中国学龄前儿童乳牙龋病影响因素的Meta分析

doi:10.3969/j.issn.1674-490X.2022.02.006

摘要/Abstract

摘要： 目的通过分析中国学龄前儿童乳牙龋病的影响因素,为中国学龄前儿童乳牙龋病预防提供参考依据。方法对Embase、CBM、Cochrane、Web of Science、Pubmed、中国知网、万方和维普国内外常用数据库进行计算机检索符合要求的病例对照研究文献,检索时限从建库至2020年10月。搜集与学龄前儿童乳牙龋病影响因素相关的中英文文献,由2名研究者对纳入文献进行严格的质量评价,提取中、高等质量文献的数据资料。结果最终纳入文献10篇,共5 730例研究对象,其中有龋组3 012例,无龋组2 718例。经Meta分析结果显示,中国学龄前儿童乳牙龋病的危险因素为:每天刷牙次数<1次(OR=3.06,95%CI=2.08~4.48,P<0.05)、经常进食甜食、甜饮料或糖果(OR=1.33,95%CI=1.17~1.51,P<0.05)、睡前进食甜食(OR=2.94,95%CI=1.64~5.26,P<0.05);漱口习惯(OR=0.36,95%CI=0.23~0.57,P<0.05)是中国学龄前儿童乳牙龋病的重要保护因素。结论建立良好的口腔卫生行为习惯,有助于降低中国学龄前儿童乳牙龋病的发生风险。

关键词: 乳牙, 学龄前儿童, 龋齿, 危险因素, 影响因素, Meta

Abstract: Objective To provide reference for the prevention of deciduous caries of preschool in China by analyzing the influencing factors of deciduous caries of preschool. Methods Computer retrieval of clinical case-control trial literatures meeting the requirements was conducted on common databases including Embase, Cochrane Library, Pubmed, Web of Science, Chinese Academic Journal Full-Text Database(CNKI), Wanfang Database, Viper and Chinese Biomedical Literature Database(CBM)at home and abroad, and the retrieval time was from build libraries to October 2020. Chinese and English literatures related to the factors affecting primary tooth caries in preschool children were collected, and the quality of the included literatures was strictly evaluated by 2 researchers, and the data of middle and high quality literatures were extracted. Results A total of 5 730 subjects were included in 10 articles, including 3 012 cases with caries and 2 718 cases without caries. The Meta analysis results showed that the risk factors of caries in preschool in China were: brushing times <1(OR=3.06,95%CI=2.08-4.48,P<0.05), frequently eating sweets or candies(OR=1.33,95%CI=1.17-1.51,P<0.05), eating sweets before going to bed(OR=2.94,95%CI=1.64-5.26,P<0.05). Gargle habit(OR=0.36, 95%CI=0.23-0.57, P<0.05)is an important protective factor of caries in preschool children in China. Conclusion The establishment of good oral hygiene habits is helpful to reduce the risk of dental caries in preschool children in China。

Key words: deciduous, preschool children, dental caries, relative risk, influence factor, Meta

中图分类号:

王密,陈菁菁,刘芳,张艳,齐景. 中国学龄前儿童乳牙龋病影响因素的Meta分析[J]. 医学研究与教育, 2022, 39(2): 41-47.

WANG Mi, CHEN Jingjing, LIU Fang, ZHANG Yan, QI Jing. Influencing factors of deciduous teeth caries of preschool children in China:a Meta analysis[J]. Journal of Hebei Medical College for Continuing Education, 2022, 39(2): 41-47.

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