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儿童龋齿患病风险因素的调查分析

Investigation and analysis of factors associated with dental caries in children

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目的:探讨儿童龋齿患病危险因素,并分析与儿童牙科畏惧(DFA)的相关性.方法:选取合肥市口腔医院收治的128例龋齿儿童作为观察对象,另选取120例健康儿童作为对照组.比较两组临床资料和儿童畏惧调查表牙科分量表(CFS-DS)评分差异,并采用Logistic回归分析明确影响儿童龋齿患病危险因素及其与CDF的相关性.结果:两组母乳喂养时间、零食味道偏好、零食食用情况、早晚刷牙、使用含氟牙膏、定期检查口腔、饭后漱口、变形链球菌及CFS-DS评分等资料对比,差异均有统计学意义(P<0.05).Logistic回归分析结果显示,母乳喂养时间≥12个月、喜爱甜食、CFS-DS评分≥32分以及变形链球菌阳性等因素是影响儿童龋齿患病的风险因素,而早晚刷牙、餐后漱口、使用含氟牙膏以及定期进行口腔检查等行为均是保护因素(P<0.05).结论:影响儿童龋齿患病的风险因素较多,其中CDF是独立风险因素,临床应针对影响因素制定相应的防治措施.
Objective:To explore the risk factors of dental caries in children,and to analyze the correlation with children's dental fear(Dental Fear or Anxiety,DFA).Methods:128 children with dental caries admitted to Hefei Stomatological Hospital were selected as the observation objects,and 120 healthy children were selected as the control group.The clinical data of the two groups were compared with the scores of children's fear questionnaire(CFS-DS),and Logistic regression analysis was used to identify the risk factors of dental caries in children and their correlation with CDF.Results:There were statistical differences in breast-feeding time,snack taste preference,snack consumption,brushing teeth in the morning and evening,using fluoride toothpaste,regular oral examination,gargling after meals,streptococcus mutans and CFS-DS score between the two groups(all P<0.05).Logistic regression analysis showed that breastfeeding time≥12 months,love of sweets,CFS-DS score≥32,and positive Streptococcus mutans were the risk factors of dental caries in children,while brushing teeth in the morning and evening,gargling after meals,using fluoride toothpaste and regular oral examination were the protective factors(all P<0.05).Conclusion:There are many risk factors affecting the prevalence of dental caries in children,among which CDF is an independent risk factor,and corresponding prevention and treatment measures should be formulated according to the influencing factors.

childrendental cariesinfluencing factorsdental fear

汪婧、徐秀敏

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合肥市口腔医院(安徽医科大学合肥口腔临床医学院) 安徽 合肥 230001

儿童 龋齿 影响因素 牙科畏惧

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(6)