摘要
目的:回顾性分析到北京大学口腔医院儿童口腔科就诊的初诊患者的主诉和治疗需求,发现其特点并提出相应对策。方法:选择在2010年5月到2011年1月到北京大学口腔医院儿童口腔科就诊的3 148名患者作为研究对象,记录患者的年龄、性别、主诉、主要疾病诊断等信息。结果:患者的年龄为0.8～18.0岁,中位数为5.0岁,平均(6.23±3.46)岁,其中男1 649例(52.4%,1 649/3 148),女1 499例(47.6%,1 499/3 148)。按主要疾病诊断分类为:龋病1 105例(35.1%,1 105/3 148),牙髓根尖周病1 013例(32.2%,1 013/3 148),牙齿发育异常363例(11.5%,363/3 148),口腔健康检查281例(8.9%,281/3 148),牙外伤212例(6.7%,212/3 148),间隙管理及错牙合矫正62例(2.0%,62/3 148),牙周及黏膜病41例(1.3%,41/3 148),牙齿非龋疾病2例(0.1%,2/3 148),其他69例(2.2%,69/3 148),其中112例(3.6%,112/3 148)以牙痛为主诉就诊需要进行应急治疗。在1 602例6岁以下儿童中有884例(55.2%,884/3 148)被诊断为重度低龄儿童龋。在所有患者中只有281例(8.9%,281/3 184)要求进行口腔健康检查,并且临床检查没有阳性所见。结论:龋病及因龋病所致疾病是目前儿童口腔门诊的主要治疗需求,加大相关的预防保健措施迫在眉睫。
Objective：To assess dental treatment needs and oral health status among children under 18- year-old in Beijing and to examine how these are affected by age, gender. Methods： In the retrospective study, 3 148 children aged 0.8 - 18.0 years were selected from patients who first visit the Pepartment of Paediatric Dentistry, Peking University School and Hospital of Stomatology, from May 2010 to January 2011. The treatment needs were evaluated and analysed. Results： Mean age of the group was 6.2±3.46, median was 5.0, and 52.4% （ 1 649/3 148） were boys. The percentages of treatment need for caries, pulptis and periapical periodontitis, teeth developmental abnormality, dental injury space man- agement, periodontal disease, non carious disease and others were 35. 1% （1105/3 148）, 32.2% （1013/3 148）, 11.5% （363/3 148） and 6.7% （212/3 148）, 2.0% （62/3 148）, 1.3%（41/ 3 148）, 0.1% （2/3 148） and 2.2% （69/3 148） respectively. 3.6% （112/3 148） children suffered toothache and need an emergency dental treatment. In 1 602 children under 6-year-old, 55.2% （884/ 1 602） were diagnosed as severe early childhood caries. Only 8.9% （281/3 148 ） children were found to need no treatment, who just asked a regular dental examine. Conclusion： Systematic implementation of preventive oral care and community-oriented health programmers for children, especially preschool- aged children, are urgently needed in China.
出处
《北京大学学报（医学版）》
CAS
CSCD
北大核心
2013年第1期92-96,共5页
Journal of Peking University:Health Sciences
关键词
儿童口腔医学
卫生服务需求
龋齿
Pediatric dentistry
Health services needs and demand
Dental caries
