上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2017, Vol. 37 ›› Issue (12): 1687-.doi: 10.3969/j.issn.1674-8115.2017.12.020

• 论著（公共卫生） • 上一篇    下一篇

2013—2015年上海12岁本地与外来学生龋病及干预状况的研究

王艳，笪东欣，曾晓莉，徐玮，王勋，张皓，江一巍，李存荣，张颖   

  1. 上海市口腔病防治院 上海市口腔医院口腔预防处，复旦大学附属口腔医院口腔生物医学工程实验室，上海 200001
  • 出版日期:2017-12-28 发布日期:2018-01-10
  • 通讯作者: 张颖，电子信箱：zhangyingcmu@vip.163.com
  • 作者简介:王艳（1978—），女，副主任医师，博士；电子信箱：serene2000@163.com
  • 基金资助:
    上海市卫生与计划生育委员会面上项目（201740062）；上海申康医院发展中心临床创新三年行动计划（16CR4018A）；上海申康医院发展中心临床研 究培育项目（SHDC12017X22）

Comparison of caries and sealants between Shanghai native and migrant 12-year-old students from 2013 to 2015#br#

WANG Yan, DA Dong-xin, ZENG Xiao-li, XU Wei, WANG Xun, ZHANG Hao, JIANG Yi-wei, LI Cun-rong, ZHANG Ying   

  1. Department of Preventive Dentistry, Shanghai Stomatological Hospital; Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai 200001, China
  • Online:2017-12-28 Published:2018-01-10
  • Supported by:
    Projects of Shanghai Municipal Commission of Health and Family Planning, 201740062; Clinical Research Plan of SHDC, 16CR4018A; Clinical Research Cultivating Project of SHDC, SHDC12017X22

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摘要： 目的 · 比较 2013—2015 年上海 12 岁本地学生与外来学生患龋率、窝沟封闭率和龋齿充填构成比的差异。方法 · 2013—2015 年，采取整群随机抽样的方法，每年分别抽取上海市 17 个区县的 12 岁学生纳入研究，参照《世界卫生组织口腔健康调查标准 ( 第 4 版 )》，统计学生全口恒牙的患龋率、龋失补牙数（DMFT）、龋齿充填构成比、充填需要率、窝沟封闭率等，并采用 Mann-Whitney U 检验和 χ2 检验分析本地和外来学生 DMFT、患龋率、窝沟封闭率、龋齿充填构成比、充填需要率是否存在差异。结果 · 研究共纳入了 上海各区 2 500 名 12 岁学生，其中 36.8% 为外来学生。研究期间，本地学生和外来学生的患龋率和 DMFT 差异无统计学意义。2013 年和 2015 年，外来学生的窝沟封闭率均显著低于本地学生 (0.8% vs 6.6%，3.0% vs 9.9%)。2015 年，外来学生的充填需要率显著高于 本地学生 (60.5% vs 46.4%)。结论 · 2013—2015 年上海 12 岁本地与外来学生的患龋率和 DMFT 没有显著差异。尽管本地和外来学生 均可在学校享受免费的口腔公共卫生服务，12 岁外来学生的窝沟封闭率和龋齿充填构成比低于本地学生。

关键词: 龋病, 窝沟封闭, 龋失补牙数, 外来人口

Abstract:

Objective · To compare the caries prevalence, unmet restoration needs and sealant prevalence between Shanghai 12-year-old native and migrant students from 2013 to 2015.  Methods · From 2013 to 2015, a random cluster sample of 12-year-old native and migrant students was selected from each district in Shanghai. World Health Organization (WHO) indices were used to assess decayed-missing-filled teeth of permanent dentition (DMFT). The prevalence of caries and sealants, caries filling rate, unmet dental restoration needs and the value of DMFT were analyzed using the Mann-Whitney U test and chi-squared test.  Results · A total of 2 500 students were examined from 2013 to 2015, among which 36.8% were migrants. There was no significant difference in caries prevalence and DMFT value between native and migrant students from 2013 to 2015. Sealant prevalence of migrants was significantly lower than that of natives in 2013 (0.8% vs 6.6%) and 2015 (3.0% vs 9.9%). Unmet restoration needs of migrants were significantly higher than those of natives in 2015 (60.5% vs 46.4%).  Conclusion · There was no significant difference in caries prevalence between 12-year-old native and migrant students in Shanghai from 2013 to 2015. But there were lower sealants and higher unmet restoration needs in 12-year-old migrant students than their native counterparts, even though free public dental health services were available to both groups.

Key words: caries, sealant, decayed-missing-filled teeth, migrant