中国实用口腔科杂志

中国实用口腔科杂志 ›› 2010, Vol. 3 ›› Issue (02): 92-94.

• 论著 • 上一篇    下一篇

山东省12岁年龄组人群恒牙龋病情况抽样调查

  

  1. 济南市第四人民医院口腔科，济南  250031
  • 收稿日期:2009-12-21 修回日期:2010-01-04 出版日期:2010-02-15 发布日期:2010-06-01

  • Received:2009-12-21 Revised:2010-01-04 Online:2010-02-15 Published:2010-06-01

摘要：

目的    了解山东省12岁年龄组人群恒牙龋病情况，为山东省牙病防治工作提供依据。方法    2005年9 —12月山东省牙病防治指导组根据经济发展情况选择山东省有代表性的市和县，即济南市市中区、威海市环翠区、济宁市兖州市、章丘市、平原县、费县，每个市（县）抽取3个乡镇。采用多阶段分层等容量随机抽样方法选择12岁年龄组的青少年，共781人。采用第三次全国口腔健康流行病学调查龋病调查标准，调查恒牙龋病情况。结果    山东省12岁年龄组人群恒牙患龋率为33.4 %，龋均0.55，龋齿充填率15.9 %，窝沟封闭率3.8 %，含氟牙膏使用率29.9 %。女性患龋率和龋均（38.0 %，0.63）均明显高于男性（28.8 %，0.46）（P < 0.05），城乡间无明显差别；城市12岁年龄组人群充填率、窝沟封闭率及含氟牙膏使用率高于农村，差异有统计学意义（P < 0.05）；山东省患龋率、龋齿充填率和窝沟封闭率均明显高于全国水平（P < 0.05），龋均没有明显差别。结论    山东省12岁年龄组人群牙病防治工作10年来取得了一定成效，但牙病的防治措施仍有待进一步加强，尤其是农村地区。

关键词: 口腔卫生保健, 口腔流行病学, 流行病学调查, 龋病

Abstract:

Objective    To investigate the present situation of dental caries of permanent teeth in the population at the age of 12 years in Shandong province，thus to provide basic information for the prophylaxis and treatment work. Methods     An equal-sized stratified multi-stage randomly sampling design was applied to obtain 781 Shandong residents at the age of 12 years. The investigation was done according to the Guideline for the 3rd National epidemiological survey of oral health program. Results    In Shandong province， the prevalence rate of permanent teeth caries in the group of 12 years old was 33.4%， the average of DMFT was 0.55， the filling rate was 15.9%， the pit and fissure sealant rate was 3.8%，and the rate of using fluoride toothpaste was 29.9%. As for the prevalence rate and the average of DMFT， there was a higher rate in female group than the male group and there was no evident difference between residents from urban and countryside. The rate of filling， the pit and fissure sealant rate and using the fluoride toothpaste rate were higher in urban residents， when compared with that of the countryside.  The prevalent rate was higher， the average DMFT was almost the same，and the filling rate and the pit and fissure sealant rate were obviously higher compared to the counterpart levels in the nationwide. The most important things were that the average DMFT was dramatically decreased and the filling rate was drastically increased. Conclusion    The prophylaxis and treatment work for the population of 12 years old in Shandong province has made a great progress，but there is still a long way to go， especially the work in the countryside.

Key words: oral health care；oral epidemiology；epidemiology survey；caries