| 徐立宇,管惠兰,王燕燕,等.门诊老年人衰弱与口腔健康的相关性研究[J].中国临床保健杂志,2025,28(2):214-217. |
| 门诊老年人衰弱与口腔健康的相关性研究 |
| Association between oral health and frailty in elderly outpatients |
| 投稿时间：2024-12-11 |
| DOI：10.3969/J.issn.1672-6790.2025.02.013 |
| 中文关键词: 衰弱 口腔 牙缺失 咀嚼 老年人 危险因素 |
| 英文关键词: Frailty Mouth Tooth loss Mastication Aged Risk factors 〖FL |
| 基金项目:浙江省医药卫生科技计划项目(2019KY004) |
| 作者 | 单位 | E-mail | | 徐立宇 | 浙江医院,老年病科,杭州 310013 | 450232169@qq.com | | 管惠兰 | 浙江医院,老年病科,杭州 310013 | 450232169@qq.com | | 王燕燕 | 浙江医院,老年病科,杭州 310013 | 450232169@qq.com | | 杨影红 | 浙江医院,老年病科,杭州 310013 | 450232169@qq.com | | 徐国超 | 浙江医院,口腔科,杭州 310013 | 450232169@qq.com | | 章洁 | 浙江医院,口腔科,杭州 310013 | 450232169@qq.com |
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| 中文摘要: |
| 目的 探讨口腔门诊老年患者口腔健康指标与衰弱的相关性,为构建衰弱多学科防控体系提供依据。方法 该研究为前瞻性研究,纳入2020年2月到2023年3月在浙江医院口腔科门诊就诊的575例≥65岁老年患者为研究对象。通过临床衰弱量表评估衰弱状态,口腔检查评估自然牙数量、牙周健康状况、咀嚼能力、口干及义齿使用情况。采用多因素logistic回归分析口腔健康指标与衰弱的相关性。结果 575例研究对象年龄65~95(77.6±6.4)岁,衰弱检出率为20.9%(120/575)。口腔健康评估显示,83.1%患者自然牙存留数<21颗,29.0%患者存在咀嚼能力下降。单因素logistic回归分析显示,衰弱与增龄、咀嚼能力下降、牙列缺损和临床附着丧失显著相关(P<0.05)。多因素logistic回归分析显示,增龄(OR=1.863,95CI:1.374~2.525,P＜0.001)与咀嚼能力下降(OR=1.416,95%CI:1.298~1.825,P<0.001)是衰弱的危险因素。相对于具有21颗及以上牙齿的老年患者,牙列缺损者发生衰弱的风险增高(有0颗:OR=2.785,95%CI:1.329~4.590,P<0.001；有1~10颗:OR=1.968,95%CI:1.271~2.993,P=0.022；有11~20颗:OR=2.031,95%CI:1.008~3.591,P=0.017)。结论 年龄、牙列缺损和咀嚼能力下降是门诊老年患者衰弱的独立危险因素,提示口腔健康管理应纳入老年衰弱综合干预策略。 |
| 英文摘要: |
| Objective To investigate the association between oral health indicators and frailty among elderly patients in dental clinics,providing evidence for constructing a multidisciplinary prevention and control system for frailty.Methods A single-center cross-sectional study was conducted,this study included 575 elderly patients aged 65 and above who visited the dental clinic of Zhejiang Hospital from February 2020 to March 2023 as the research subjects.Frailty status was assessed using the Clinical Frailty Scale.Oral health indicators included the number of remaining natural teeth,periodontal status,masticatory ability,and denture usage.Univariate and multivariate logistic regression analyses were performed to evaluate the correlations between oral health parameters and frailty.Results The mean age of participants was (77.6±6.4) years (range:65-95),with a frailty prevalence of 20.9% (120/575).Oral health assessments revealed that 83.1% of participants had fewer than 21 natural teeth,and 29.0% reported impaired masticatory ability.Univariate analysis identified significant associations between frailty and age increase,decreased masticatory ability,natural tooth loss,and clinical attachment loss (all P<0.05).Multivariate logistic regression analysis showed that age increase(OR=1.863,95CI:1.374-2.525,P＜0.001) and decreased masticatory ability (OR=1.416,95%CI:1.298-1.825,P<0.001) were two risk factors for frailty.Compared with elderly patients with 21 or more teeth,those with natural tooth loss had a higher risk of frailty(0 teeth:OR=2.785,95%CI:1.329-4.590,P<0.001；1-10 teeth:OR=1.968,95%CI:1.271-2.993,P=0.022；11-20 teeth:OR=2.031,95%CI:1.008-3.591,P=0.017).Conclusions Natural tooth loss and decreased masticatory ability are independent risk factors for frailty in elderly dental outpatients.These findings underscore the necessity of integrating oral health management into comprehensive frailty intervention strategies. |
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