A longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community
A longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community
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DOI：
10.1111/j.1875-595x.2005.tb00330.x
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发表时间：
2005-10-01
影响因子：
3.3
通讯作者：
McMillan, AS
中科院分区：
文献类型：
--
作者：
Pow, EHN;Leung, KCM;McMillan, AS
目的：目的：调查脑卒中康复出院后进入社区的老年人口腔健康状况，并与社区非脑卒中老年人进行比较。方法：本研究在香港一家综合医院的康复科进行。这是一项纵向研究，涉及43名轻度至中度中风的老年幸存者，他们将在康复后出院，并将43名社区居住的老年人作为对照组。使用经验证的临床检查技术和措施评估龋齿、牙周病、口腔卫生、口腔念珠菌病、修复状态/需求和功能障碍（Barthel指数[BI]）。还收集了社会人口统计信息。结果如下：与对照组相比，卒中幸存者在出院时和6个月后的斑块和出血评分显著更高（p < 0.01）。在出院时，中风组的牙周状况也更差，有更多的4- 5 mm的牙周袋。入院时的平均BI为71，出院时为91。出院时BI较高的卒中幸存者在6个月后斑块评分较低。中风组和对照组的牙齿状况、功能牙对数量、修复状态、口腔念珠菌病和口腔酵母菌携带情况相似。结论：尽管中风后功能能力有了明显的客观改善，但与社区居住的无中风老年人相比，返回社区的老年幸存者的牙周健康状况明显较差，而且这种情况在六个月内没有明显改善。手、手臂和口腔感觉运动功能的恢复时间过长是最可能的原因。
Aim: To investigate the oral health of elderly stroke survivors on discharge from hospital into the community after rehabilitation and six months later compared with community dwelling elderly people without stroke. Method: The study took place in the rehabilitation unit of a general medical hospital in Hong Kong. It was a longitudinal study involving 43 elderly survivors of mild to moderate stroke about to be discharged from hospital after rehabilitation and a comparison group of 43 community-dwelling elderly people. Verified clinical examination techniques and measures were used to assess dental caries, periodontal disease, oral hygiene, oral candidiasis, prosthetic status/need and functional disability (Barthel Index [BI]). Socio-demographic information was also collected. Results: Stroke survivors had significantly higher plaque and bleeding scores on hospital discharge and after six months compared with the control group (p < 0.01). On hospital discharge, the stroke group also had a poorer periodontal condition with more 4-5mm pockets. The mean BI on hospital admission was 71 and 91 on discharge. Stroke survivors with a higher BI on discharge had lower plaque scores after six months. The tooth condition, number of functional tooth pairs, prosthetic status, presence of oral candidiasis and oral yeast carriage were similar between stroke and comparison groups. Conclusions: Despite significant objective improvement in functional ability after stroke, elderly survivors returning to the community had significantly poorer periodontal health compared with community dwelling elderly without stroke, and the situation did not improve dramatically over six months. The protracted recovery of hand, arm and oral sensori-motor function is the most likely cause.