实用口腔医学杂志
實用口腔醫學雜誌
실용구강의학잡지
Journal of Practical Stomatology
2015年
5期
704-706
,共3页
宿洪丽%郭士强%胥欣
宿洪麗%郭士彊%胥訢
숙홍려%곽사강%서흔
母乳喂养%奶瓶喂养%非营养性吮吸%错牙合畸形
母乳餵養%奶瓶餵養%非營養性吮吸%錯牙閤畸形
모유위양%내병위양%비영양성전흡%착아합기형
Breastfeeding%Bottlefeeding%Non-nutritive sucking habits%Malocclusion
目的：了解不同喂养方式及非营养性吮吸习惯对潍坊市儿童牙(牙合)发育的影响。方法：调查958名潍坊市3～5岁幼儿的牙(牙合)状况，追踪调查其出生12个月内喂养方式及是否有不良吮吸习惯。运用统计软件进行统计学分析。结果：有非营养性吮吸习惯的儿童和无习惯者错(牙合)畸形发生率分别为42％和22％（OR ＝1．86，CI ＝1．04－3．36，P ＝0．0002）；喂养方式对错(牙合)畸形影响差异无显著性（OR ＝1．28，CI ＝0．99－1．66，P ＝0．0567）；喂养方式对开(牙合)影响差异无显著性（OR ＝0．93，CI＝0．65－1．33，P ＝0．678）；有吮吸习惯儿童和无习惯者开(牙合)的发生率分别为17％和4％（OR ＝4．61，CI ＝2．69－7．92，P ＜0．0001）；奶瓶喂养和母乳喂养者后牙反(牙合)的发生率分别为11％和4％（OR ＝2．54，CI ＝1．66－4．03，P ＝0．0002）；有吮吸习惯者和无习惯者后牙反(牙合)发生率分别为9％和4％（OR ＝1．86，CI ＝1．04－3．36，P ＝0．0367）。结论：出生12月内非营养性吮吸习惯而非喂养方式是错(牙合)畸形发生的危险因素，母乳喂养是牙(牙合)发育的保护性因素。
目的：瞭解不同餵養方式及非營養性吮吸習慣對濰坊市兒童牙(牙閤)髮育的影響。方法：調查958名濰坊市3～5歲幼兒的牙(牙閤)狀況，追蹤調查其齣生12箇月內餵養方式及是否有不良吮吸習慣。運用統計軟件進行統計學分析。結果：有非營養性吮吸習慣的兒童和無習慣者錯(牙閤)畸形髮生率分彆為42％和22％（OR ＝1．86，CI ＝1．04－3．36，P ＝0．0002）；餵養方式對錯(牙閤)畸形影響差異無顯著性（OR ＝1．28，CI ＝0．99－1．66，P ＝0．0567）；餵養方式對開(牙閤)影響差異無顯著性（OR ＝0．93，CI＝0．65－1．33，P ＝0．678）；有吮吸習慣兒童和無習慣者開(牙閤)的髮生率分彆為17％和4％（OR ＝4．61，CI ＝2．69－7．92，P ＜0．0001）；奶瓶餵養和母乳餵養者後牙反(牙閤)的髮生率分彆為11％和4％（OR ＝2．54，CI ＝1．66－4．03，P ＝0．0002）；有吮吸習慣者和無習慣者後牙反(牙閤)髮生率分彆為9％和4％（OR ＝1．86，CI ＝1．04－3．36，P ＝0．0367）。結論：齣生12月內非營養性吮吸習慣而非餵養方式是錯(牙閤)畸形髮生的危險因素，母乳餵養是牙(牙閤)髮育的保護性因素。
목적：료해불동위양방식급비영양성전흡습관대유방시인동아(아합)발육적영향。방법：조사958명유방시3～5세유인적아(아합)상황，추종조사기출생12개월내위양방식급시부유불량전흡습관。운용통계연건진행통계학분석。결과：유비영양성전흡습관적인동화무습관자착(아합)기형발생솔분별위42％화22％（OR ＝1．86，CI ＝1．04－3．36，P ＝0．0002）；위양방식대착(아합)기형영향차이무현저성（OR ＝1．28，CI ＝0．99－1．66，P ＝0．0567）；위양방식대개(아합)영향차이무현저성（OR ＝0．93，CI＝0．65－1．33，P ＝0．678）；유전흡습관인동화무습관자개(아합)적발생솔분별위17％화4％（OR ＝4．61，CI ＝2．69－7．92，P ＜0．0001）；내병위양화모유위양자후아반(아합)적발생솔분별위11％화4％（OR ＝2．54，CI ＝1．66－4．03，P ＝0．0002）；유전흡습관자화무습관자후아반(아합)발생솔분별위9％화4％（OR ＝1．86，CI ＝1．04－3．36，P ＝0．0367）。결론：출생12월내비영양성전흡습관이비위양방식시착(아합)기형발생적위험인소，모유위양시아(아합)발육적보호성인소。
Objective:To assess the impacts of feeding type and non-nutritive sucking activity on occlusion in deciduous dentition in WeiFang city.Methods:The occlusion of 958 children aged 3 -5 years old in WeiFang city and their feeding types as well as the non-nutritive sucking habit during the first 1 2 months after birth were investigated by questionaire study.Data were statistically ana-lysed.Results:The prevalence of malocclusion in non-nutritive sucking habit group and non-habit group was 42% and 22% respec-tively(P =0.000 2).The type of feeding did not have effect on occlusion and openbite.The prevalence of openbite in the children with sucking habit and in those without habit was 17% and 4% respectively(P <0.000 1 ).The prevalence of posterior crossbite in the chil-dren with bottlefeeding and those with breastfeeding was 1 1 % and 4% respectively(P =0.000 2).The prevalence of posterior crossbite in the children with sucking habit and those without habit was 9% and 4% respectively(P =0.036 7).Conclusion:Non-nutritive sucking habit rather than feeding type in the first 1 2 months after birth is the main risk factor of malocclusion,breastfeeding is the pro-tective factor to occlusion.
