广州医药2024，Vol.55Issue(1)：41-47,7.DOI:10.3969/j.issn.1000-8535.2024.01.007
慢性阻塞性肺疾病患者口腔功能状况的影响因素分析
Analysis of risk factors for oral function in patients of chronic obstructive pulmonary disease
摘要
Abstract
Objective To investigate the status quo and influencing factors of oral function in hospitalized pa-tients of chronic obstructive pulmonary disease(COPD).Methods A total of 191 patients with COPD who were hospi-talized in the Respiratory Department and Thoracic Surgery Department of a hospital in Longgang,Shenzhen from Septem-ber 2022 to July 2023 were selected by convenience sampling.The general data questionnaire,the Barthel index of activity of daily living(BADL)the repetitive saliva swallowing test(RSST),modified Medical Research Council Dyspnea Scale(mMRC),the Modified Beck Oral Assessment Scale(BOAS)were used for investigation and evaluation.Single factor anal-ysis was used to analyze the influencing factors of oral function status in elderly COPD patients,and logistic regression was used to analyze the independent risk factors affecting oral function status in elderly COPD patients.Results Among 191 elder-ly patients with COPD,the BOAS scores were(10.79±2.51),(10.91±2.82),(11.21±2.30),(10.83±2.55)at admission,the 3rd day,the 5th day and discharged day,respectively,with no statistical significance.The results of uni-variate analysis indicated that the independent risk factors of Beck oral function status in COPD patients at D3,D5 and dis-charge were gender,age,marital status,tooth loss,smoking history and Barthel index score,and the differences were sta-tistically significant(P＜0.05).Binary logistic regression analysis indicated that age,smoking status,tooth loss and Barthel index score were independent risk factors for oral function status in hospitalized patients with COPD(P＜0.05).Conclusions Elderly patients with COPD have poor oral health status,which is affected by patient's age,smoking history,tooth loss and self-care ability.Targeted prevention and intervention strategies should be adopted to improve the oral health status of hospitalized patients with COPD,so as to reduce the COPD patient's risk of complications.关键词
慢性阻塞性肺疾病/住院患者/口腔功能/危险因素Key words
chronic obstructive pulmonary disease/inpatient/oral function/risk factors引用本文复制引用
陈喻萍,黄继平,杨磊,卢茜,曾丽娟..慢性阻塞性肺疾病患者口腔功能状况的影响因素分析[J].广州医药,2024,55(1):41-47,7.基金项目
国家自然科学基金资助项目(82073628) （82073628）
深圳市龙岗区医疗卫生科技计划项目(LGWJ2021-040) （LGWJ2021-040）
