科,上海 200011
  • 收稿日期:2020-01-07 修回日期:2020-03-26 出版日期:2020-08-25 发布日期:2020-09-11
  • 通讯作者: 陈曦,E-mail：371921358@qq.com;韩晓兰,E-mail：3265758393@qq.com。*共同通信作者
  • 作者简介:吴日玥（1993-）,女,硕士研究生,E-mail：grainywry@163.com
  • 基金资助:
    上海市浦东新区卫生和计划生育委员会联合攻关项目（PW2015D-6）; 上海市卫健委适宜技术项目（2019SY027）

Risk factors of dental caries among young children in Pudong New District, Shanghai

WU Ri-yue1, CAO Gui-zhi2, Vivien FENG2, FENG Xi-ping2, CHEN Xi2, HAN Xiao-lan1   

  1. 1. Department of Dentistry, The First Affiliated Hospital of AnHui Medical University. Hefei 230032, Anhui Province;
    2. Department of Preventive Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Received:2020-01-07 Revised:2020-03-26 Online:2020-08-25 Published:2020-09-11

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摘要： 目的：建立幼儿园儿童的前瞻性队列,纵向研究低龄儿童龋的发病原因。方法：采用整群随机抽样方法,在上海市浦东新区城郊各抽取1所幼儿园,共240名小班儿童加入本研究。采用SPSS 21.0软件包中的χ2检验、方差分析、二项logistic回归模型和一般线性回归模型,对该队列儿童基线及随访1年后的龋患情况进行分析。结果：该队列研究前2年随访率为88.3%,基线和随访第1年儿童患龋率分别为58.3%,69.8%,龋均分别为3.1±4.2、4.5±4.9,56.1%的儿童发生新龋。Logistic回归分析显示,居住在郊区（P=0.010）和吃糖果频率较高（P=0.036）的儿童,新发龋率较高。一般线性回归方程结果显示,郊区儿童（P<0.001）,未使用含氟牙膏（P=0.003）以及吃糖果频率较高（P=0.002）的儿童,新发龋均较高。结论：居住在郊区、未使用含氟牙膏以及进食糖果频率较高,是学龄前儿童新发龋的重要危险因素。

关键词: 龋病, 乳牙, 危险因素, 患龋率, 发病率, 队列研究

Abstract: PORPOSE: To establish a prospective cohort of kindergarten children and longitudinally study the causes of early childhood caries. METHODS: Cluster random sampling was used to select a kindergarten in the urban and suburban areas of Pudong New District of Shanghai, a total of 240 small-class children joined the study. Chi-square test, analysis of variance, binomial logistic regression model and general linear regression model was used to analyze caries of the cohort children at baseline and 1 year after follow-up with SPSS 21.0 software package. RESULTS: In the first two years of this cohort study, the follow-up rate was 88.3%, the caries rate in the first year of baseline and follow-up were 58.3% and 69.8%, and the mean dmft values were 3.1±4.2 and 4.5±4.9, respectively. 56.1% of children had new caries. Logistic regression results showed that children who lived in the suburbs (P=0.010) and ate candy more frequently (P=0.036) had higher rates of new caries. The results of general linear regression equation showed that children in the suburbs (P<0.001), those who did not use fluoridated toothpaste (P=0.003) and those who ate candy more frequently (P=0.002) had higher new mean dmft values. CONCLUSIONS: Living in the suburbs, not using fluoride toothpaste and eating candy more frequently are important risk factors for new caries in preschool children in Pudong New District of Shanghai.

Key words: Dental caries, Deciduous teeth, Risk factors, Caries prevalence, Incidence, Cohort study

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