Prevalence of Dysphagia in China: An Epidemiological Survey of 5943 Participants
Prevalence of Dysphagia in China: An Epidemiological Survey of 5943 Participants
复制标题
中国吞咽困难患病率：5943名参与者的流行病学调查
DOI：
10.1007/s00455-020-10138-7
复制
发表时间：
2020-05-26
期刊：
影响因子：
2.6
通讯作者：
Dou, Zulin
中科院分区：
文献类型：
--
作者：
Zhang, Mengqing;Li, Chao;Dou, Zulin
目的了解中国地区老年人群和卒中、头颈癌、神经退行性疾病患者吞咽困难的患病率，分析影响吞咽困难的相关因素，探讨吞咽困难与营养状况的关系。吞咽困难的存在通过使用问卷、吞水试验和/或视频透视吞咽检查来确定。使用Logistic回归分析评估可能的相关危险因素。结果5943人符合纳入标准，2341人(39.4%)有吞咽困难，其中中风患者占51.14%，HNC患者占34.4%，NDDS患者占48.3%，其他健康老年人占19.2%。合并疾病的老年人(OR = 2.90，p<； 0.0 1)和中风患者(OR = 2.2 7，p<； 0.0 1)更容易出现吞咽困难的迹象。吞咽困难患者发生营养不良的风险显著高于无吞咽困难患者(OR = 1.91，p<； 0.01)。结论吞咽困难患者普遍存在于老年人和卒中、HNC或NDDS患者中。吞咽困难的患病率随着年龄的增长和并存疾病的存在而稳步增加。吞咽困难的人更有可能患有营养不良。
ObjectiveTo determine the prevalence of dysphagia among an older population and patients with stroke, head and neck cancers (HNCs) or neurodegenerative diseases (NDDs) in China, to identify the factors associated with this condition, and to explore the relationship between dysphagia and nutritional status.MethodsThis study included participants 65 years and older living in the community or in nursing homes and patients who had sustained a stroke, HNC, or NDD also recruited in hospitals from 14 provinces of China. The presence of dysphagia was determined by use of a questionnaire, water swallowing test, and/or a videofluoroscopic swallowing study. Logistic regression analysis was used to assess the possible associated risk factors. Body mass index was assessed as an indicator of malnutrition.ResultsA total of 5943 persons met the inclusion criteria and 2341 (39.4%) were identified with dysphagia, including the following: 51.14% of patients with stroke, 34.4% in HNCs, 48.3% in NDDs, and 19.2% of otherwise healthy older adults. The elderly with comorbidity (OR = 2.90,p< 0.01) and stroke patients (OR = 2.27,p< 0.01) were significantly more likely to exhibit signs of dysphagia. Dysphagic participants were at significantly greater risk of malnutrition (OR = 1.91,p< 0.01) compared to those without dysphagia.ConclusionDysphagia is prevalent in China among older individuals and people who have suffered a stroke, HNCs, or NDDs. The prevalence of dysphagia increases steadily with increasing age and presence of comorbid disease. People with dysphagia are more likely to suffer from malnutrition.