臺灣博碩士論文加值系統

研究背景：唐氏症者有不同於其他身心障礙者之特殊牙齒形態，譬如小牙症或錐形齒，也有較低之齲齒盛行率。而有鑑於國內有關唐氏症者之口腔健康狀況調查並不多見，其本研究資訊的獲得將幫助我們廣泛的瞭解唐氏症者口腔健康狀況。
研究目的：本研究主要探討唐氏症者之口腔健康狀況。
研究方法：有105位唐氏症者參與這項研究，研究進行口腔健康狀況檢查及問卷調查二部份，問卷並由父母親或照護者進行填寫。在年齡部份，本研究包含了四個年齡層，分別為6歲以下、7-12歲、13-18歲以及19歲以上。以Microsoft Access軟體設計資料庫並輸入資料，再以JMP5.0進行分析。
結果：在唐氏症者之性別、年齡層、障礙程度上之DT、MT、FT、DMFT指數、齲齒盛行率、填補率方面。DMFT指數，女性為2.71高於男性。年齡層高於19歲者，其DMFT指數、DT、MT、FT及齲齒盛行率皆是最高的，並且呈現統計學上顯著差異。唐氏症者有58.42%有碎屑殘留；碎屑指數隨著年齡增加而上升，並且呈現統計學上顯著差異(P= 0.0416)；但在性別及障礙程度方面，統計學上並没有呈現明顯差異。同樣的情形也發生在唐氏症者之牙結石方面；但是牙結石累積並不嚴重也不常看到。在唐氏症者之牙齦指數方面是隨著年齡增加而上升，中度牙齦炎比輕度及重度者較常被看到。
結論：唐氏症者會有比較低的DMFT指數及較高的填補率，可能原因除了唐氏症者牙齒形態較單純；另外本研究對象為唐氏症關愛者協會會員，可能接受較多口腔照護與治療，以致形成了低齲齒高填補的結果。其他原因可能需要更多研究來探討。

Background: People with Down syndrome differ from other physically and mentally disabled in particular dental features, e.g. smaller or rounder teeth, which results in lower caries rates. Surveys of the dental health status in Down syndrome are rare in Taiwan; this research will help us to clarify the dental health status for children with Down syndrome.
Objectives: The purpose of this study was to investigate the current dental health status of children with Down syndrome.
Methods: A total number of 105 children with Down syndrome in Taiwan participated in this study, their dental health status was examined and a questionnaire was completed by their parents or caregivers. The samples were divided into four age groups: under 6, 7-12, 13-18 and over 19 years old. A database was designed using Microsoft Access and data were analyzed by statistics software JMP.
Results: The DT, MT, FT, DMFT index, caries prevalence, filling rate of Down syndrome by gender, age group, and severity of disabilities. The DMFT index of females was 2.71 which was higher than that of males. The group aged over 19 years old showed the highest value in DMFT index, DT, MT, FT and caries prevalence and was statistically significant.
There was 58.42% of the people with Down syndrome who had debris on their teeth. The debris index increased with age. and was statistically significant (P= 0.0416). There was not a statistically significant difference in debris index by gender and severity of disability. The same tendency as the debris index was found in the calculus index, but calculus is not so commonly seen and the grade of calculus accumulation is not so severe in the group of children with Down syndrome. The percentage of children with Down syndrome with healthy gingival tissue has decreased with age. Moderate gingivitis is more often seen than mild and severe gingivitis.
Conclusion: The reasons for lower DMFT index in children with Down syndrome may be due to their simple dental features. Moreover, those children, who are members of the Taiwan Down Syndrome Association, may have better oral care and dental treatment, providing this result. However, these underlying factors need further research and articles to be proven.

目錄
頁次
致謝
中文摘要…………………………………………………………I
英文摘要…………………………………………………………Ⅲ
目錄……………………………………………………………..Ⅴ
中文表錄………………………………………………………..Ⅸ
英文表錄………………………………………………………ⅩⅡ
附錄……………………………………………………………ⅩⅥ
第一章 緒論
第一節 研究背景………………………………………………1
第二節 研究目的………………………………………………4
第二章 文獻探討
第一節 唐氏症定義…………………………………………..5
第二節 唐氏症種類……………………………………………6
第三節 染色體異常（唐氏症）依「身心障礙等級標準」…7
第四節 臨床特徵(Clinical features)………………..….8
第五節 唐氏症的發生率………………………………………9
第六節 唐氏症者的口腔健康狀況及相關因素探討…………10
第三章 材料與方法
第一節 研究對象………………………………………………19
第二節 抽樣方法………………………………………………19
第三節 研究架構………………………………………………20
第四節 研究內容………………………………………………21
第五節 研究步驟………………………………………………23
第六節 統計分析………………………………………………24
第七節 研究限制………………………………………………25
第八節 名詞界說………………………………………………26
第四章 結果
第一節 唐氏症者基本資料……………………………………29
第二節 唐氏症者口腔健康狀況與治療需求…………………30
第三節 唐氏症者日常生活習慣與經驗………………………32
一、唐氏症咀嚼/吞嚥狀況………………………………... 32
二、唐氏症者之飲食習慣…………………………………...33
三、唐氏症者之口腔衛生習慣……………………………...33
四、唐氏症者看牙醫的經驗………………………………...34
五、照護者對口腔保健的知識態度………………………...34
第四節 唐氏症者口腔健康狀況與相關影響因素……………35
一、口腔健康狀況與基本資料之關係……………………...35
二、唐氏症者口腔健康狀況與飲食習慣之關係…………...38
三、唐氏症者口腔健康狀況與口腔衛生習慣之關係……...39
四、唐氏症者口腔健康狀況與看牙醫的經驗之關係……...40
五、口腔健康狀況與年齡之關係…………………………...42
六、迴歸分析影響口腔健康重要因素……………………...43
第五章 討論
第一節 唐氏症者之基本資料…………………………………46
第二節 唐氏症者之口腔健康狀況……………………………47
第三節 唐氏症者之日常生活習慣與經驗……………………50
第四節 唐氏症者之口腔健康狀況與相關因素探討…………53
第六章 結論與建議
第一節 結論……………………………………………………55
第二節 建議……………………………………………………56
參考文獻………………………………………………………….57
中文表格………………………………………………………….70
英文表格…………………………………………………………100
附錄………………………………………………………………131
台灣6-18歲唐氏症者口腔健康狀況及醫療需求調查……….138
台灣唐氏症者口腔健康狀況與飲食、潔牙生活習慣之調查.142

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