Tongue cleaning maintains respiratory function in older individuals: A 1-year randomised controlled trial.
Tongue cleaning maintains respiratory function in older individuals: A 1-year randomised controlled trial.
复制标题
舌头清洁可维持老年人的呼吸功能：一项为期一年的随机对照试验。
DOI：
10.1111/joor.13165
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Akifusa S.
中科院分区：
文献类型：
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作者：
Izumi M;Sonoki K;Ohta Y;Fukuhara M;Nagata M;Akifusa S.
目的研究舌头清洁对需要护理的老年人呼吸功能的维持作用。方法研究对象为日本北九州两家养老院的24名居民。参与者被随机分为两组，一组接受常规口腔护理(干预组，n=12)，另一组仅接受常规口腔护理(对照组，n=12)。参与者中，干预组3人、对照组4人有脑血管病史，干预组4人、对照组4人有心脏病史，干预组5人、对照组4人无病史。根据最大呼气流速(PEFR)评估呼吸功能。结果两组受试者12人，对照组PEFR(1.6[0.4~4.2]L、S−1vs1.4[0.4~3.2]L、S−1，P=0.034)，舌压(16.4[1.7~35.2]kPavs 8.0[1.4~38.6]kpa，P=2.032)在1年后显著下降。而干预组患者的PEFR值(1.5[0.8~2.9]L、S−1vs1.6[0.7~4.2]、L、S−1，P=0.366)和舌压(18.1[4.2~37.1]kPavs 16.1[5.2~41]kPas，P=0.307)维持不变。干预组与对照组比较，差异有统计学意义(−=0.130.2 5[−0.45~1.7]L、S−1 vs−1.7[PEFR 10.0 0~10.0 0]L、S−1，P=0.0 2 8)。
ObjectiveThe aim of this 1‐year longitudinal randomised controlled trial was to evaluate the effectiveness of tongue cleaning on the maintenance of respiratory function in older adults requiring care.MethodsThe participants included 24 residents of two nursing homes in Kitakyushu, Japan. The participants were randomised to receive tongue cleaning with routine oral care (intervention group, n = 12), or routine oral care alone (control group, n = 12). Among the participants, three in the intervention group and four in the control group had cerebrovascular disease history, four in the intervention group and four in the control group had a history of cardiac disease, and five in the intervention group and four in the control group were without medical history. Respiratory function was assessed on the basis of the peak expiratory flow rate (PEFR). Tongue pressure, swallowing function, oral health status, activities of daily living and nutritional status were also measured at baseline and at the end of the 1‐year follow‐up period.ResultsThe number of analysed participants in each group was 12. In the control group, the PEFR (1.6 [0.4‐4.2] L s−1vs 1.4 [0.4‐3.2] L s−1,P= .034) and tongue pressure (16.4 [1.7‐35.2] kPa vs 8.0 [1.4‐38.6] kPa,P= .032) significantly declined after 1‐year. However, the PEFR (1.5 [0.8‐2.9] L s−1vs 1.6 [0.7‐4.2] L s−1,P= .366) and tongue pressure (18.1 [4.2‐37.1] kPa vs 16.1 [5.2‐41] kPa,P= .307) were maintained in the intervention group. The change in the PEFR was significantly greater in the intervention group compared with the control group (0.130 [−0.45‐1.70] L s−1vs −1.70 [−10.00‐10.00] L s−1,P= .028).ConclusionOur findings suggest that tongue cleaning may help maintain tongue and respiratory function in older adults requiring care.