摘要
目的 了解西藏察雅县幼儿园藏族儿童的口腔健康状况及乳牙龋病对营养状况的影响,为当地儿童龋病防治工作提供参考依据。方法 2022年6—7月采用横断面调查方法,对西藏察雅县13个乡镇所有3~7岁幼儿园藏族儿童1 263名进行口腔检查以及身高、体重测量和血红蛋白检测。依据WHO龋病、营养不良及贫血诊断标准,评价儿童乳牙健康情况,探讨乳牙龋病与营养状况的相关性。结果 察雅县幼儿园藏族儿童乳牙患龋率为62.6%,龋均(4.0±4.6)。3,4,5,6,7岁儿童乳牙患龋率分别为31.1%,55.3%,63.8%,70.9%,76.6%,龋均分别为(1.1±2.0)(2.9±3.4)(3.5±3.3)(5.4±5.4)(5.9±6.6),年龄间差异均有统计学意义(χ^(2)/F值分别为72.17,33.47,P值均<0.05)。有龋儿童营养不良总体检出率(25.4%)、生长迟缓率(12.3%)、低体重率(12.6%)、消瘦率(10.9%)及贫血率(29.6%)均高于无龋儿童(19.5%,8.1%,6.1%,6.6%,15.5%),差异均有统计学意义(χ^(2)值分别为5.81,5.49,13.61,6.52,32.02,P值均<0.05),有龋儿童超重率(3.7%)高于无龋儿童(3.4%),肥胖率(1.3%)低于无龋儿童(1.9%),差异均无统计学意义(χ^(2)值分别为0.07,0.82,P值均>0.05)。结论 察雅县幼儿园儿童乳牙龋病问题较为严重,且与营养不良及贫血的发生密切相关。应加强对当地儿童龋病的预防和干预。
Objective To investigate the health of deciduous teeth and the effect of deciduous teeth caries on the nutritional status of Tibetan children in kindergartens in Zhag'yab of Tibet,so as to provide a reference for the prevention and treatment of dental caries in local children.Methods A cross-sectional survey was conducted among all Tibetan children aged 3 to 7 years in kindergartens from 13 districts in Zhag'yab of Tibet,a total of 1263 eligible children were included.Oral examination,height,weight measurement and hemoglobin test were performed.The health status of children was evaluated according to WHO diagnostic criteria of dental caries rate,average of decayed-missing-filled tooth(DMFT),malnutrition and anemia,and the correlation between deciduous teeth caries and nutritional status of children were analyzed.Results The overall deciduous teeth caries prevalence rate of Tibetan children in Zhag'yab kindergarten was 62.6%,and the mean dmft was(4.0±4.6).Aged 3,4,5,6,7-year-old children's deciduous teeth caries rate were 31.1%,55.3%,63.8%,70.9%,76.6%,respectively,mean dmft were(1.1±2.0)(2.9±3.4)(3.5±3.3)(5.4±5.4)(5.9±6.6)respectively.The prevalence of deciduous teeth caries and mean dmft increased with age,and the differences among age groups were statistically significant(χ^(2)/F=72.17,33.47,P<0.05).The overall detection rate of malnutrition(25.4%),stunting(12.3%),underweight(12.6%),wasting(10.9%)and anemia(29.6%)in caries children were higher than those in children without caries(19.5%,8.1%,6.1%,6.6%,15.5%),the differences were statistically significant(χ^(2)=5.81,5.49,13.61,6.52,32.02,P<0.05).Caries children's overweight rate(3.7%)was higher than that of children without caries(3.4%),obesity rate(1.3%)was lower than that of children without caries(1.9%),there was no statistically significant difference(χ^(2)=0.07,0.82,P>0.05).Conclusion The problem of deciduous teeth caries in kindergartens in Zhag'yab is serious,and it is closely related to the occurrence of malnutrition and anemia.The prevention and
作者
郭蕾
唐本玉
施欣
李颖
尼玛
朱顺叶
GUO Lei;TANG Benyu;SHI Xin;LI Ying;NIMA;ZHU Shunye(Department of Pediatrics,Dediatrics Department,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou(510630),China;不详)
出处
《中国学校卫生》
CAS
北大核心
2023年第8期1238-1241,共4页
Chinese Journal of School Health
关键词
龋齿
营养状况
方差分析
儿童
学龄前
少数民族
Dental caries
Nutritional status
Analysis of variance
Child
preschool
Minority groups
