一组埃及学龄前儿童早期严重龋病对总体健康的影响

Rabab A. M. Abdallah, Nancy Khattab, Mohammed Abou El-Yazeed, G. Támer, Rashed, G. A. Ahmed
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摘要

背景:早期儿童龋病(Early childhood caries, ECC)是一种影响幼儿的常见慢性疾病,被认为是一个重大的公共卫生问题,严重者可诊断为重度早期儿童龋病(severe Early childhood caries, S-ECC)。患有S-ECC的儿童通常会出现疼痛、饮食改变、睡眠障碍和行为改变。方法:1000名3-6岁的埃及儿童,包括100名有完整血细胞计数记录的儿童参加病例对照研究。选取500名无龋齿儿童和500名患有严重早期儿童龋齿的儿童。测量了每个孩子的身高和体重。因医学原因进行CBC分析的患儿,记录Hb水平。结果:无龋组与S-ECC组在BMI各分类上差异均无统计学意义(P > 0.05)。S-ECC组低Hb水平(贫血)患儿明显高于无龋组(P < 0.05)。结论:龋齿分布与BMI无显著相关,但龋齿状况与Hb水平呈负相关,提示S- ECC对儿童整体健康有负面影响。
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Impact of Severe Early Childhood Caries on General Health in a Group of Egyptian Preschool Children
Background: Early childhood caries (ECC) is a common chronic disease affecting young children and is considered a significant public health problem, it can be diagnosed in severe cases as severe early childhood caries (S-ECC). Children with S-ECC often suffer from pain, dietary changes, sleep disorders and behavioral changes. Methods: 1000 Egyptian children aged 3-6 years, including 100 children having complete blood count records participated in this case control study. Children were selected as 500 caries free and 500 with severe early childhood caries. Height and weight were measured for each child. Children who had CBC analysis for medical reason, Hb level was recorded. Results: there was insignificant difference between caries free and S-ECC groups regarding all BMI categories (P > 0.05). Children with low Hb levels (anemic) were significantly higher in S-ECC group than their caries free peers (P < 0.05). Conclusions: there was insignificant correlation between caries distribution and BMI, although there was a negative correlation between caries status and Hb level, indicating that S- ECC has a negative effect on child general health.
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