国际口腔医学杂志

国际口腔医学杂志 ›› 2025, Vol. 52 ›› Issue (4): 484-489.doi: 10.7518/gjkq.2025025

• 论著 • 上一篇    下一篇

贵州省实施儿童口腔疾病综合干预项目地区与非干预地区12岁儿童口腔健康状况调查分析

赵南洋1,2(),吴娟娟2,周洲1,2,陈欣月3,张旭彤3,徐逸飞1,2,戴泰鸣2()   

  1. 1.遵义医科大学口腔医学院 遵义 563000
    2.贵阳市口腔医院口腔预防科 贵阳 550000
    3.贵州大学医学院 贵阳 550000
  • 收稿日期:2024-08-02 修回日期:2024-10-29 出版日期:2025-07-01 发布日期:2025-06-20
  • 通讯作者: 戴泰鸣
  • 作者简介:赵南洋，医师，硕士，Email：1245813211@qq.com
  • 基金资助:
    贵州省卫生健康委员会科学技术基金(gzwjkj2019-1-173)

Oral health status of 12-year-old children in the areas and non-intervention areas of comprehensive intervention project for pediatric oral diseases in Guizhou Province

Nanyang Zhao1,2(),Juanjuan Wu2,Zhou Zhou1,2,Xinyue Chen3,Xutong Zhang3,Yifei Xu1,2,Taiming Dai2()   

  1. 1.School of Stomatology, Zunyi Medical University, Zunyi 563000, China
    2.Dept. of Oral Prevention, Guiyang Stomatological Hospital, Guiyang 550000, China
    3.Medical School of Guizhou University, Guiyang 550000, China
  • Received:2024-08-02 Revised:2024-10-29 Online:2025-07-01 Published:2025-06-20
  • Contact: Taiming Dai
  • Supported by:
    Science and Technology Fund Project of Guizhou Provincial Health Commission(gzwjkj2019-1-173)

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摘要：

目的 通过分析贵州省实施儿童口腔疾病综合干预项目地区和非干预地区12岁儿童的口腔健康状况及其相关因素，了解项目实施对12岁儿童口腔健康状况，口腔健康知识、态度和行为的影响。 方法 采用2019年6月—2020年11月贵州省口腔健康流行病学调查的全省12岁儿童口腔健康数据，分层抽取项目干预地区与非干预地区各6个，共2 654人。比较项目干预地区与非干预地区12岁儿童在口腔健康状况，口腔健康知识、态度、行为，牙科服务利用和糖饮食方面的差异。 结果 项目干预地区12岁儿童患龋率、龋均、牙周状况，牙科服务利用率，口腔健康知识、态度和行为等均好于非干预地区，项目干预地区窝沟封闭剂存留牙数也更高，差异具有统计学意义（P<0.05）。但在因龋补牙数、龋补充填比及糖饮食方面两者并没有明显的差异（P>0.05）。 结论 贵州省儿童口腔疾病综合干预项目对改善贵州省12岁儿童的口腔健康状况、提升其口腔健康知识和健康行为具有潜在的促进作用。儿童口腔疾病综合干预更有助于改善和提高贵州省学龄儿童的口腔健康状况和素养。

关键词: 贵州省, 儿童, 龋病, 口腔疾病综合干预项目, 流行病学调查

Abstract:

Objective　This study aimed to understand the effect of implementing the comprehensive intervention pro-ject for pediatric oral diseases on the oral health status, health knowledge, attitudes, and behavior of 12-year-old children in the intervention and non-intervention areas of Guizhou Province where the project was implemented. Methods　The oral health data of 12-year-old children in Guizhou Province were collected from the oral health epidemiological survey of the province from June 2019 to November 2020, and six areas were selected from each project intervention and non-intervention area, with a total of 2 654 children. The oral health status, oral health knowledge, attitude, behavior, dental service utilization, and sugar diet of 12-year-old children in the project intervention and non-intervention areas were compared. Results　The prevalence of caries, average caries, periodontal status, utilization rate of dental services, oral health knowledge, attitude, and behavior of 12-year-old children in the project intervention areas were better than those in the non-intervention areas, and the number of retained teeth with cavity and ditch sealing agent was higher in the project intervention area, with statistically significant difference (P<0.05). However, no significant difference was observed in the number of dental caries, caries filling ratio, and sugar diet (P>0.05). Conclusion　The comprehensive intervention program for children’s oral diseases in Guizhou Province has a potential role in improving the oral health status, oral health knowledge, and health behavior of 12-year-old children in Guizhou Province. The comprehensive intervention of children’s oral diseases could be more helpful to improve and enhance the oral health status and literacy of school-age children in Guizhou Province.

Key words: Guizhou Province, child, dental caries, comprehensive intervention project for oral diseases, epidemio-logical investigation

中图分类号: 

  • R780.1

表 1

项目干预地区与非干预地区研究对象基本信息"

是否项目

干预地区

人数经济地区城乡性别
一类二类三类城市农村男女
项目干预地区1 320446441433674646663657
非干预地区1 334439456439667667659675

表 2

项目干预地区与非干预地区分类变量观察指标的比较"

变量项目干预地区非干预地区χ2值P值
n%n%
患龋10.0770.002
是49637.5858243.63
否82462.4275256.37
牙龈探诊出血4.0230.045
是77058.3382962.14
否55041.6750537.86
牙石检出161.077<0.001
是79760.381 10282.61
否52339.6223217.39
窝沟封闭史75.302<0.001
是937.0580.60
否1 22792.951 32699.40
口腔健康知识8.7690.012
良好634.77473.52
中等1 04178.861 01676.16
较差21616.3627120.31
口腔健康态度28.972<0.001
积极态度211.59221.65
温和态度1 00676.2189366.94
消极态度29322.2041931.41
口腔健康行为
是否刷牙2.2680.132
刷牙1 14786.891 13284.86
偶尔或从不刷17313.1120215.14
刷牙频次31.007<0.001
≥2次65557.1152546.38
1次45439.5853647.35
不是每天刷383.31716.27
使用含氟牙膏△7.9740.019
是645.71544.83
否897.9512711.35
不知道96786.3493883.82
使用牙线8.2570.041
每天用161.2140.30
每周用70.5370.52
偶尔用886.67785.85
不用1 20991.591 24593.33
是否12个月内看过牙*25.705<0.001
是28921.8919114.32
否1 03178.111 14385.68

表 3

项目干预地区与非干预地区计量变量观察指标的比较"

变量项目干预地区

非干预

地区

t值P值
全口牙DT0.83±1.511.03±1.75-3.1380.002
MT0.00±0.060.00±0.001.3420.18
FT0.05±0.380.02±0.211.7350.08
DMFT0.88±1.581.06±1.76-2.710.007
窝沟封闭剂存留牙数0.14±0.590.01±0.157.897<0.001
第一恒磨牙DT0.06±1.010.72±1.06-2.8780.004
MT0.05±0.330.03±0.261.2830.20
FT0.00±0.060.00±0.001.0000.32
DMFT0.65±1.050.75±1.09-2.3970.017
糖饮食评分8.67±3.728.54±3.670.9220.356
1 王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京: 人民卫生出版社, 2018: 39-40.
Wang X. Report of the fourth national oral health epidemiological survey[M]. Beijing: People’s Medical Publishing House, 2018: 39-40.
2 卫生部办公厅关于印发《中西部地区儿童口腔疾病综合干预项目工作规范(2011版)》的通知[J]. 中华人民共和国卫生部公报, 2011(7): 44-61.
The General Office of the Ministry of Health on printing and issuing the work specifications for the integrated intervention project on child oral diseases in central and western regions (2011 ed)[J]. Gazette of the Ministry of Health of People’s Republic of China, 2011(7): 44-61.
3 李凤娟, 王丽茹, 许凤鸣, 等. 河南省适龄儿童第一恒磨牙窝沟封闭5年效果[J]. 现代疾病预防控制, 2023, 34(3): 166-169.
Li FJ, Wang LR, Xu FM, et al. Effect of sealing the first permanent molar fossa groove for 5 years in school-age children in Henan Province[J]. Mod Dis Contr Prev, 2023, 34(3): 166-169.
4 Wu HJ, Cheng ML, Zhang CZ, et al. Associated factors of oral health-related quality of life in Chinese adolescents aged 12-15 years[J]. Chin J Dent Res, 2021, 24(2): 105-112.
5 Yuan C, Wang XZ, Sun XY, et al. Oral health status of 12-year-olds from regions with and without cove-rage of the national oral health comprehensive intervention program for children in China[J]. Chin J Dent Res, 2018, 21(4): 299-306.
6 李凤娟, 许凤鸣, 王丽茹, 等. 河南省儿童口腔疾病综合干预项目地区学生口腔健康行为现状分析[J]. 北京口腔医学, 2023, 31(5): 351-356.
Li FJ, Xu FM, Wang LR, et al. Analysis of oral health behavior status of students in the area of comprehensive intervention program for children oral diseases in Henan Province[J]. Beijing J Stomatol, 2023, 31(5): 351-356.
7 Jodkowska E. Efficacy of pit and fissure sealing: long-term clinical observations[J]. Quintessence Int, 2008, 39(7): 593-602.
8 韦琨, 庞鸣, 陈柏霖, 等. 南宁市儿童窝沟封闭项目3年效果评价[J]. 广西医科大学学报, 2015, 32(6): 1000-1002.
Wei K, Pang M, Chen BL, et al. Three-year effect evaluation of children’s pit and fissure sealing pro-ject in Nanning[J]. J Guangxi Med Univ, 2015, 32(6): 1000-1002.
9 刘丽华, 于颖慧. 张家港市小学生口腔健康教育干预效果评价[J]. 中国校医, 2019, 33(5): 333-334.
Liu LH, Yu YH. Effect of oral health education intervention in primary school students in Zhangjiagang City[J].Chin J School Doc, 2019, 33(5): 333-334.
10 Subedi K, Shrestha A, Bhagat T, et al. Effectiveness of oral health education intervention among 12-15-year-old school children in Dharan, Nepal: a randomized controlled trial[J]. BMC Oral Health, 2021, 21(1): 525.
11 国家统计局. 2019年中国统计年鉴[M]. 北京: 中国统计出版社, 2019: 17.
National Bureau of Statistics. China statistical yearbook 2019[M]. Beijing: China Statistics Press, 2019: 17.
12 国家卫生和计划生育委员会. 2017年中国卫生和计划生育统计年鉴[M]. 北京: 中国协和医科大学出版社, 2017: 41.
National Health and Family Planning Commission. 2017 China health and family planning statistical yearbook[M]. Beijing: Peking Union Medical College Press, 2017: 41.
13 陈黎明, 刘涛, 胡洲. 贵州省口腔健康流行病学调查报告[M]. 贵阳: 贵州大学出版社, 2022: 28.
Chen LM, Liu T, Hu Z. Oral health epidemiological survey in Guizhou Province[M]. Guiyang: Guizhou University Press, 2022: 28.
14 令狐昌丽, 陈黎明, 戴泰鸣, 等. 贵州省12岁儿童口腔流行病学调查结果分析[J]. 中国地方病防治杂志, 2021, 36(1): 28-29.
Linghu CL, Chen LM, Dai TM, et al. Analysis of oral epidemiology survey results of 12-year-old children in Guizhou Province[J]. China Ind Econ, 2021, 36(1): 28-29.
15 谢莉莉, 邓旎, 廖天安, 等. 海口市小学生口腔健康教育干预效果评价[J]. 中国学校卫生, 2017, 38(8): 1158-1160.
Xie LL, Deng N, Liao TA, et al. Effectiveness of oral health education intervention among primary school students in Haikou[J]. Chin J School Health, 2017, 38(8): 1158-1160.
16 黄仙霞. 口腔健康教育对改善小学生口腔卫生状况的效果[J]. 名医, 2021, 12(3): 193-194.
Huang XX. The effect of oral health education on improving the oral hygiene status of primary school students[J]. Renowned Doctor, 2021, 12(3): 193-194.
17 李凤娟, 许凤鸣, 王丽茹, 等. 河南省儿童口腔疾病综合干预项目地区4 868名学生牙周健康状况调查[J]. 中国初级卫生保健, 2022, 36(5): 88-91.
Li FJ, Xu FM, Wang LR, et al. Periodontal health condition on 4 868 students of comprehensive intervention project of oral diseases of school-age children, Henan Province[J]. Chin Prim Health Care, 2022, 36(5): 88-91.
18 满龙龙, 丁建航. 贵州省留守儿童成因分析及方案对策[J]. 当代经济, 2018, 34(24): 100-101.
Man LL, Ding JH. Cause analysis and scheme countermeasures of left-behind children in Guizhou Pro-vince[J]. Contemp Econ, 2018, 34(24): 100-101.
19 袁才友, 徐圣聪, 袁必林. 贵州饮食文化与旅游业融合发展研究[J]. 美与时代(城市版), 2023, 12(5): 118-120.
Yuan CY, Xu SC, Yuan BL. Research on the integrated development of Guizhou culinary culture and tourism industry[J]. Beauty Times (City ed), 2023, 12(5): 118-120.
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