口腔科门诊老年患者肌肉减少症现状与口腔健康关系的研究  

Study on the status of sarcopenia and its relationship with oral health in elderly outpatients of stomatology department

作　　者：陈颐 潘兰兰[2] 陆慧芳 CHEN Yi;PAN Lan-lan;LU Hui-fang(Department of Oral Medicine,Deyang Stomatology Hospital,Deyang Sichuan,618000,China)

机构地区：[1]德阳市口腔医院口腔内科,四川618000 [2]重庆医科大学附属口腔医院牙周科,四川401147

出　　处：《中华老年口腔医学杂志》2020年第5期293-296,共4页Chinese Journal of Geriatric Dentistry

摘　　要：目的:了解口腔门诊老年患者肌肉减少症的发生率,探讨肌肉减少症与生活质量及口腔健康状况的关系。方法:采用横断面研究的方法,选择2018年9月至2019年8月在我院口腔门诊就诊的65岁及以上老年患者为研究对象,采用口腔健康影响程度表(OHIP-14)评估口腔健康状况对生活质量的影响、口腔健康评估表(OHAT)评估口腔健康状况。多因素分析肌肉减少症与OHIP-14、OHAT评分之间的关系。结果:195例口腔门诊患者中,肌肉减少症79例,肌肉减少症发生率40.5%。与无肌肉减少症的患者相比,肌肉减少症患者的口腔健康相关生活质量和口腔健康状况均明显较差。以OHIP-14量表评分为因变量,其余变量作为自变量进行多元线性回归分析,结果显示:牙齿数量、EAT-10、肌肉减少症是影响口腔健康相关生活质量的因素(P<0.05)。以OHAT量表评分为因变量,其余变量作为自变量进行多元线性回归分析结果显示:牙齿数量、OHIP-14、肌肉减少症、年龄均是影响其口腔状况的因素(P<0.05)。在调整了各种混杂因素如年龄、性别、吸烟、饮酒、现病史等后,肌肉减少症与OHIP-14和OHAT评分也独立相关。结论:口腔科门诊老年患者肌肉减少症的发生率较高,肌肉减少症与较差口腔健康状况及较低的口腔健康相关生活质量相关。对于肌肉减少症患者,积极治疗口腔疾病,促进口腔健康是十分必要的。Objective:To investigate the prevalence of sarcopenia in elderly patients in oral clinic,and to explore the relation-ship between sarcopenia and quality of life and oral health.Methods:A cross-sectional study was conducted to evaluate the impact of oral health on quality of life and oral health assessment scale(OHAT)in elderly patients aged 65 years and over who visited our oral clinic from September 2018 to August 2019.Oral health impact scale(OHIP-14)was used to assess the impact of oral health on quality of life and oral health assessment scale(OHAT)was used to assess oral health.Multivariate analysis of the relationship between sarcopenia and OHIP-14,OHAT scores.Results:Among 195 outpatients,79 had sarcopenia,and the prevalence of sarcopenia was 40.5%.Compared with patients without sarcopenia,patients with sarcopenia had significantly worse oral health-related quality of life and oral health status.The OHIP-14 scale score was used as dependent variable and the other variables were used as independent variables for multiple linear regression analysis.The results showed that the number of teeth,EAT-10,and sarcopenia were the factors affecting the quality of life related to oral health(P<0.05).The results of multiple linear regression analysis showed that the number of teeth,OHIP-14,sarcopenia and age were all factors affecting the oral condition(P<0.05).After adjusting for various confounding factors,sarcopenia was also independently associated with OHIP-14 and OHAT scores.Conclusion:The prevalence of sarcopenia in elderly outpatients is higher,and sarcopenia is associated with poorer oral health and lower oral health related quality of life.Therefore,we believe that it is necessary for patients with sarcopenia to actively treat oral diseases and promote oral health.

关 键 词：肌肉减少症 口腔健康 生活质量 老年 

分 类 号：R787[医药卫生—口腔医学]