口腔疾病防治 ›› 2016, Vol. 24 ›› Issue (9): 549-553.DOI: 10.12016/j.issn.2096-1456.2016.09.011

• 防治实践 • 上一篇    下一篇

儿童口腔疾病综合干预的实践

张大华(),张衍蓉,安伟,杨艳霞,高利敏,刘虎,翟媛媛,杨玉,梁园园   

  1. 济宁市兖州区口腔医院,山东 济宁(272100)
  • 收稿日期:2016-04-15 修回日期:2016-06-03 出版日期:2016-09-20 发布日期:2016-09-20
  • 通讯作者: 张大华

The practice of comprehensive intervention of children′s oral diseases

ZHANG Da-hua(),ZHANG Yan-rong,AN Wei,YANG Yan-xia,GAO Li-min,LIU Hu,ZHAI Yuan-yuan,YANG Yu,LIANG Yuan-yuan   

  1. Yanzhou Stomatological Hospital of Jining, Jining 272100, China
  • Received:2016-04-15 Revised:2016-06-03 Online:2016-09-20 Published:2016-09-20
  • Contact: Da-hua ZHANG

摘要:

目的 探讨儿童口腔疾病综合干预的可行性。方法 采用口腔保健知识问卷,分层、随机抽验,调查口腔综合干预前、口腔综合干预12个月后儿童口腔保健知识知晓率、正确刷牙率;窝沟封闭分2种组织形式,即城区家长带领学生到医院封闭与口腔医院组织医疗队到农村学校封闭,比较两组封闭率及窝沟封闭12个月后封闭剂保留率的影响;窝沟封闭后6个月、12个月、24个月封闭剂保留率。结果 口腔健康教育指导前、后儿童口腔保健知识知晓率分别为68%、96%,儿童正确刷牙率分别为64%、92%,前后差异均具有统计学意义(P<0.05)。城区家长带领学生到医院封闭和口腔医院组织医疗队到农村学校为学生封闭,封闭率分别为84.02%、97.98%,12个月后窝沟封闭剂保留率分别为86.75%、85.29%,两者差异均具有统计学意义(P<0.05)。总体封闭剂保留率分别为6个月92.01%,12个月86.02%,24个月82.14%,三者差异具有统计学意义(P<0.05)。结论 口腔健康教育和窝沟封闭综合干预儿童口腔疾病的效果明显,干预后学生对口腔保健知识知晓率、正确刷牙率,以及窝沟封闭剂保留率达到口腔综合干预的目标。

关键词: 综合干预, 窝沟封闭, 封闭剂保留率, 口腔健康教育, 组织形式

Abstract:

Objective To evaluate the effect of the comprehensive intervention of the oral health education for children aged 6 to 12 years.Methods The oral health knowledge questionnaire was used to evaluatethe children′s awareness about oral health and the correct rate of tooth-brushing before and after 12-month comprehensive intervention. Two organizational forms about pit and fissure sealant were adopted. In city school, students were brought by their parents to the hospital to do pit and fissure sealant, while in rural school, hospital medical team went to schools to do pit and fissure sealant for the students. Compare the sealants retention rate in 12-month follow-up between two forms. The total sealants retention rate among 6-month, 12-month and 24-month follow-up were compared.Results Before and after oral health education guidance, the rate of children′s oral health awareness was 68% and 96%, and the correct rate of tooth-brushing was 64% and 92% respectively (P<0.05). There was statistical difference before and after comprehensive intervention. The rate of pit and fissure sealant was 84.02% in city school and 97.98% in rural school and the sealant retention rate in 12-month follow-up was 86.75% and 85.29% respectively(P<0.05). The total sealants retention rate among 6-month, 12-month and 24-month follow-up were 92.01%, 86.02%, and 82.14% respectively (P<0.05).Conclusion The oral comprehensive intervention is helpful to improve the children′s awareness about oral health.

Key words: Comprehensive intervention, Pit and fissure sealant, Rate of sealant retention, Oral health education, Organizational form

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