中国残疾儿童和青少年口腔健康状况。

Lu Gao, Xue Nan Liu
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引用次数: 0

摘要

目的:了解我国0~18岁残疾儿童和青少年的龋齿和牙周状况,为今后的政策制定提供建议。方法:横断面调查包括2013年11月至2015年5月在中国东、中、西部10个省的福利机构中0至18岁的残疾儿童和青少年。口腔健康检查包括龋齿状况和牙周状况。记录并统计评价因乳牙列/恒牙列龋齿引起的龋齿、缺牙和补牙的平均得分(dmft/dmft)、牙龈出血率和牙石率。使用SPSS 24.0软件(IBM,Armonk,NY,USA)进行数据分析,统计学显著性水平为P<0.05。结果:0至5岁、6至12岁和13至18岁组的平均dmft/dmft值分别为1.48±3.00、2.19±2.94和1.78±2.93。0~5岁组(P<0.05)和13-18岁组(P<0.01)的平均得分在不同残疾类型之间存在显著差异。其中0~5岁组牙龈出血率为13.70%,6~12岁组为24.81%,13~18岁组为42.06%,3个年龄组牙石出血率分别为5.48%、22.41%和47.62%。三个年龄组的牙龈出血率在不同残疾类型之间存在显著差异(P<0.01),而结石率a仅在6-12岁和13-18岁组之间存在显著差别(P<0.01)。残疾类型与口腔健康状况密切相关。专门设计的口腔健康教育和培训对临床专业人员和护理人员来说是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oral Health Status of Disabled Children and Adolescents in China.

Objective: To investigate the dental caries status and periodontal status of disabled children and adolescents aged 0 to 18 years in China and provide suggestions for future policies.

Methods: The cross-sectional survey included disabled children and adolescents aged 0 to 18 years in welfare institutions across 10 provinces in eastern, central and western regions in China, between November 2013 and May 2015. Oral health examination included dental caries status and periodontal status. The mean score for decayed, missing and filled teeth (dmft/ DMFT) due to caries in primary/permanent dentition, gingival bleeding rate and calculus rate were recorded and statistically evaluated. Data analysis was performed using SPSS 24.0 software (IBM, Armonk, NY, USA), and the level of statistical significance was P < 0.05.

Results: The mean dmft/DMFT values of for groups aged 0 to 5, 6 to 12 and 13 to 18 years were 1.48 ± 3.00, 2.19 ± 2.94 and 1.78 ± 2.93, respectively. The mean scores for the groups aged 0 to 5 (P < 0.05) and 13 to 18 years (P < 0.01) showed a significant difference among different disability types. A significant difference between sexes was found only in the group aged 0 to 5 years (P < 0.05). Gingival bleeding rates were 13.70% for the group aged 0 to 5 years, 24.81% for the group aged 6 to 12 years and 42.06% for the group aged 13 to 18 years, and calculus rates were 5.48%, 22.41% and 47.62% for the three age groups, respectively. The gingival bleeding rate for all three age groups showed a significant difference between different disability types (P < 0.01), whereas calculus rates a showed significant difference only in the groups aged 6 to 12 and 13 to 18 years (P < 0.01).

Conclusion: The prevalence of dental caries, gingival bleeding and calculus in disabled children and adolescents in China is high. Disability type was strongly associated with oral health status. Specially designed oral health education and training are necessary for clinical professionals and caregivers.

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