Abstract:

Abstract： Objective To know about the prevalence of deciduous tooth caries in 5-year-old children in Changyang Tujia Autonomous District，and to provide evidence for taking targeted measures to further improve the caries prevention and treatment level of high-risk population of children in the region. Methods According to the third national oral health survey methods and standards， 669 5-year-old children who come from 11 Township of Changyang Tujia Autonomous District were sampled to investigate the prevalence of deciduous tooth caries in June 2012， and SPSS13 software was used for comparative analysis of survey results. Results The prevalence rate of deciduous tooth caries，DMFT and filling rate of 5-year-old children in Changyang Tujia Autonomous District was 59.3%， 2.80 and 1.07% ， respectively. There were no significant differences between the Han and Tujia， male and female children （P > 0.05），and there was significant difference between the township and County District children （P < 0.05）. Conclusion The prevalence rate of deciduous tooth caries of the the 5-year-old in Changyang Tujia Autonomous District is higher. To improve this situation， we should strengthen the oral health education and health promotion firstly. Secondly， we must take more targeted treatment and prevention technology that is suitable for the poverty minority mountainous county， and carry out comprehensive prevention and control work.

摘要：

目的 了解湖北省长阳土家族自治县5岁儿童龋齿患病情况，以利于采取针对性更强的防治措施进一步提高本地区高危儿童人群的龋病预防和治疗水平。方法 于2012年6月，按照第三次全国口腔健康流行病学调查方法和标准，对湖北省长阳土家族自治县所属11个乡镇的669名5岁儿童乳牙患龋情况进行抽样调查，并采用SPSS 13.0软件包对调查结果进行比较分析。结果 湖北省长阳土家族自治县5岁儿童的乳牙患龋率为59.3%，龋均为2.80，充填率为1.07%；男性和女性、汉族和土家族儿童的乳牙患龋率及龋均差异均无统计学意义（P＞0.05）；乡镇儿童乳牙患龋率及龋均明显高于县城区儿童，差异有统计学意义 （P＜0.05）。结论 湖北省长阳土家族自治县5岁儿童乳牙患龋率较高，男性和女性、汉族和土家族儿童之间无显著差异，但乡镇与县城区之间有显著差异。改善此状况的方法，一是加强口腔健康教育和健康促进工作；二是采取针对性更强并适宜落后贫困少数民族山区县推广的预防和治疗技术，开展综合防治工作。

关键词: 儿童, 龋病, 调查, 比较分析