^
Thuc trang rang mieng va kien thirc thai do thuc hanh cham soc rang mieng cua
hoc sinh Trudng trung hoc co sd Phuc DiSn, phudng Phuc Dien, quan Bac Tir Liem
THE STATE OF ORAL HEALTH AND PRACTICE KNOWLEDGE OF STUDENTS IN PHUC DIEN JUNIOR HIGH SCHOOL,
PHUC DIEN WARD, BAC TU LIEM DISTRICT
N g u y i n Thj H a u , O o a n T h a n h N g a n , D a o Thi H^, VQ Thi T h a o , N g u y e n The T h i e n Khoa Xet n g h i e m - Benh vien Tue TTnh
TOMTAT Mgc tiiu:
l.Xdc dinh thiic trgng mac binh sdu rdng, viim ldi cua hgc sinh tnidng trung hoc cdsdPhdc Diin.
2. Mo td thtic trgngkten thiic, thai do thtic hdnh vichdm soc rdng mting cda hocsinh trunghgc cdsd Phdc Diin.
Ddi tUdng vd PhUdngphdp nghiin ciiu: Hgc sinh trung hgc cd sd tham gia mdu nghien cHu dUdc ehgn ngdu nhiin tii ldp 6 din ldp 9, Ban Gidm hieu, cdn bg y ti, thdy, cd gido chii nhiim. Tgi trUdng trung hoc cd sd Phuc Diin, quan Bac Til Liem, Hd Ndi Nghiin cHu dudctiin hdnh trong thdi gian tU 6/2014 den thdng 11/2014. Md td tiin ctiu vd nghiin ctiu cat ngang tai mgt khodng thdigian.
Kit qud vd kit lugn:
Kit qud nghien cHu cho thdy, binh hay gap ddi vdi hoc sinh trung hgc cd sd Id cao rdng. Cd sii khac bietgiUa nam vd nH vi nhiim cao rang. Ty le sou rdng Id 34,7%. Ty le cao rang 34,2% Ty li viem ldi cao nhat ddi vdi hgc sinh trung hgc la 29,2,5 %. NgUdi hudng ddn chdi rdng cho hgc sinh trung hgc cdsd Id bd me vd tii tim hiiu qua sdch bdo vd ti vi vd thdy, cd gido. Ngudn kiin thdc iii thdy co cdn hgn chi Hieu biit cda hgc sinh trung hoc cdsd ve tdc dung phdng binh cda kem ddnh rdng rdt hgn chi Cdch phong benh sdu rdng md hgc sinh biet din nhieu nhdt la vi sinh rdng mieng tot. Da sd hgc stnh diu ddngy din bdc sy khdm benh khi dau rdng, ty le dgt 83,0%.
Ty le hgc sinh chdi rdng sau bUa dn chinh khd thdp. Hgc sinh trung hgc cd sd chu yiu chdi rdng 2 lan/ngdy.
Ngoynhdnbai 14/1/2019 Ngayphdnbien-16/1/2019 Ngay chdp nhdn dang 16/1/'
TAP C H I Y D U O C C O T R U Y E N V I | T N A M M
BAI NGHIEN ClJU
Thdi diem ddnh rdng chu yiu Id buoi sdng sau khi ngd day. Da sd hgc sinh khdng biit cdch chdi rang. Thdt gian chdi rdng cua hgc sinh thudng dudi 3 phut.
Tii khoa: Binh sdu rdng, viim ldi
SUMMARY Objective:
1. Determining the actual situation of tooth decay, gingivitis of Phuc Dien secondary school students.
2. Describe the current status of knowledge and attitude about oral care of junior high school students inPhucDien.
Subject and Method of study:
Junior high school students participating in the study sample were randomly selected from grade 6 to grade 9, the board of directors, health workers, homeroom teachers. At Phuc Dien secondary school, Bac Tu Liem district, Hanoi The study was conducted from 6/2014 to 11/2014. Describe progress and cross-sectional studies at a time.
Result and conclusions:
Research results show that common diseases for middle school students are tartar. There is a difference between men and women about tartar infection. The rate of tooth decay ts 34.7%. The rate of tartar 34.2% The highest rate of gingivitis for high school students is 29.2.5%. The instructor brushing teeth for middle school students is their parents and leaming by themselves through books and newspapers and television and teachers. Limited knowledgefrom teachers. The knowledge of junior high school students about the preventive effects of toothpaste is very limited. The best way to prevent dental caries is good oral hygiene. Most students agree to see a doctor when they have a toothache, the rate reaches 83.0%. The rate of students hrushingtheir teeth after the main meal is quite low. Middle school students mostly brush their teeth twice a day. The time of brushing is mainly in the morning after waking up. Most students do not know how to brush their teeth. Students' brushing time is usually less than 3 minutes.
Keywords: Tooth decay, gingivitis.
DAT VANDE
Sau rang, viem Idi la hai benh rat ph6 bien trong cae benh rang mieng (RM) tren the gi6i cung nhif cf nifdc ta. Nam 1986, T6 chiic Y te ThS gidi ( W H O ) da coi benh rang mieng la moi quan tam ldn thii ba eua loai ngifdi sau benh ung thtf va benh tim mach.
Viet Nam la niidc dang phat trien, nhiing nam gan day, do dieu kien kinh te, xa hoi phat trien, ehe do dinh diidng co nhieu thay doi nhd stf dung nhieu diidng, sfla... trong khi ngiidi dan chtia nhan thiie day du ve nguy cd, tac hai ciing nhii viec
phdng tranh benh rang mieng. Nam 2001 theo ket qua dieu tra siic khoe rang mieng toan qudc eo tren 90% dan sd mac benh rang mieng, trong khi hoat dpng eua mang Itidi phdng chdng benh rang mi^ng edn chiia dap iing diide yeu c£u. Vi vay hien nay cong tae phdng ehdng benh rang mieng vSn la nhi^mvu trpng tam ciia nganh rang ham mat [l].
De diy manh chifcing trinh nha hoc difdng, ciing nhif tun nhflng bien phap mdi ket hdp vdi chifdng trinh nha hpc dtfdng nhim nang cao chat lifdng, hi^u qua phdng benh rang mieng cho hoc sinh cac phifdng eiia quan Btc Tif Liem, chiing toi tien hanh
1141 TAP CHI Y DUOC C 6 TRUYEN VIET NAM SiBI
A
nghien ciSu d^ tai: "Thiic trang binh rang mieng va kiln thiJc, thai do thiie hanh eham soc rang mieng ciia hpc sinh Tnidng trung hoc cd sd Phiic Diln, phifdng phuc Dien, quan Bac Tii LiSm nam 2014".
Vdi nhiing mue tieu sau:
- Xac dinh thiie trang mac binh sau rang, viem ldi eua hoe sinh tnidng trung hoc zd sd Phiic Diln.
- Md ta thflc trang kiln thfle, thai do thfle hanh vl cham soc rang mieng ciia hoc sinh trung hpc cd sd Phiic Diln.
DOI TUDNG VA PHUDNG PHAP NGHIEN CUU
D6i tiidng nghien cflu
Hoc sinh trung hpe cd sd tham gia m&u nghien eflu dflde ehpn ngau nhien tif ldp 6 den ldp 9, Ban Giam hieu, can bp y te, thay co giao chu nhi^m, Tai Trfldng tmng hoc cd sd Phiic Diln, quin Bae Tfl Lilm, Ha Npi. Nghien cflu dfldc tien hanh trong thdi gian tfl 6/2014den thang 11/2014.
Tiiu chudn ehgn benh nhdn
Ddi vdi khdi ldp 6: cln chon ra 112 hoc sinh
tfldng dfldng 3 ldp (ehpn ng^u nhien tfl 5 ldp 6 ra 3 ldp dfla vao nghiin cflu).
Ddi vdi 3 khdi ldp 7, 8, 9: mdi khdi can chpn 96 em hpc sinh (tfldng dfldng vdi vile chpn d moi khdi ldp 7, 8, 9 mdi khdi 2 ldp). Sau khi bdc tham dl ehpn ra ngiu nhien 2 ldp (tfldng dfldng hpc sinh), thi sd hoc sinh cdn thilu d mdi khdi la 16 hpc sinh tiep tue lay ngiu nhien d ldp thfl 3 (ldp thfl 3 nay cung dfldc chpn ng&u nhien) cho din khi du sd Ifldng la 96 hpe sinh dfla vio mau nghien cflU.
Phfldng phap nghien cufu
Nghien cflu dieh tl hpe mo ta eat ngang ket hdp nghien eflu dinh Ifldng.
Xfl lysd lieu
Sfl dung eae thuat toan thdng ke y hpe. Sd heu dflde nhap va xfl ly bang phan mem Epi - Info philn ban 6.04.
KET QUA
Thiic t r ^ g mac benh siu rang, vilm ldi cua hpc sinh Tnidi^ trunghpc cd sd Phiic Dien nam 2014
gl.Tyli (%) mac binh rdng mieng cua hgc sinh theo gidi
chi so
Sau rang siia Sau rangvmh vien
Viem Ldi Cao rang
Nam (n = 205) SL
15 85 67 87
TL 7,3
*1 32,6 42,4
Nii ( o . I 9 5 )
SL 12 54 SO 50
TL 6,1 27 25,6
25
Chung (n = 400) SL 27 139 117 137
TL 6,7 34,7 29,2 34,2 Ket qua nghien cflu eho thay, benh rang mieng hay gap ddi vdi nam, nii hpc sinh trung hpc cd sd tai dia ban nghiin eflu la sau rang vinh vien (34,7%), eao rang (34,20%). Trong cac benh rang milng trin chi co cao rang va vilm ldi la cd sfl khac bilt gifla nam va nfl (p < 0,05 va p < 0,001).
TAP CHIY DUOC CO TRUYEN VltT NAM ^^m
BAI NGHIEN CLTU
Thdi diim ddnh rdng chu yeu Id budi sdng sau khi ngu ddy Da sd hgc sinh khong biet cdch chdi rang Thdigian chdi rdng cua hgc sinh thudng dudi 3 phiit.
TU khda: Binh sdu rdng, viim ldi
SUMMARY Objective:
1. Determining the actual situation of tooth decay, gingivitis of Phuc Dien secondary school students.
2. Describe the current status ofknowledge and attitude about oral care ofjunior high school students in Phuc Dien.
Subject and Method of study:
Junior high school students participating in the study sample were randomly selected from grade 6 to grade 9, the board of directors, health workers, homeroom teachers. At Phuc Dien secondary school, Bac Tu Liem district, Hanoi The study was conductedfrom 6/2014 toi 1/2014. Describe progress and cross-sectional studies at a time.
Result and conclusions:
Research results show that common diseases for middle school students are tartar. There is a difference between men and women about tartar infection. The rate of tooth decay is 34.7%. The rate of tartar 34.2% The highest rate of gingivitis for high school students is 29.2.5%. The instructor brushing teeth for middle school students ts their parents and learning by themselves through books and newspapers and television and teachers. Limited knowledgefrom teachers. The knowledge ofjunior high school students about the preventive effects of toothpaste is very limited. The best way to prevent dental caries is good oral hygiene. Most students agree to see a doctor when they have a toothache, the rate reaches 83.0%. The rate of students brushing their teeth after the main meal is quite low. Middle school students mostly brush their teeth twice a day. The time of brushing is mainly in the morning after waking up. Most students do not know how to brush their teeth. Students' brushing time is usually less than 3 minutes.
Keywords: Tooth decay, gingivitis.
DAT VANDE phdng tranh benh rang mieng. Nam 2001 theo Sau rang, viem ldi la hai benh rat pho biln ket qua dieu tra sflc khoi rang milng toan qudc c6 trong eac benh rang milng (RM) tren the gidi tren 90% dan sd mac benh rang mieng, trong khi cung nhfl d nflde ta. Nam 1986, Td ehflc Y t l The hoat ddng cua mg^ng Ifldi phdng chdng benh rang gidi (WHO) da coi benh rang milng la mdi quan mieng cdn chfla dap flng dxidc yeu eau. Vi vay hiln tam ldn thfl ba eua loai ngfldi sau benh ung thfl va nay cdng tac phdng ehdng benh rang milng vin la benh tim mach. nhiem vu trong tim cua nganh rang ham mat [l].
Viet Nam la nfldc dang phat tnen, nhflng nam De day manh ehfldng tiinh nha hoc dfldng, cung gan day, do dieu kien kinh te, xa hpi phat tnen, nhfl tim nhiing bien phap mdi ket hdp vdi ehfldng ehe dp dinh dfldng ed nhilu thay doi nhfl sfl dung trinh nha hoc dfldng nham nang eao ehat Ifldng, nhieu dfldng, sfla... trong khi ngfldi dan chfla nhan hilu qua phdng benh rang mieng cho hpe sinh cac thflc day du ve nguy cd, tac hai cung nhfl viec phfldng cua quan Bac Tfl Liem, ehung toi tiln hanh
1141 TAP CHIY DUOC CO TRUYEN VIET NAM kt«l»M«lttir.Mia
^
nghiin cflu dl tai: '"Thfle trang benh rang milng vi kiln thflc, thai dp thflc hinh eham soc rang milng eua hoc sinh Trfldng trung hoc cd sd Phuc Dien, phfldng phflc Dien, quin Bae Tfl Liem nam 2014".
Vdi nhiing muc tieu sau:
- Xac dinh thflc trang mac benh sau rang, viem ldi cua hoc sinh trfldng trunghpc cd sd Phuc DiSn.
- Md ta thflc trang kiln thflc, thai dp thflc hanh vl cham sde rang milng eua hoc sinh trung hpe ed sd Phuc Dien.
DOi TUDNG VA PHUDNG PHAP NGHIEN CUU
Ddi tfldng nghien cflu
Hpe sinh trung hpc cd sd tham gia miu nghien cflu dfldc chpn ngiu nhien tfl ldp 6 din ldp 9, Ban Giim hilu, cin bp y te, thay ed giio chu nhiem. Tai Trfldng trung hoc cd sd Phflc Diln, qu|n Bac Tfl Liem, H i Npi. Nghien eflu dflde tien hinh trong thdi gian tfl 6/2014 din thing 11/2014.
Tiiu chuan chon b$nh nhdn
Ddi vdi khdi ldp 6: cin chpn ra 112 hpe sinh
tfldng dfldng 3 ldp (chpn ngau nhiin tfl 5 ldp 6 ra 3 ldp dfla vao nghien cflu).
Doi vdi 3 khoi ldp 7, 8, 9: mdi khdi can chpn 96 em hoc sinh (tfldng dfldng vdi vile chpn d moi khdi 1 ^ 7, 8, 9 mdi khdi 2 Icp). Sau khi bde tham d l ehpn ra ngiu nhien 2 ldp (tfldng dfldng hoc sinh), thi sd hpc sinh edn thilu d mdi khdi li 16 hoc sinh tilp tuc lay ngiu nhien d ldp tiifl 3 (ldp thfl 3 niy eiing dfldc ehpn ngiu nhiin) cho den khi du s6 Ifldng li 96 hpc sinh dfla vio miu nghiin cflu.
Phiidng phap nghiin cflu
Nghien cflu dich te hpe md ti eit ngang kit hdp nghien eflu dmh Ifldng.
Xfl ly sd lieu
Sfl dung cac thuat toan thdng ke y hpc. Sd hlu dfldc nhap vi xfl ly bang phin mem Epi - Info phien ban 6.04.
KET QUA
Thflc trang mac benh sau rang, vilm ldi cAa hoc sinh Trfldng trung hoc cd sd Phuc Dien nam 2014
gl.Tyli (%) mde binh rang mieng cua hgc sinh theo gidi
Chisd
Sau rang su'a Sau rang vinh vicn
Viem Ldi Cao rang
Nam (n = 205) SL
15 85 67 87
TL 7,3 41 32,6 42,4
NS (n=195) SL
12 54 50 50
TL 6,1 27 25,6
25
Chung (n=400) SL 27 139 117 137
TL 6,7 34,7 29,2 34,2 Kit qua nghiin cflu cho thay, benh rang milng hay gap ddi vdi nam, nfl hpc sinh tnmg hpc cd sd tai dia ban nghien cflu la sau rang vinh vien (34,7%), cao ring (34,20%). Trong eic benh rang milng tren chi ed cao rang va vilm ldi la cd sfl khac bi|t gifla nam va nfl (p < 0,05 vi p < 0,001).
TAP CHiY DUOC c 6 TRUYEN VIET N A M ms
BAI NGHIEN CLTU . - ^ -
Bang 2. Ty le (%) mde binh rdng mieng cda hgc sinh theo ldp
Noiilung
Sau rang Viem Loi Cao rang
Ldp6 ( n . l l 2 )
SL 32 22 30
TL 28,5 19,6 26,7
L6p7 (n-96) SL 42 24 35
TL 43,7 25 36,4
Uip8 (n=96) SL 45 31 34
TL 46,8 32,2 35,4
L<>p9 (n=.96) SL 47 40 38
TL 48,9 41,6 39,5 Nhin chung, hpc sinh tfl ldp 6 dlnlc^ 9 tai dia ban nghien eflu deu cd chung die diem siuringlibenh hay gap, tiep din la cao rang thap nhat la viem ldi.
Kien thflc, thai dd vi th\ic hinh ciia hgc sinh trung hoc cd sd Phiic Diln ve cham soc rang mi^ng nam 2014.
Kiin thUc cda hgc sinh vechdm soc rdng mieng
BdngS. Ty le (%) htiu biit ciia hgc smh ve tdc dtfngphong benh cua kem ddnh rdng
Khoildp
Ldp 6
L6p7
L6p8
Ldp 9
Chung (n.40O)
SL TL(%)
SL TL(%)
SL TL(%)
SL TL(%)
SL TL(%)
Phong sau rang 13 11,6
5 5,21
6 6,2 4 5,4 28 7,0
Phdng viem Idi 3 2,6
0 0,0
0 0,0 0 0,0 3 0,7
Phong caSR,VL 101 90,1 88 91,6
88 91,6
79 91,6 356 89,0
Khong bi^t 5 2,6 3 3,1 5 5,21
6 3,1
19 4,7 Hpe smh biet kem danh rang phdng dfldc ca sau ring vi viem Idi chiem: 80%. Ty le khdng bilt ve tac dung cfla kem danh ring ehiem 4,7%.
116 TAP CHI Y DUqC CO TRUYCN V I E T NAM
^
'. Ty li (%) hiiu hit cda hoc sinh vi hdu qud cua sdu rdng
Khdildp
Ldp 6
Ltip7
Ldp8
Ldp 9
Chung (n=400)
SL TL(9i)
SL TL(%)
SL TL(%)
SL TL(%)
SL TL{%)
Nhiicrang Sungh^m
43 38,3
42 43,7
42 43,7 46 47,9 173 43,2
Anh hiidng DtSnsiiickhde
34 30,3
25 26,0
26 27,8
24 25,0
109 27,25
Dau rang khdng iihai diidc
61 54,4
44 45,8
34 35,4 32 33,3
171 42,7
Khong bi£t
4 3,5
4 4,17
9 9,38
10 10,42
27 6,7 Hilu biet cua hpc sinh vl hau qui efla sau rang chu yeu li nhflc rang, sflng him vi dau rang khdng nhai dfldc(43,2%vi42,7%).
i. Ty le (%) hieu biit cua hgc sinh vi nguyen nhdn cda sdu rdng
Khoildp
Ldp 6
Ldp 7
Ldp 8
Ldp 9
SL TL SL TL SL TL SL TL
Do con sau
4 3,57
3 3,1 4 4,1 7 7,2
Do v^ sinh rang mieng khdng sach
110 98,2 92 95,8
94 97,9
85 88,5
Khdng bi^t
2 1,7 3 3,1 2 2,0
4 2,0
TAP CHI Y DUOC CO TRUYEN VIET NAM ,117
B A I NGHIEN COU ^•'T
Chung(n=400) SL TL
18 4,5
381 95,2
9 2,5 Hpc sinh tai dia ban nghien eflu cd kien thflc vl nguyen nhin cua siu rang li do ve sinh rang nuing khdng sg,ch se (95,2). Vln cdn mdt sd hpe sinh cho rang nguyin nhan gay siu rang la do cd con sau rang (2,5%).
Bdng 6. Ty li (%) hiiu biit cua hgc sinh vi cdch phong binh sdu rdng
Khoildp
Ldp 6
Ldp 7
Ldp 8
Ldp9
Chung (n=400)
SL TL SL TL SL TL SL TL SL TL
Tranh an qua rat, banh keo cd diidng
37 33,0
28 29,1
22 22,9
24 25,0 111 27,7
Danh rang vdi kem floor
27 241 25 26,0
11 11,4
12 12,5 75 18,7
V^smh rang mieng tot
72 64,2
53 55,2
74 77,0
69 71,8 268 67,0
Kham rang 6 thang/lan
27 24,1
27 28,1
21 21,8
21 21,8
96 24,0 Cach phdng benh sau rang mi hpe sinh trung hpc cd sd tai dia bin nghiin cflu bilt din nhilu nhit li vl sinh rang milng tdt dat tyle li 67,0%, ty le di Icham ring dinh ky cdn thap 24,0%. Ty II hpc sinh hieu danh rang cd Fluor phdng dfldc siu ring thap nhat (18,7%).
Bdng 7. Ty li hiiu biit cua hgc sinh vi nguyin nhdn cm vtim ldi
Khoildp
Ldp 6
Ldp 7 SL TL SL TL
Do ve sinh rang mieng kem
83 74,1
60 62,5
Do rang moclonxdn
8 7,14
4 4,1
D o mang bam rang 30 26,7
24 25,0
Khdng biet 18 16,7
19 19,7
1181 TAP CHI Y DUPC C 6 TRUYEN VIET NAM ^
J".
Ldp 8
Ldp9
Chung (n=4<)0)
SL TL SL TL SL TL
73 73,9
59 61,4 273 68,2
5 5,2
6 6,2 23 5,7
14 14,5
14 14,5 82 20,5
17 17,7
17 17,7 71 17,7 Nguyin nhin gay vilm ldi mi hpc sinh bilt din nhilu nhat li do ve sinh rang milng kem (68,2%). Tuy nhien, ty le hoc sinh khdng bilt nguyin nhin giy viem ldi li kha cao (17,7%).
Thdi do dia hocsinh vichdm soc rdngmieng
8. Ty li (%) that dd cda hoc smh vi chdi rdng hdng ngdy sau bUa an chinh
Khoildp
Ldp 6
Ldp 7
Ldp 8
Ldp 9
Chung (nMOO)
SL TL SL TL SL TL SL TL SL TL
Ddngy 91 81,2
76 79,1
76 79,1
63 65,6 306 76,5
Liidng Id 17 15,1
12 12,5
15 15,6
20 20,8
64 16,0
Khdngdongy 6 5,3 5 5,2 5 5,2 4 4,1 20 5,0 Da sd hoc sinh trung hpc cd sd cho rang ein phai chai ring hing ngay sau bfla in chinh, khdng cd hpc sinh nio cio thii dp Ifldng Ifl ciing nhfl Ididng ddng y trong vile chia ring sau mdi bfla an chinh.
'. Tf le (%) thUc hdnh vi ve sinh rdng mieng sau bUa dn chinh
Khoildp
Ldp 6 SL TL
Xiic mieng 47 41,9
Tam rang 17 15,1
Chai rang 72 64,2
Khdng lam gt 9 8,0
TAP CHfY DUOC C 6 TRUYtN VIET NAM 119
BAI NGHIEN COU
Ldp 7
Ldp 8
Ldp 9
Chung (n.400)
SL TL SL TL SL TL SL TL
34 35,4
40 41,6
44 45,8
165 41,2
12 12,5
20 20,8
19 19,7
68 17
58 60,4
37 38,5
26 27,0
193 48,2
7 7,2
9 9,3 13 13,5
38 9,5
Nhin chung hoe sinh trung hpc ed sd tai eic dia bin nghien eflu ehu yeu ehpn eich xiic mieng va chai rang sau bfla an chinh.
BAN LUAN
Thflc traing mac benh sau rang, viem ldi cua hoc sinh Trfldi^trunghoccdsdPhucDiln nam 2014 Kit qui nghien eflu cho thay hpc sinh tai Trfldng trung hpc ccf sd Phuc Diin thfldng siu rang sfla hdn li siu rang vinh viln (sfl khic bilt cd y nghia thdng ke p < 0,001) d ci nam vi nfl. Tuy nhien, nlu so sinh gifla nam vi nfl ddi vdi tflng loai siu ring thi khdng cd sfl khic bi|t (p > 0,05).
Ket qua nay cung phu hdp vdi nhin dinh cua Dio Thi Dung (2007) nghien cflu tai eae trfldng quin DdngDa,HaNdi[5].
Ty 1| vilm ldi li 29,2%, ty 11 niy thap hdn so vdi ty le 41,8% cua Quaeh Huy Chfle nghien eflu tren cung ddi tfldng tai Bit Trang, Gia Lim nam 2013, ty ll niy thip hdn so vdi kit qua dilu tra rang milng toan qudc nim 2000 vi dmfle dp trungbinh theo phin loai cua WHO. Nlu so sinh gifla ty ll viem ldi cua nam hpc sinh trung hpe ed sd (32,6%) vdi nfl hpc sinh trung hpc cd sd (25,6%) thi nam cao hdn cd y nghia thdng ke so vdi nfl vdi p < 0,001, so vdi kit qui eua Nguyen Huy Chflc, nam ciing
cao hdn so vdi nfl nhflng sfl khac biet khdng cd y nghia thdng ke [2].
Kiln thflc, thai do, thflc hinh cham soc rang mieng cua hpc sinh Trfldng trung hoc cd sd Phflc Diln nam 2014
Kien thtic cua hoc sinh vichdm soc rdng mi^ng Tie dung phdng benh eua kem dinh ring dfldc hoc sinh bilt din nhilu nhat li phdng dfldc ci sau rang va viem ldi (ty le tfldng flng la 89%).
Ty ll nay cao hdn so vdi ty le hieu bilt cfla hpc sinh Trfldng trung hoc cd sd Bat Trang tai Gia Lim Ha Npi [2].
Ty ll hilu bilt vl nguyin nhin giy sau rang efla hpc sinh trung hpc phd thdng trong nghien eflu niy dfit tren 92,5%. Ty le nay eao hdn so vdi hilu bilt eua hpc sinh trong nghiin cflu cua Dio Thi Dung nam 2007 (47,74%) [5].Hieubietvetic dung cua kem danh rang phdng dfldc ca siu rang vi vilm ldi dgt ty le 89,0%, kham rang 6 thing mdt lin 37,7 cao hdn so vdi nghien eflu eua Ll Huy Nguyin tren eung ddi tfldng ehi dat 13,7% [3].
Nhin ehung, kien thflc cua hpc sinh ve cham soc ring milng cdn ylu, can xem lai van de giio due va bd sung kiln thflc ve ehim sde ring milng eho hpe sinh. Trong nghien cflu nay, hpc sinh khdng cd kiln thfle vl khai niem cua vilm ldi da dfldc cai thien tdt
1201 TAP CHI Y DUOC C 6 TRUYgN VI^T NAM ^ S ]
^
hdn (22,0%), tuy nhien, vin cao hdn so vdi nghien cflu cua Quaeh Huy Chflc tai Bat Trang Ha Ndi (17,5%). [2].
Thdi do, ThUc hdnh cda hoc sinh vichdm soc rang miing
Khi dflde hdi vl thai dd ve chii rang hing ngay sau bfla an chinh, ed 79,0% hpc sinh tnmg hpe ed sd td thii do ddng y. Nlu so sinh thii dp nay vdi cung ddi tfldng hpc sinh tai Trfldng trunghpc cd sd Bit Trang, Gia Lim, H i Npi thi hpc sinh tai Phuc Dien ed thii dp kem hdn (95,4% ) [2].
Thflc hinh cua hpe sinh ve each ve sinh rang mieng sau bfla an chinh kha thip, die bilt li nhdm hpc sinh ldp 6 ty 11 hpe sinh eho rang can phai chii rang sau bfla an chinh 48,2%. Ty ll niy vin thap hdn so vdi tyle eua hpe sinh cic dan toe tai Yen Bai
trong nghiin cflu eua Dao Thi Ngpc Lan (2003), cu the ty le hpc sinh khdng chai rang sau bfla an ehinh d ngfldi Dao (97,71%), Nung (96,15%), H'Mdng(95,52%)[4].
KETLUAN
Benh hay ggp ddi vdi hpc sinh tnmg hoc cd sd la cao ring. Cd sfl khae biet gifla nam vi nfl ve nhilm cao rang. Ty ll siu rang la 34,7%. T^ II cao rang 34,2%. Tyle vilm ldi eao nhat ddi vdi hpe sinh tnmg hoc la 29,25%. Hilu bilt cua hpc sinh tnmg hpc cd sd ve tie dung phdng benh eua kem dinh rang rat h ^ che. Cach phdng benh sau rang mi hoc sinh bilt din n b l u nhit li vl sinh ring milng tdt.
Da sd hpc sinh trung hpe cd sd deu cd thii dp ehii rang hang ngay sau bfla an chinh.
TAI LIEU THAM KHAO
1. Viln Rang Ham M|t Qudc gia (2001), Dieu tra sfle khde rang mieng tren toan qudc.(23) 2. Quaeh Huy Chflc (2013), Thfle trang binh siu rang, viem ldi d hpc sinh trfldng Trung hpc cd sd Bat Tring, GiaLam, H i Ndi nam 2012-2013
3. Le Huy Nguyen (2012), Thflc trang benh sau rang, viem ldi vi mdi hin quan vdi kien thflc, thai do, hinh vi chim sde ring mieng cua hpe sinh PTTH Chu Van An, Ba Dinh, Ha Npi nam 2012.
4. Dio Thi Ngoc Lan (2003), Nghiin cflu thflc trang benh rang milng cua hpe sinh tieu hpc cac dan tdc tinh Yen Bai vi mpt sd bi|n phip can thilp d cpng ddng.
5. Dio Ihi Dung (2007), Dinh gii hilu qua can thiep ehfldng trinh nha hpe dfldng tai mpt sd trfldng tilu hoc quan Ddng Da, H i Ndi.
TAP CHfY DUOC CO TRUYEN VIET NAM
BAI NGHIEN ctru •
Ldp7
Ldp 8
Ldp 9
Chung (n=400)
SL TL SL TL SL TL SL TL
34 35,4
40 41,6
44 45,8
165 41,2
12 12,5 20 20,8
19 19,7 68 17
58 60,4
37 38,5
26 27,0
193 48,2
7 7,2 9 9,3 13 13,5 38 9,5 Nhin ehung hpc stnh trung hpc cd sd t^ cac dia
ban nghien cflu chu ylu chpn each xue milng vi chil rang sau bfla an chinh.
BAN lUAN
Thflc trang mac benh sau rang, viem ldi cua hoc sinh Trflcftig trunghoc cd sd Phuc Diln nam 2014 Ket qua nghiin cflu cho thay hpe sinh tai Trfldng trung hpe ed sd Phflc Dien thfldng siu ring sfla hdn li siu rang vinh viln (sfl khie biet ed y nghia thdng kl p < 0,001) d ei nam va nfl. Tuy nhiin, neu so sanh gifla nam va nfl ddi vdi tflng loai siu ring thi khdng cd sfl khae biet (p > 0,05).
Kit qua nay cung phu hdp vdi nhan dinh cua Dao Thi Dung (2007) nghien cflu tai eic trfldng quan DdngDa,HaNpi[5].
Ty ll vilm ldi li 29,2%, ty 11 niy thap hdn so vdi ty le 41,8% cua Quaeh Huy Chfle nghiin eflu tren cimg ddi tfldng tai Bat Trang, Gia Lim nam 2013, ty le nay thip hdn so vdi kit qua dilu tra rang mieng toin qudc nam 2000 va dmfle dp trungbinh theo phin loai cua WHO. Nlu so sinh gifla ty II viem ldi cua nam hpc sinh trung hpe ed sd (32,6%) vdi nfl hpc sinh trung hpc cd sd (25,6%) thi nam eao hdn edynghia thdng kl so vdi nfl vdip < 0,001, so vdi ket qua cua Nguyen Huy Chflc, nam ciing
cao hdn so vdi nfl nhflng sfl khae biet khdng cd f nghia thong kl [2],
Kien thflc, thai do, thflc hanh cham soc rang mi^ng cua hpc sinh Trfldng trung hoc cd sd Phuc Dign nam 2014
Kiin thtic cda hoc sinh ve chdm soc rang mieng Tic dung phdng benh cua kem dinh ring dfldc hpc sinh bilt den nhieu nhat la phdng dfldc ci siu rang vi viem ldi (ty ll tfldng flng li 89%).
Ty le niy eao hdn so vdi ty le hilu biet eua hpc sinh Trfldng trung hpe cd sd Bat Trang tai Gia Lam H i Ndi [2].
Ty le hilu biet ve nguyen nhan giy sau rang eua hpe smh trung hpe phd thdng trong nghiin cflu niy dat tren 92,5%. Ty ll nay eao hdn so vdi hieu biet cua hpc sinh trong nghiin eflu cua Dio Thi Dung nam 2007 (47,74%) [5]. Hilubilt ve tic dung cua kem danh rang phdng dfldc ci siu rang vi vilm ldi dat ty le 89,0%, kham ring 6 thing mpt lan 37,7 cao hdn so vdi nghiin cflu cua Ll Huy Nguyen trin cung ddi tfldng chi dat 13,7% [3].
Nhin chung, kiln thflc eua hpc smh vl cham soc ring mieng cdn yeu, cin xem lai van de giao due vi bd sung kiln tiiflc vl cham sde rang milng eho hgc sinh. Trong nghien cflu niy, hpc sinh khdng ed kiln thfle ve khai niem cfla vilm ldi da dfldc cai thiln tdt
1201 TAP CHIY DUOC C 6 TRUYEN VIET NAM k-ltj AMtlt:L AJtIlil
! •
hdn (22,0%), tuy nhiin, vin cao hdn so vdi nghiin cflu ciia Quich Huy Chflc tai Bit Tring H i Ndi (17,5%). [2].
Thdi dd, Thtfc hdnh cua hgc sinh vi chdm soc rdng mi$ng
Khi dfldc hdi ve thai dp ve chai rang hang ngiy sau bfla an chinh, ed 79,0% hpc smh tnmg hpc cd sd td thil dp ddng y. Nlu so sanh thai dd nay vdi eung ddi tfldng hpc sinh tai Trfldng trunghpc cd sd Bat Trang, Gia Lam, H i Npi thi hoc sinh tai Phuc Dien ed thii dp kem hdn (95,4% ) [2].
Thflc hanh cua hpe sinh vl each vl sinh rang mieng sau bfla in chinh kha thip, dac biet la nhdm hpc sinh ldp 6 ty le hpc smh cho ring can phii ehai rang sau bfla an chinh 48,2%. Ty le niy van thap hdn so vdi tyle cua hpc sinh cac din toe tai Yen Bii
trong nghiin cflu cua Dio Thi Ngpe Lan (2003), cu the ty le hpc sinh khdng chii ring sau bfla in chinh d ngfldi Dao (97,71%), Niing (96,15%), H'Mdng(95,52%)[4].
KETLUAN
Benh hay gap ddi vdi hpc smh trung hpe cd sd la cao rang. Cd sfl khac biet gifla nam va nfl ve nhiem cao rang. Ty ll sau ring li 34,7%. Ty le cao rang 34,2%. Tyle viem ldi cao nhit ddi vdi hpc sinh tmng hpc la 29,25%. Hieu biet cua hpc sinh trung hpc cd sd ve tic dung phdng binh cua kem dinh ring rat han chi, Cich phdng benh siu ring m i hpc sinh bilt din nhieu nhat li vl sinh rang milng tdt.
Da sd hpe sinh trung hpc cd sd diu cd thii dp ehii rang hang ngay sau bfla an chinh.
TAI LIEU THAM KHAO
1. ^^?n Rang Ham Mat Qudc gia (2001), Dieu tra sflc khde rang mieng tren toan qudc.(23) 2. Quaeh Huy Chtfc (2013), Thflc trsing benh sau rang, viem ldi d hpc sinh trfldng Trung hpe cd sd Bit Tring, Gia Lim, H i Ndi nim 2012-2013
3. Le Huy Nguyen (2012), Thflc trgng benh sau rang, viem ldi vi mdi lien quan vdi kien thflc, thai dp, hinh vi chim sde ring mieng eua hpc sinh PTTH Chu Van An, Ba Dinh, H i Npi nam 2012.
4. Dio Thi Ngpc Lan (2003), Nghien eflu thflc trang benh ring mieng eua hpc sinh tieu hpc cac dan toe tinh Yen Bai va mdt sd bien phip ean thilp d cpng ddng.
5. Dio Thi Dung (2007), Dinh gia hieu qui ean thilp ehfldng trinh nha hpe dfldng tai mdt sd trfldng tieu hpc quin Ddng Da, H i Ndi.
TAP CHI Y DUOC C6 TRUYEN V||T NAM l.-i<IAM!»:^i!Jtlll |121
BAI NGHIEN CUU •
Ldp 7
Ldp 8
Ldp9
Chung (n=400)
SL TL SL TL SL TL SL TL
34 35,4
40 41,6
44 45,8 165 41,2
12 12,5 20 20,8
19 19,7 68 17
58 60,4
37 38,5
26 27,0 193 48,2
7 7,2 9 9,3 13 13,5 38 9,5 Nhin chung hpc sinh trung hpc cd sd tai eac dia
ban nghiin eflu ehu yeu ehpn eich xue milng vi chil ring sau bfla an chinh.
BAN lUAN
Thflc trang mac benh sau rang, viem ldi cua hpc sinh Trfldfng trung hpc cd sd Phuc Dien nam 2014 Kit qui nghien eflu eho thay hpe sinh tai Trfldng trung hpe ed sd Phuc Diln thfldng siu ring sfla hdn la sau rang vinh viln (sfl khic biet cd y nghia thdng kl p < 0,001) d ci nam va nfl. Tuy nhiin, neu so sinh gifla nam va nfl ddi vdi tflng loai siu rang thi khdng cd sfl khie biet (p > 0,05).
Kit qua niy eung phu hdp vdi nhan dinh eua Dao Thi Dung (2007) nghiin cflu tai eic trfldng quin Ddng Da, H i Ndi [5].
Ty 11 viem ldi la 29,2%, ty le niy thap hdn so vdi ty le 41,8% eua Quich Huy Chflc nghiin cflu trin cimg ddi tfltfng tai Bat Tring, Gia Lim nam 2013, tyle niy thip hdn so vdi kit qui dilu tra ring mieng toan qudc nam 2000 vi d mfle dp trungbinh theo phin loai efla WHO. Neu so sanh gifla ty ll viem ldi cua nam hpe smh tmng hpc cd sd (32,6%) vdi nfl hpc sinh trung hpc cd sd (25,6%) thi nam cao hdnedynghiathdngke so vdi nflvdip< 0,001, so vdi kit qui cua Nguyen Huy Chflc, nam cung
cao hdn so vdi nfl nhflng sfl khie biet khdng cd y nghia thdngke [2].
Kien thflc, thai dp, thflc hinh cham soc rang milng cua hpc sinh Trfldng tnmg hpc cd sd Phiic Diin nam 2014
Kiin thUc cda hoc sinh vi chdm soc rdng mifng Tic dung phdng benh cua kem dinh ring dfldc hpe sinh biet den nhieu nhat la phdng dfldc ei siu ring va vilm ldi (ty ll tfldng flng li 89%).
Ty le niy eao hdn so vdi ty le hilu bilt cua hpc sinh Trfldng trung hpe ed sd Bat Trang tai Gia Lam H i Npi [2].
Ty le hilu bilt ve nguyen nhan giy siu rang cua hpe sinh trang hpe phd thdng trong nghien eflu nay dat tren 92,5%. Ty ll nay eao hdn so vdi hieu biet cua hpc sinh trong nghiin cflu cua Dio Thi Dung nam 2007 (47,74%) [5]. Hilu bilt vl tac dung cua kem danh rang phdng dfldc ca sau rang vi viem ltfi dat ty le 89,0%, kham ring 6 thing mdt lin 37,7 cao hdn so vdi nghien cflu cua Le Huy Nguyin trin cung ddi tfldng chi dat 13,7% [3].
Nhin chung, kiln thflc cua hpc sinh vl chim sde ring mieng edn ylu, cin xem lai van de giao due va bd sung kien thflc ve ehim sde rang milng cho hpc sinh. Trong nghien eflu nay, hpc sinh khdng cd kiln thflc ve khii niem cua viem ldi di dfldc cai thien tdt
1201 TAP CHIY DUOC C 6 TRUYEN VIET NAM 5 3 3 3
— ^
hdn (22,0%), tuy nhien, vin cao hdn so vdi nghien cdu cua Quich Huy Chflc tai Bit Trang H i Ndi (17,5%). [2].
Thai dd, Thtfc hdnh ciia hoc stnh vecham soc rang mieng
Khi dfldc hdi vl thii do ve chii ring hing ngiy sau bfla in chinh, ed 79,0% hpc sinh trung hpe ed sd td thii dp ddng y. Nlu so sanh thai do nay vdi eung ddi tfldng hpc sinh tai Trfldng tmng hpe ed sd Bat Tring, Gia Lam, Ha Ndi thi hpc sinh tai Phuc Diln cd thii do kem hdn (95,4% ) [2].
Thfle hinh cua hpc sinh vl each ve sinh rang milng sau bfla an chinh khi thip, die biet li nhdm hoc sinh ldp 6 ty ll hoc sinh cho rang cSn phai chai rang sau bfla an chinh 48,2%. Ty le niy vin thip htfn so vdi ty le eua hpe sinh cac dan tdc tzii Yin Bii
trong nghien cflu cua Dio Thi Ngpc Lan (2003), cu thi ty le hpc sinh khdng ehii rang sau bfla an chinh d ngfldi Dao (97,71%), Nung (96,15%), H'Mdng (95,52%) [4].
KETUIAN
Benh hay gap ddi vdi hoe sinh tmng hpc cd sd li cao rang. Cd sfl khae biet gifla nam vi nfl ve nhiem cao rang. Ty II sau rang la 34,7%. Ty ll cao rang 34,2%. Ty ll viem ldi cao nhat ddi vdi hoc sinh tmng hpc la 29,25%. Hieu bilt cua hpe sinh trung hoc cd sd ve tac dung phdng benh eua kem danh rang rit h?n che. Cich phdng binh sau rang ma hpe sinh biet din nhilu nhat Ii vl sinh rang mieng tdt.
Da sd hoc sinh trung hpc ed sd deu cd thai dp ehii ring hang ngiy sau bfla an chinh.
TAI LIEU T H A M KHAO
1. Viln Rang Ham Mat Qudc gia (2001), Dilu tra sflc khde rang milng trin toan qudc,(23) 2. Quich Huy Chflc (2013), Thflc trang benh siu ring, viem Idi d hpe sinh trfldng Trung hpc cd sd Bit Tring, Gia Lim, Ha Ndi nim 2012-2013
3. Le Huy Nguyin (2012), Thfle t r ^ g binh siu rang, viem ldi vk mdi hen quan vdi kiln thflc, thai dp, hanh vi cham sde rang mieng cua hpc sinh PTTH Chu \ ^ An, Ba Dinh, Ha Ndi nim 2012.
4. Dao Thi Ngpc Lan (2003), Nghien eflu thfle trang binh rang mieng eiia hpc smh tieu hgc cac din tdc tinh Yin Bii vi mpt sd biln phip ean thiep d cdng ddng.
5. Dio Thi Dung (2007), Dinh gia hilu qui ean thiep chfltfng trinh nha hpc dfldng tai mpt sd tnfdng tilu hpe quin Ddng Da, Ha Ndi.
TAP CHIYDUPC CO TRUYEN Viet N A M r a ,121