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李菊红, 张紫阳, 宣鹏, 胡潇文, 阮世红, 余红兵, 余文龙, 冯浓萍, 马万成. 深圳市12～15岁人群恒牙龋病抽样调查[J]. 中国公共卫生, 2021, 37(3): 483-487. DOI: 10.11847/zgggws1126710
引用本文: 李菊红, 张紫阳, 宣鹏, 胡潇文, 阮世红, 余红兵, 余文龙, 冯浓萍, 马万成. 深圳市12～15岁人群恒牙龋病抽样调查[J]. 中国公共卫生, 2021, 37(3): 483-487. DOI: 10.11847/zgggws1126710
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LI Ju-hong, ZHANG Zi-yang, XUAN Peng, . Permanent crown caries in 12 – 15 years-old students in Shenzhen city: a sampling survey[J]. Chinese Journal of Public Health, 2021, 37(3): 483-487. DOI: 10.11847/zgggws1126710
Citation: LI Ju-hong, ZHANG Zi-yang, XUAN Peng, . Permanent crown caries in 12 – 15 years-old students in Shenzhen city: a sampling survey[J]. Chinese Journal of Public Health, 2021, 37(3): 483-487. DOI: 10.11847/zgggws1126710
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深圳市12～15岁人群恒牙龋病抽样调查

Permanent crown caries in 12 – 15 years-old students in Shenzhen city: a sampling survey

    摘要
  • 摘要:
      目的  了解深圳市12～15岁人群恒牙龋病流行状况，为深圳市口腔卫生保健工作提供依据。
      方法  采用多阶段分层等容随机抽样方法，于2018年9 — 10月，根据深圳市各区人均GDP高低水平抽取4个区12～15岁常住人口共5 509人，其中不同年龄组男女各半，经济水平高低区域各半，按照WHO口腔健康调查方法龋病检查标准，使用WHO推荐的社区牙周指数（CPI）探针检查全口恒牙冠龋患龋情况，计算患龋率、龋均、充填率等。
      结果  12、13、14、15岁人群患龋率分别为39.98 %、43.44 %、44.77 %、49.91 %，龋均分别为1.03、1.26、1.39、1.62，充填率分别为30.97 %、33.52 %、35.45 %、31.5 %。患龋率和龋均2项指标均随着年龄增加而增加，差异有统计学意义（P < 0.001）；不同性别间比较，女性高于男性，差异有统计学意义（P < 0.05）。深圳市12岁人群患龋率（39.98 %）和龋均（1.03）比1997年患龋率（56.72 %）和龋均（1.53）有明显下降，与1997年（7.60 %）相比，充填率（30.97 %）大幅度上升。与第四次全国口腔健康流行病学调查结果相比，深圳市12岁人群充填率（30.97 %）高于全国（16.5 %）及广东省（20.19 %）水平。
      结论  深圳市12～15岁人群患龋率和龋均随着年龄增加而增加，女性高于男性，充填率明显高于全国和广东省水平。

     

    Abstract:
      Objective  To examine the prevalence of crown caries among 12 – 15 years old students in Shenzhen city and to provide evidences for oral health care in the city.
      Methods  Using stratified multistage proportional to size sampling in Shenzhen city, we recruited 5 509 students aged 12 – 15 years in 12 high schools in 4 districts with different gross domestic production (GDP) per capita; an oral health survey was conducted among the students based on the method recommended by World Health Organization (WHO) during September – October 2018. WHO community periodontal index (CPI) probe was used to check crown caries of all permanent teeth. Caries prevalence rate, mean decayed, missing, and filled teeth (DMFT), and filling rate among the students were calculated.
      Results  For the students aged 12 to 15 years, the caries prevalence rate was 39.98%, 43.44%, 44.77%, and 49.91%; the mean DMFT was 1.03, 1.26, 1.39, and 1.62; and the filling rate was 30.97%, 33.52%, 35.45%, and 31.5%, respectively. Both the caries prevalence rate and the mean DMFT increased significantly with the increment of age (both P < 0.001). Compared with those in boy students, caries prevalence rate and mean DMFT were significantly higher in the girl students (both P < 0.05). In comparison with those in 1997, significantly decreased caries prevalence rate (39.98% vs. 56.72%) and the mean DMFT (1.03 vs. 1.53) but increased filling rate (30.97% vs. 7.60%) were detected among the students aged 12 years (P < 0.001 for all). Compared with the results of the Fourth National Oral Health Epidemiological Survey, the filling rate (30.97%) is higher than the average national level (16.5%) and the average level of Guangdong province (20.19%) for the 12-year-old students in Shenzhen city.
      Conclusion  Among the students aged 12 – 15 years in Shenzhen city, the caries prevalence rate and mean DMFT increase with age. Both the caries prevalence rate and mean DMFT are higher in girl students than in boy students; the filling rate of the students is significantly higher than the average national level and the average level of Guangdong province.

     

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