中国实用口腔科杂志

中国实用口腔科杂志

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沈阳市部分视力残疾学生口腔健康状况及其与龋病相关影响因素分析

和    睦1，张    颖2，刘    璐1，雷    双1， 郭世博1，张瑜瑜1，路振富1   

  1. 1.中国医科大学附属口腔医院口腔预防科，沈阳  110002；2.上海市口腔医院  上海市口腔病防治院预防保健处，上海  200001
  • 出版日期:2016-02-15 发布日期:2016-03-09
  • 基金资助:

    辽宁省科技计划项目（2013225090）

  • Online:2016-02-15 Published:2016-03-09

摘要：

目的    调查沈阳市盲校学生龋病、牙周病和错牙合畸形状况，探讨残疾学生患龋相关影响因素，为口腔疾病的综合干预提供基线资料。方法    采用第三次全国口腔健康流行病学调查标准和方法，2014年对沈阳市盲校103名6 ~ 20岁视力残疾学生进行口腔健康状况临床检查及口腔相关知识和行为习惯的问卷调查，通过logistic回归分析龋病影响因素。结果    103名视力残疾学生患龋率为78.64%，龋均为2.43 ± 2.75；牙龈出血检出率和牙石检出率分别为44.66%和67.96%；49.51%视力残疾学生存在错牙合畸形。女生患龋状况明显比男生严重（P＜0.05）。多因素logistic回归分析显示，母亲学历和牙疼经历是龋病的危险因素，使用含氟牙膏刷牙是预防龋病的保护因素。结论    视力残疾学生患龋率高，牙周状况较差，错牙合畸形严重，学校应加强对残疾学生的口腔宣教，并采取干预措施预防口腔疾病的发生。

关键词: 视力残疾, 龋病, 口腔健康

Abstract:

Objective    To investigate the oral health status of 6～20-year old visually impaired students in Shenyang and analyze the risk factors of caries. Methods    Oral health status，oral health knowledge and related behavioral habits of 103 students were surveyed by questionaires. The risk factors of caries were analyzed through logistic regression analysis. Results    Caries prevalence rate was 78.64%，and the total mean DMFT was 2.43 ± 2.75. The rate of gingival bleeding and dental calculus was 44.66% and 67.96% respectively. Malocclusion rate was 49.51%. Female students had significantly higher dental caries experience than the male ones（P＜0.05）. Logistic regression analysis indicated that caries experience was related to the education degree of their mothers and the experience of toothache. Brushing teeth properly with fluoride toothpaste could reduce the incidence of dental caries. Conclusion    Oral health of visually impaired students is poor. Oral health education and promotion measures should be emphasized among disabled students.

Key words: visually impaired, dental caries, oral health