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Updated: Sep 9, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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歯科クリニックでの飲み込み障害の流行:タイの総合病院での事例研究
Piengtong Dittasoi1,2, Matana Kettratad-Pruksapong1, Sirima Kulvanich1
1Division of Gerodontology and Special Care Dentistry, Faculty of Dentistry, Thammasat University, Pathumthani, Thailand.
Community dental health
|September 2, 2025
まとめ
ある研究によると 歯科クリニックを訪れた高齢者の12.5%が 飲み込み障害 (消化不全) を 抱えていた. 治療中の合併症を防ぐために 歯科の専門家がこの状態をスクリーニングする必要性を強調しています
科学分野:
- 高齢者歯科
- 口腔 衛生
- 臨床栄養について
背景:
- 高齢者では飲み込み障害 (消化不全) が多く,歯科治療中に吸い込みなどの危険性があります.
- 臨床歯科での食欲不全の流行に関するデータは限られている.
- この研究は,歯科クリニックに通う高齢者の 消化不全を評価することで,このギャップを埋めています.
研究 の 目的:
- 歯科クリニックに通う高齢者における 飲み込み障害の有病率を測定する.
- この集団における食欲不全に関連する要因を特定する.
- 歯科専門医に ディスファギーのスクリーニングの重要性について知らせる
主な方法:
- タイの病院で327人の高齢者を対象に横断調査が行われました.
- 食事評価ツール (EAT-10) のタイ版がスクリーニングに使用され,スコアは≥3で困難を示しました.
- 統計分析には,キ平方,フィッシャーの正確なテスト,およびロジスティック回帰が含まれています.
主要な成果:
- 参加者の12.5%が飲み込み障害を検診した.
- 重要な予測要因には女性の性別,食事の質感の変化,脳卒中,神経筋疾患が含まれていた.
- 歯科手術中に窒息したり,咳をしたりすると,消化不全のリスクが増加しました.
結論:
- この研究は,高齢者の歯科クリニック集団における 難食症の有病率を初めて調査したものです.
- 発見は歯科医が 消化不全を検診する必要性を強調しています
- スクリーニングと予防策は,高齢の患者の処置リスクと合併症を軽減することができます.
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