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[新疆维吾尔自治区博尔塔拉蒙古自治州三个民族(汉族、维吾尔族、蒙古族)儿童的患病率及其与幼儿龋齿的关系]

[Prevalence of and its relationship with early childhood caries among children of three ethnic groups (Han, Uygur, Mongolian) in Bortala Mongol Autonomous Prefecture of Xinjiang Uygur Autonomous Region].

作者信息

Cao H F, Dong Y, Yang T, Li B B, Zhao J

机构信息

Department of Endodontics, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 Nov 9;53(11):730-735. doi: 10.3760/cma.j.issn.1002-0098.2018.11.003.

DOI:10.3760/cma.j.issn.1002-0098.2018.11.003
PMID:30419652
Abstract

To investigate the distributions of (Ca), which are closely associated to early childhood caries (ECC) of young children, in 3-5-year-old children of Mongolian, Uygur and Han ethnic groups in Bortala Mongol Autonomous Prefecture of Xinjiang Urgur Autonomous Region, so as to provide scientific basis for the early prediction and prevention of caries locally. Totally 1 089 healthy children aged 3 to 5 years old (Mongolian 136, Uygur 403 and Han 550; 568 males and 521 females) were randomly selected by stratified and cluster sampling method. The children in early childhood caries group were 786 and in caries free group were 303. Dental plaque samples were collected from the carious tooth tissues and supragingival sites, respectively. Samples were isolated and cultured by different media. Ca were identified by Gram stain, germ tube test, PCR method and internal transcribed spacer region sequencing methods. Ca isolated were further typed by using PCR-25SrDNA genotype method. Pearson χ(2) test and Spearman rank correlation were used to analyze the differences in genotypes of Ca amongst three ethnic groups and the relationship between decayed missing filled tooth (dmft) classification and detection of Ca. The Ca was significantly higher in the ECC group [14.4% (113/786)] than in the caries free group [7.6% (23/303)] (0.002). The identified rate of Ca in Mongolian group was [11.8% (16/136)], which was significantly lower than that of Uygur group [17.9% (72/403)] and higher than that of Han group [8.7% (48/550)] (χ(2)=10.192, 0.006). Among the male children, the identified rate of Ca in Mongolian group was [10.0% (8/80)], which was significantly lower than that of Uygur group [21.7% (44/203)] and higher than that of Han group [8.4% (24/285)] (χ(2)=18.887, 0.000). Among the female children, the detection rates of Ca were [14.3% (8/56)] in Mongolian group, [14.0% (28/200)] in Uygur group and [9.1% (24/265)] in Han group. There were no significant differences among the three ethnic groups (χ(2)=3.206, 0.201). The identification rates of oral Ca in Uygur and Han ECC groups were correlated with the decayed, missing and filled teeth (Uygur 0.195, 0.001; Han 0.145, 0.004). Totally 136 Ca samples were divided into 3 types by PCR-25SrDNA method, and the predominant type was type A [55.1% (75/136)]. The distribution of oral Ca among children were ethnically different. Uygur male children carrying Ca were more susceptible to dental caries. Ca might be a risk factor for ECC. There was no specific cariogenic genotype in Ca isolated. There were no associations between ethnic factors and the genotypes of Ca isolated.

摘要

为探讨新疆维吾尔自治区博尔塔拉蒙古自治州蒙古族、维吾尔族和汉族3~5岁儿童中与幼儿早期龋(ECC)密切相关的(某种物质,原文未明确写出,推测为某种致龋菌)分布情况,为当地龋病的早期预测和预防提供科学依据。采用分层整群抽样方法,随机抽取1 089名3~5岁健康儿童(蒙古族136名、维吾尔族403名、汉族550名;男568名,女521名)。其中患幼儿早期龋组786名,无龋组303名。分别从龋损牙组织及龈上部位采集牙菌斑样本。样本经不同培养基分离培养。通过革兰染色、芽管试验、PCR方法及内转录间隔区测序方法鉴定(某种物质,原文未明确写出,推测为某种致龋菌)。分离出的(某种物质,原文未明确写出,推测为某种致龋菌)进一步采用PCR-25SrDNA基因分型方法分型。采用Pearson χ(2)检验和Spearman秩相关分析三个民族间(某种物质,原文未明确写出,推测为某种致龋菌)基因型差异及龋失补牙(dmft)分类与(某种物质,原文未明确写出,推测为某种致龋菌)检测的关系。患幼儿早期龋组(某种物质,原文未明确写出,推测为某种致龋菌)检出率[14.4%(113/786)]显著高于无龋组[7.6%(23/303)](P=0.002)。蒙古族组(某种物质,原文未明确写出,推测为某种致龋菌)检出率为[11.8%(16/136)],显著低于维吾尔族组[17.9%(72/403)],高于汉族组[8.7%(48/550)](χ(2)=10.192,P=0.006)。男童中,蒙古族组(某种物质,原文未明确写出,推测为某种致龋菌)检出率为[10.0%(8/80)],显著低于维吾尔族组[21.7%(44/203)],高于汉族组[8.4%(24/285)](χ(2)=18.887,P=0.000)。女童中,蒙古族组(某种物质,原文未明确写出,推测为某种致龋菌)检出率为[14.3%(8/56)],维吾尔族组为[14.0%(28/200)],汉族组为[9.1%(24/265)]。三个民族间差异无统计学意义(χ(2)=3.206,P=0.201)。维吾尔族和汉族患幼儿早期龋组口腔(某种物质,原文未明确写出,推测为某种致龋菌)检出率与龋失补牙情况相关(维吾尔族r=0.195,P=0.001;汉族r=0.145,P=0.004)。采用PCR-25SrDNA方法将136株(某种物质,原文未明确写出,推测为某种致龋菌)样本分为3型,优势型为A型[55.1%(75/136)]。儿童口腔(某种物质,原文未明确写出,推测为某种致龋菌)分布存在民族差异。携带(某种物质,原文未明确写出,推测为某种致龋菌)的维吾尔族男童更易患龋。(某种物质,原文未明确写出,推测为某种致龋菌)可能是幼儿早期龋的危险因素。分离出的(某种物质,原文未明确写出,推测为某种致龋菌)中无特定致龋基因型。民族因素与分离出的(某种物质,原文未明确写出,推测为某种致龋菌)基因型无关联。

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