华西口腔医学杂志

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徐州市5岁和12岁儿童酸蚀症调查研究

陈亚刚1,2 李雪1 胡德渝1 沈红1 李克增1 赵颖2 彭玲玲2   

  1. 1.四川大学华西口腔医院口腔预防科, 四川成都610041; 2.徐州医学院附属医院口腔科, 江苏徐州221002
  • 收稿日期:2009-10-25 修回日期:2009-10-25 出版日期:2009-10-20 发布日期:2009-10-20
  • 通讯作者: 李雪,Tel:028-85501457
  • 作者简介:陈亚刚(1972—),男,江苏人,副教授,硕士

Prevalence of tooth erosion of 5-year-old and 12-year-old children in Xuzhou city

CHEN Ya-gang1,2, LI Xue1, HU De-yu1, SHEN Hong1, LI Ke-zeng1, ZHAO Ying2, PENG Ling-ling2   

  1. 1. Dept. of Preventive Dentistry, West China College of Stomatology, Sichuan University, Chengdu 610041, China; 2. Dept. of Stomatology, The Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China
  • Received:2009-10-25 Revised:2009-10-25 Online:2009-10-20 Published:2009-10-20
  • Contact: LI Xue,Tel:028-85501457

摘要:

目的了解徐州市儿童酸蚀症的流行情况。方法采用分层整群随机抽样方法,抽取徐州市1 219名5岁儿童和786名12岁儿童进行酸蚀症流行病学调查。通过调查表记录酸蚀症的临床检查结果,调查问卷调查酸蚀症的危险因素。采用Logistic多元回归分析酸蚀症的危险因素。结果徐州市5岁儿童牙齿酸蚀症的患病率为10.91%,12岁儿童牙齿酸蚀症的患病率为22.14%。酸蚀症的等级多为1级和2级,3级以上的酸蚀症极少。酸蚀症危险因素的比值比(OR)分别为:酸性水果,1.120;酸奶,1.062;运动饮料,1.159;碳酸饮料,1.151;果汁,1.187;睡前喝酸性饮料或酸奶,6.102;胃食道返流性疾病,2.311;维生素C,1.565;补铁剂,1.598。结论我国儿童牙齿酸蚀症已广泛存在,今后应加强口腔卫生教育和饮食指导,减少酸性食品和饮料的摄入量和摄入频率,促进口腔健康。

关键词: 酸蚀症, 抽样调查, 危险因素

Abstract:

Objective To investigate the prevalence of tooth erosion of Xuzhou city′s children. Methods The stratified, cluster and random sampling methods were performed. The prevalence of tooth erosion of 1 219 5-year-old children and 786 12-year-old children in Xuzhou city were examined by one qualified dentist. The results of clinical examination were recorded by schedule table. The risk factors of tooth erosion were investigated by questionnaire and analyzed by Logistic regression model. Results In 5-year-old children group, the prevalence of tooth erosion was 10.91%. In 12-year-old children group, the prevalence of tooth erosion was 22.14%. The ranking of tooth erosion were mostly class 1 and class 2. The tooth erosions of class 3 and above were rare. The odds rations for tooth erosion were: Acidic fruits, 1.120; acidophilous milk, 1.062; sport drinks, 1.159; carbonated drinks, 1.151; fruit juice, 1.187; drinking acidic drinks or acidophilous milk before sleeping, 6.102; gastroesophageal reflux disease, 2.311; vitamin C, 1.565; supply chalybeate, 1.598. Conclusion The prevalence of tooth erosions in Xuzhou is extensive. Oral health education and drink and food guidance should be strengthened. The amount and frequency of intake of acidic food and drink should be reduced to promote oral health.

Key words: tooth erosion, sampling survey, risk factor