J Oral Rehabil:轻度认知功能障碍或阿尔茨海默病患者 义齿使用不受影响

2018-09-15 杨帆 编译 中国医学论坛报今日口腔

荷兰的一项研究显示,大多数轻度认知功能障碍或阿尔茨海默病患者的吞咽和咀嚼能力良好。此外,超过一半受试者的义齿具有良好的固位和咬合。而有严重认知障碍的受试者牙齿咬合对数较少,主动开口度也相对较小。在大多数有轻度认知功能障碍或阿尔茨海默症患者中,牙齿磨损程度小于临床冠的三分之一。该论文8月20日在线发表于《口腔康复杂志》(J Oral Rehabil)


荷兰的一项研究显示,大多数轻度认知功能障碍或阿尔茨海默病患者的吞咽和咀嚼能力良好。此外,超过一半受试者的义齿具有良好的固位和咬合。而有严重认知障碍的受试者牙齿咬合对数较少,主动开口度也相对较小。在大多数有轻度认知功能障碍或阿尔茨海默症患者中,牙齿磨损程度小于临床冠的三分之一。该论文8月20日在线发表于《口腔康复杂志》(J Oral Rehabil)。

该研究采用横断面观察研究方法,受试者为60岁以上的轻度认知功能障碍患者或阿尔茨海默症患者,采用简易心理状态检查(MMSE)评估整体认知功能,用主观和客观方法评价口腔功能,包括咀嚼和吞咽的感知情况、义齿功能、牙齿咬合对数、牙齿磨损程度、主动开口和被动开口的最大张口度。
咀嚼和吞咽功能良好者分别为86.0%和90.9%,63.8%的受试者佩戴全口义齿或局部义齿,其中58.4%的上颌义齿和50.0%下颌义齿固位情况良好。轻度认知功能障碍组的牙齿咬合对数中位数为3.0(IQR0.0~7.5),阿尔茨海默症组的牙齿咬合对数中位数为0.0(IQR0.0~1.0),U=3838.50,P<0.001。咬合对数与MMSE评分呈正相关,R=0.267,年龄调整后,R=0.230。轻度认知功能障碍或痴呆患者的牙齿磨损评分中位数为2.0(IQR2.0~2.0)。阿尔茨海默症组的最大张口度为45.8 (SD9.3)mm,轻度认知功能障碍组为49.8 (SD8.1)mm,T(253)=2.67,P=0.008。

原始出处:

Delwel S,et al.Oral function of older people with mild cognitive impairment or dementia.J Oral Rehabil. 2018 Aug 20. doi: 10.1111/joor.12708. [Epub ahead of print]

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    2018-09-17 qjddjq
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    2018-09-15 医者仁心5538

    学习了

    0

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