西藏察雅县2022年幼儿园藏族儿童乳牙龋与营养状况的相关性

郭蕾; 唐本玉; 施欣; 李颖; 尼玛; 朱顺叶

doi:10.16835/j.cnki.1000-9817.2023.08.027

西藏察雅县2022年幼儿园藏族儿童乳牙龋与营养状况的相关性

doi: 10.16835/j.cnki.1000-9817.2023.08.027

郭蕾¹,
唐本玉¹,
施欣¹,
李颖²,
尼玛³,
朱顺叶^1, ,

1.
中山大学附属第三医院儿科，广东广州 510630
2.
察雅县人民医院口腔科
3.
察雅县人民医院妇幼科

详细信息

作者简介:
郭蕾(1982-)，女，河南焦作人，硕士，主治医师，主要研究方向为儿童生长发育

通讯作者:
朱顺叶，E-mail：zhushuny@mail.sysu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R788⁺¹ R153.2 R556
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- 被引次数: 0
出版历程
- 收稿日期: 2023-01-19
- 修回日期: 2023-04-07
- 网络出版日期: 2023-08-26
- 刊出日期: 2023-08-25

Investigation of the prevalence of deciduous teeth caries and its correlation with nutritional status among kindergarten children in Zhag'yab of Tibet in 2022

GUO Lei¹,
TANG Benyu¹,
SHI Xin¹,
LI Ying²,
NIMA³,
ZHU Shunye^{1
, ,}

1.
Department of Pediatrics, Dediatrics Department, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou(510630), China

摘要

摘要: 目的了解西藏察雅县幼儿园藏族儿童的口腔健康状况及乳牙龋病对营养状况的影响，为当地儿童龋病防治工作提供参考依据。方法 2022年6—7月采用横断面调查方法，对西藏察雅县13个乡镇所有3~7岁幼儿园藏族儿童1 263名进行口腔检查以及身高、体重测量和血红蛋白检测。依据WHO龋病、营养不良及贫血诊断标准，评价儿童乳牙健康情况，探讨乳牙龋病与营养状况的相关性。结果察雅县幼儿园藏族儿童乳牙患龋率为62.6%，龋均(4.0±4.6)。3，4，5，6，7岁儿童乳牙患龋率分别为31.1%，55.3%，63.8%，70.9%，76.6%，龋均分别为(1.1±2.0)(2.9±3.4)(3.5±3.3)(5.4±5.4)(5.9±6.6)，年龄间差异均有统计学意义(χ²/F值分别为72.17，33.47，P值均 < 0.05)。有龋儿童营养不良总体检出率(25.4%)、生长迟缓率(12.3%)、低体重率(12.6%)、消瘦率(10.9%)及贫血率(29.6%)均高于无龋儿童(19.5%，8.1%，6.1%，6.6%，15.5%)，差异均有统计学意义(χ²值分别为5.81，5.49，13.61，6.52，32.02，P值均 < 0.05)，有龋儿童超重率(3.7%)高于无龋儿童(3.4%)，肥胖率(1.3%)低于无龋儿童(1.9%)，差异均无统计学意义(χ²值分别为0.07，0.82，P值均>0.05)。结论察雅县幼儿园儿童乳牙龋病问题较为严重，且与营养不良及贫血的发生密切相关。应加强对当地儿童龋病的预防和干预。
- 龋齿 /
- 营养状况 /
- 方差分析 /
- 儿童，学龄前 /
- 少数民族
Abstract: Objective To investigate the health of deciduous teeth and the effect of deciduous teeth caries on the nutritional status of Tibetan children in kindergartens in Zhag'yab of Tibet, so as to provide a reference for the prevention and treatment of dental caries in local children. Methods A cross-sectional survey was conducted among all Tibetan children aged 3 to 7 years in kindergartens from 13 districts in Zhag'yab of Tibet, a total of 1 263 eligible children were included. Oral examination, height, weight measurement and hemoglobin test were performed. The health status of children was evaluated according to WHO diagnostic criteria of dental caries rate, average of decayed-missing-filled tooth(DMFT), malnutrition and anemia, and the correlation between deciduous teeth caries and nutritional status of children were analyzed. Results The overall deciduous teeth caries prevalence rate of Tibetan children in Zhag'yab kindergarten was 62.6%, and the mean dmft was (4.0±4.6). Aged 3, 4, 5, 6, 7-year-old children's deciduous teeth caries rate were 31.1%, 55.3%, 63.8%, 70.9%, 76.6%, respectively, mean dmft were (1.1±2.0) (2.9±3.4) (3.5±3.3) (5.4±5.4) (5.9±6.6) respectively. The prevalence of deciduous teeth caries and mean dmft increased with age, and the differences among age groups were statistically significant (χ²/F=72.17, 33.47, P < 0.05). The overall detection rate of malnutrition(25.4%), stunting(12.3%), underweight(12.6%), wasting(10.9%) and anemia(29.6%) in caries children were higher than those in children without caries(19.5%, 8.1%, 6.1%, 6.6%, 15.5%), the differences were statistically significant (χ²=5.81, 5.49, 13.61, 6.52, 32.02, P < 0.05). Caries children's overweight rate (3.7%) was higher than that of children without caries (3.4%), obesity rate (1.3%) was lower than that of children without caries(1.9%), there was no statistically significant difference (χ²=0.07, 0.82, P>0.05). Conclusion The problem of deciduous teeth caries in kindergartens in Zhag'yab is serious, and it is closely related to the occurrence of malnutrition and anemia. The prevention and intervention of dental caries in local children should be strengthened.
- Dental caries /
- Nutritional status /
- Analysis of variance /
- Child, preschool /
- Minority groups
注释:

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表 1 察雅县不同人口统计学特征幼儿园藏族儿童乳牙患龋率比较

Table 1. Comparison of caries prevalence of primary teeth among Tibetan children with different demographics characteristics in kindergartens in Zhag' yab County

人口统计学指标		人数	患龋人数	χ²值	P值
年龄/岁	3	103	32(31.1)	72.17	< 0.01
	4	293	162(55.3)
	5	337	215(63.8)
	6	423	300(70.9)
	7	107	82(76.6)
性别	男	720	445(61.8)	0.49	0.49
	女	543	346(63.7)
地区	城市	443	269(60.7)	1.06	0.30
	农村	820	522(63.7)
注：()内数字为患龋率/%。

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表 2 察雅县不同人口统计学特征幼儿园藏族儿童乳牙龋均比较(x±s)

Table 2. Comparison of caries prevalence in deciduous teeth among Tibetan children with different demographics characteristics in kindergartens in Zhag' yab County(x±s)

人口统计学指标		人数	龋均	t/F值	P值
年龄/岁	3	103	1.1±2.0	33.47	< 0.01
	4	293	2.9±3.4
	5	337	3.5±3.3
	6	423	5.4±5.4
	7	107	5.9±6.6
性别	男	720	3.8±4.4	1.79	0.07
	女	543	4.3±4.9
地区	城市	443	3.9±4.2	0.59	0.56
	农村	820	4.1±4.8

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表 3 察雅县幼儿园乳牙有无患龋儿童营养评价指标及血红蛋白水平比较(x±s)

Table 3. Comparison of nutrition evaluation indexes and hemoglobin levels in children with and without deciduous teeth caries in Zhag' yab County(x±s)

有无患龋	人数	WAZ	HAZ	BAZ	WHZ	Hb/(g·L^-1)
有	791	-0.5±1.5	-0.4±1.4	-0.3±1.6	0.0±1.8	135.6±13.7
无	472	-0.2±1.3	-0.3±1.3	0.0±1.6	0.1±1.5	137.1±12.3
合计	1 263	-0.4±1.4	-0.3±1.3	-0.2±1.6	0.0±1.6	136.2±13.2
t值		3.48	1.59	3.13	0.28	1.99
P值		< 0.01	0.11	< 0.01	0.78	0.05

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表 4 察雅县乳牙有无患龋儿童营养不良及贫血检出率比较

Table 4. Comparison of nutritional status and anemia of children with and without deciduous teeth caries in Zhag' yab County

有无患龋	人数	生长迟缓	低体重	消瘦	超重	肥胖	营养不良	贫血
有	791	97(12.3)	100(12.6)	86(10.9)	29(3.7)	10(1.3)	201(25.4)	234(29.6)
无	472	38(8.1)	29(6.1)	31(6.6)	16(3.4)	9(1.9)	92(19.5)	73(15.5)
合计	1 263	135(10.7)	129(10.2)	117(9.3)	45(3.6)	19(1.5)	293(23.2)	309(24.5)
χ²值		5.49	13.61	6.52	0.07	0.82	5.81	32.02
P值		0.02	< 0.01	0.01	0.80	0.36	0.02	< 0.01
注： ()内数字为检出率/%。

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