本文關(guān)鍵詞： 農(nóng)民工子女 齲病 防治策略　出處：《遵義醫(yī)學院》2017年碩士論文　論文類型：學位論文

【摘要】：目的:通過調(diào)查分析,了解遵義市農(nóng)民工子女齲病現(xiàn)況,發(fā)現(xiàn)問題并提出防治策略;為遵義地區(qū)有針對性的開展口腔公益項目、口腔預防保健工作提供依據(jù),從而總結(jié)更安全、有效、便捷、廉價的優(yōu)良方案;為課題下一步進行農(nóng)民工子女齲病風險評估提供基礎(chǔ)資料。方法:(1)通過整群分層抽樣的方法對遵義市9所小學的學生進行口腔檢查。根據(jù)學校提供的農(nóng)民工子女名單將檢查的人群分為留守兒童研究組、流動兒童研究組,以及城市常住兒童對照組,三組數(shù)據(jù)對比分析,從而了解農(nóng)民工子女齲病現(xiàn)況及影響因素。(2)采用分層隨機抽樣方法,從進行齲病體檢的9所小學中隨機抽取3所小學,以不同年級不同性別分別發(fā)放調(diào)查問卷,將調(diào)查結(jié)果做統(tǒng)計學分析。了解遵義市農(nóng)民工子女口腔保健意識和行為,并了解其齲病診療情況及影響因素。結(jié)果:(1)農(nóng)民工子女齲病檢查結(jié)果農(nóng)民工子女中,兩個研究組留守兒童和流動兒童的患齲率、齲均、齲齒充填構(gòu)成比分別為63.34%、3.22、2.39%和67.88%、2.60、6.49%,對照組城市常住兒童組的患齲率、齲均、齲齒充填構(gòu)成比分別為66.97%、2.21、12.56%。三組被調(diào)查人群分別按牙列情況分為混合牙列期和恒牙列期,留守兒童、流動兒童、城市常住兒童混合牙列期的患齲率72.97%、70.06%、72.41%,齲均3.85、2.77、2.45,齲齒充填構(gòu)成比2.00%、2.39%、13.89,恒牙列期的患齲率25.90%、47.67%、33.55%,齲均0.76、1.03、0.76,齲齒充填構(gòu)成比10.32%、21.3%、21.19%。(2)農(nóng)民工子女口腔健康調(diào)查問卷結(jié)果齲病的發(fā)生與家庭人均年收入、家長學歷、每天食糖量、每天刷牙次數(shù)、睡前進食習慣、嚼口香糖習慣等因素有關(guān)。城市常住兒童和流動兒童相比較留守兒童去口腔醫(yī)療機構(gòu)的次數(shù)較多。其中城市常住兒童和流動兒童看牙的主要原因為拔牙和補牙,留守兒童不去看牙的原因主要是就醫(yī)不方便、覺得牙齒沒有問題、認為乳牙不重要等。城市常住兒童較流動兒童和留守兒童有更多利于口腔健康的行為習慣,如少吃甜食、多嚼口香糖、睡前不進食、父母幫忙刷牙。結(jié)論:(1)遵義市農(nóng)民工子女口腔健康狀況比城市常住兒童稍差,患齲率和齲均高,齲齒充填構(gòu)成比低,應增強口腔健康意識,減少患齲,增加齲齒充填率,改善農(nóng)民工子女口腔健康狀況。(2)遵義市農(nóng)民工子女的口腔健康知識知曉率較城市常住兒童稍低,口腔健康行為和意識差,應廣泛深入增加口腔健康知識宣教。(3)遵義市農(nóng)民工子女對乳牙重要性的認識較城市常住兒童差,應加強乳牙重要性的宣教工作。(4)遵義市農(nóng)民工子女的齲病防治應該采取綜合防治策略,針對性進行口腔健康保健宣傳教育。使農(nóng)民工子女養(yǎng)成良好的口腔衛(wèi)生習慣,堅持定期口腔健康檢查,實施窩溝封閉、氟化物等齲病預防措施。
[Abstract]:Objective: to investigate the status of dental caries in children of migrant workers in Zunyi city, find out the problems and put forward the prevention and cure strategies, and provide the basis for the development of oral public welfare programs and oral preventive health care in Zunyi area, so as to summarize the safety of dental caries. Effective, convenient, cheap and excellent solution; To provide the basic data for the risk assessment of caries for the children of migrant workers. Methods the oral cavity of 9 primary school students in Zunyi city was examined by cluster stratified sampling. According to the children of migrant workers provided by the school, the oral cavity of the children of migrant workers was examined by cluster stratified sampling. The list divides the groups examined into study groups for left-behind children. The study group of migrant children and the control group of urban resident children were compared and analyzed in order to understand the status of caries of migrant workers' children and the influencing factors. Three primary schools were randomly selected from 9 primary schools for caries physical examination. Questionnaires were sent out according to different grades and different genders. The results were statistically analyzed to understand the awareness and behavior of oral health care of children of migrant workers in Zunyi city. Results the dental caries of the children of migrant workers were examined, and the caries rate and mean caries rate of the two study groups were studied, including the left behind children and the floating children in the two study groups, and the results showed that the caries rate of the children in the study group was higher than that of the migrant children. The ratio of dental caries filling was 63.34% and 67.88%, respectively. In the control group, the caries rate, caries average and caries filling ratio were 66.97 ~ 2.21 ~ 12.560.The three groups were divided into mixed dentition period and permanent dentition period according to the dentition condition. Migrant children, The caries rate of urban children in mixed dentition period was 72.97 / 70.061.The ratio of dental caries was 3.85 / 2.77 / 2.45, the ratio of dental caries filling was 2.00 to 2.399.The caries rate of permanent dentition was 25.90,47.67 and 33.555.The caries rate was 0.761.0330.76, the proportion of dental caries filling was 10.32 / 21.321.1921.1921.1921.192.45) the incidence of dental caries and the per capita income of families were measured. Parents' education, daily sugar consumption, number of times of brushing teeth per day, eating habits before bedtime, Chewing gum habits and other factors related to. Urban children and migrant children compared with children left behind to go to dental care institutions more times. Among them, urban children and migrant children to see the main reasons for tooth extraction and filling, The main reason why left-behind children do not go to see their teeth is that it is not convenient for them to seek medical treatment, they feel that they have no problems with their teeth, and they think that their deciduous teeth are not important. Compared with migrant children and left-behind children, children living in cities have more behavior habits that are conducive to oral health, such as eating less sweets. Conclusion the oral health status of children of migrant workers in Zunyi is a little worse than that of children living in the city, the incidence of caries and caries is higher, the ratio of dental caries filling is low, the awareness of oral health should be enhanced. Reducing the incidence of caries, increasing the filling rate of dental caries, improving the oral health status of the children of migrant workers.) the awareness rate of oral health knowledge of the children of migrant workers in Zunyi was slightly lower than that of the children living in the city, and the oral health behavior and consciousness were poor. The children of migrant workers in Zunyi have a worse understanding of the importance of deciduous teeth than that of urban children. The prevention and cure of caries of the children of migrant workers in Zunyi city should adopt comprehensive prevention and cure strategy, and carry out oral health care propaganda and education to make the children of migrant workers develop good oral hygiene habits, so as to strengthen the propaganda and education on the importance of deciduous teeth. Adhere to regular oral health examination, the implementation of pit and groove sealing, fluoride and other caries prevention measures.
【學位授予單位】：遵義醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R788.1

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