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目的了解马鞍山市孕早期孕妇的口腔健康状况,指导孕妇口腔保健。方法对2 039名孕早期孕妇进行口腔检查,记录不同年龄孕妇的患龋率、牙龈炎、牙周病状况。通过问卷调查的方式对口腔卫生行为认知进行调查。结果孕早期孕妇的患龋率、牙结石发生率、牙龈炎发生率分别为16.23%、47.87%和41.00%。其中,高年龄组牙结石发生率和牙龈炎发生率显著高于低年龄组,差异具有统计学意义(P<0.05)。多因素Logistic回归分析结果显示低年龄、早晚都刷牙是罹患牙龈炎的保护因素;吸烟、经常吃酸食、最近1年内看过牙医等是罹患牙龈炎的危险因素。结论马鞍山市的孕妇口腔健康情况较差,缺乏口腔卫生保健知识,需要加强对孕妇的口腔卫生保健指导。
Objective To understand the oral health status of pregnant women in the first trimester of Ma’anshan City and to guide the oral health care of pregnant women. Methods A total of 2 039 pregnant women of the first trimester were examined by oral examination. The prevalence of caries, gingivitis and periodontal disease in pregnant women of different ages were recorded. Investigate the cognition of oral health behaviors by means of questionnaire. Results The prevalence of dental caries, the incidence of dental calculus and gingivitis in pregnant women in the first trimester were 16.23%, 47.87% and 41.00%, respectively. Among them, the incidence of dental calculus and gingivitis in high age group was significantly higher than that in lower age group, the difference was statistically significant (P <0.05). Multivariate Logistic regression analysis showed that younger age, morning and evening brushing teeth are the protective factors of gingivitis; smoking, regular eating sour, saw the dentist in the last year are risk factors for gingivitis. Conclusion Ma’anshan pregnant women have poor oral health, lack of oral health care knowledge, and need to strengthen oral health guidance for pregnant women.