华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

婴儿口腔早期定植菌群的一年动态观察

邹静,周学东,李少敏   

  1. 四川大学华西口腔医院 儿童牙科,四川 成都610041
  • 收稿日期:2004-04-25 修回日期:2004-04-25 出版日期:2004-04-20 发布日期:2004-04-20
  • 通讯作者: 邹 静,Tel:028-85503527
  • 作者简介:邹 静(1970-),女,四川人,副教授,博士

Analysis of Oral Microflora Early Colonized in Infants

ZOUJing,ZHOUXue-dong,LI Shao-min   

  1. Dept.ofPediatric Dentistry,West China College ofStomatology,Sichuan University,Chengdu610041,China
  • Received:2004-04-25 Revised:2004-04-25 Online:2004-04-20 Published:2004-04-20

摘要:

目的 观察婴儿口腔早期定植细菌的动态变化。方法 收集12例健康新生儿出生后第1天和1、3、6、9、 12个月的口腔样本,选择适当稀释度接种于BA、MSA、BHI培养基,经需氧、微需氧及厌氧条件培养后行细菌形态学及生化鉴定。结果 婴儿口腔中检出率最高的细菌为S.salivarius,其次为S.mitis;乳牙萌出后S.sanguis,S.gordo- nii和S.mutans有一定的检出;Veillonella spp.在出生后1月的新生儿口腔即有一定的检出,A.odontolyticus在3个月时开始有8.3%的检出;L.acidophilus在婴儿口腔一直维持在较低的检出水平;少数有部分乳牙萌出的婴儿口腔中检出L.buccalis与Capnocytophaga spp.的存在。结论 S.salivarius与S.mitis是新生儿及婴儿口腔的优势细菌,Veil- lonella是最早、最常检出的厌氧菌,A.odontolyticus是最早检出的放线菌,随着婴儿月龄的增加,其口腔中检出细菌的种类和数量均明显增加。

关键词: 口腔细菌, 早期定植, 优势细菌

Abstract:

Objective To observe the dynamic changes of oral microflora early colonized in infants.Methods The oral swab samples forthe studywere taken in 1day, 1, 3, 6, 9, 12 months after birth from 12 healthy neonates. By choosing suitable dilut- ed concentration, the samples were incubated aerobically, facultative anaerobically and anaerobically. The strains were identified by observing colony characteristics, Gram staining and biochemical tests.Results S.salivariuswas the most frequentmicroflora, followed byS.mitis,S.sanguis,S.gordoniiandS.mutansoccurred in oral cavity after tooth eruption.Veillonella spp. can be detected in oral cavity of 1-month-old babies,A.odontolyticuswas isolated from8.3% infants ofmore than 3 months old.L.aci- dophilusmaintained the lower prevalence in oral cavity of babies.Leptotrichia buccalisandCapnocytophaga spp. occurred in oral cavity of some dentate infants.Conclusion S.salivariusandS.mitisare predominant species in oral cavity of the infants,Veil- lonella spp. is the first and the most anaerobic species appeared in oral cavity of healthy babies.A.odontolyticusis the first actino- myces detected in oral cavity. With the increasing months, kind and amount of microflora increase dramatically.

Key words: oral microflora, early colonized, predominant flora