福州市12岁学生龋病流行病学抽样调查

龋病是儿童口腔的常见病、多发病，是衡量学生体质健 康的重要指标之一。为了解目前福州市学生恒牙龋的患 病情况和规律，为福州市口腔卫生保健工作及龋病的防治 工作提供科学依据，2010 年 10 月，福州市第一医院口腔科 根据全国学生体质健康调研的要求，对福州市 12 岁学生进 行了龋病的流行病学调查，现将结果报道如下。
关键词：龋病；流行病学调查；显著性龋均指数
Epidemiological investigation of dental caries among 12-year-old students in Fuzhou city. GAO Ping，LIN Li-qun. Department of Stomatology，the First Hospital of Fuzhou city，Fuzhou 350009，China Abstract：Objective To investigate the current status of caries in permanent teeth among 12-year-old students in Fuzhou of Fujian Province，and to provide scientific fundation to guide the oral health. Methods According to the national health research of students，we investigated 555 students aged 12 in Fuzhou of Fujian Province by stratified randomly sampling design. The results were stratified by Mann-Whitney Test and Chi-Square Test. Results The prevalence of caries was 29.7%. The DMFT in all people investigated was 0.53. DMFT in patients was 1.78. About 20.1% involed teeth were treated；SiC was 2.97. The caries rate of students in rural area（33.8%）was higher than in city（25.3%）（P < 0.05）. The DMFT was 0.37 and 0.46，which showed no difference（P > 0.05）. The filled rate was 23.4% and 17.5%，there being no siginficance（P > 0.05）. Gender didn’t affect the prevalence of caries（P > 0.05）；the DMFT of female（0.49）was higher than male（0.34）（P < 0.05）. The filled rate was 20.5% and 19.8%，there being no siginficance（P > 0.05）. Conclu⁃ sion The caries rate is at low level among 12-year-old students in Fuzhou of Fujian Province. However，many involved teeth are untreated. The caries rates of students in rural area were higher than in city. The data suggests that we should pay more attention to caries treatments，especilly in students in rural area. Keyword：caries；epidemiological investigation；significant caries index（SIC）
2011 年 5 月第 4 卷第 5 期
中国实用口腔科杂志
福州市 12 岁学生龋病流行病学抽样调查分析
285论著Fra bibliotek高 萍，林立群
文章编号：1674 - 1595（2011）05 - 0285 - 03
中图分类号：Ｒ78 文献标志码：Ａ
摘要：目的 了解福州市 12 岁学生龋病患病情况，为福州市口腔卫生保健工作及龋病的防治工作提供科学依 据。方法 于 2010 年 10 月，福州市第一医院口腔科按第六次全国学生体质健康调研工作的要求，随机抽调福州 市城乡中小学 12 岁的学生共 555 名进行龋病的流行病学调查，以患龋率、龋均和龋齿充填率、显著性龋均指数为 统计指标，采用 SPSS17.0 统计软件对结果进行统计分析。结果 福州市 12 岁学生的患龋率为 29.7%，受检者龋 均为 0.53，患龋者龋均为 1.78，龋齿充填率为 20.1%，显著性龋均指数为 2.79。城区和乡镇的学生患龋率分别为 25.3% 和 33.8% ，差 异 有 统 计 学 意 义（χ 2 = 4.800，P = 0.028）；龋 均 分 别 为 0.37 和 0.46，差 异 无 统 计 学 意 义 （t =-1.031，P > 0.05）；龋齿充填率分别为 23.4%和 17.5%，差异无统计学意义（χ2 = 1.605，P = 0.205）。男生和女 生的患龋率分别为 26.9%和 32.7%，差异无统计学意义（χ2 = 2.284，P = 0.131）；龋均分别为 0.34 和 0.49，差异有统 计学意义（t = -2.322，P < 0.05）；龋齿充填率分别为 20.5%和 19.8%，差异无统计学意义（χ2 = 0.023，P = 0.879）。 结论 福州市 12 岁学生总体患龋率不高，但充填率低，乡镇学生的患龋率高于城区。今后预防保健工作应注意 提高龋齿治疗率，特别是乡镇学生的龋齿预防和保健工作仍需加强。