Jainkittivong Aree, Aneksuk Vilaiwan, Langlais Robert P
Department of Oral Medicine in the Faculty of Dentistry at Chulalongkorn University, Bangkok, Thailand.
J Contemp Dent Pract. 2004 Feb 15;5(1):31-41.
The objectives of this study were to obtain information on the medical conditions and medications used among elderly Thai dental patients and to investigate the relationship between the findings in relation to age and sex. The information regarding medical conditions and medication use was obtained from interviews of 510 dental patients aged 60 years and older. The incidence of medical conditions was 82.5%; women had a significantly higher incidence of medical conditions (86.5%) than men (76.5%). The incidence of medical conditions did not differ among the three age groups. Overall, cardiovascular disease was the leading problem (33.7%) with hypertension being the major component (26.1%). The prevalent problems were bone/joint disorders (32.4%), allergies (18.2%), diabetes mellitus (14.5%), and eye and ear problems (14.3%). In our sample, 65.5% reported taking medications, with an average of 1.5 drug groups per person. The average number of medications taken increased as age increased. Women took medications more frequently than men (70% vs. 58.5%). The four most prevalent drugs were cardiovascular agents (32%), endocrinologic drugs (14.5%), nutritional therapeutics (12.9%), and drugs acting on the musculoskeletal system (11.4%). The present study supports the findings of previous reports in that the presence of medical conditions is high in the elderly and the incidence of medication use increases with advancing age.
本研究的目的是获取泰国老年牙科患者的医疗状况和所用药物的信息，并调查这些结果与年龄和性别的关系。有关医疗状况和药物使用的信息是通过对510名60岁及以上的牙科患者进行访谈获得的。医疗状况的发生率为82.5%；女性的医疗状况发生率（86.5%）显著高于男性（76.5%）。三个年龄组的医疗状况发生率没有差异。总体而言，心血管疾病是主要问题（33.7%），高血压是主要组成部分（26.1%）。常见问题包括骨骼/关节疾病（32.4%）、过敏（18.2%）、糖尿病（14.5%）以及眼耳问题（14.3%）。在我们的样本中，65.5%的人报告正在服药，平均每人服用1.5类药物。服用药物的平均数量随着年龄的增长而增加。女性服药比男性更频繁（70%对58.5%）。四种最常见的药物是心血管药物（32%）、内分泌药物（14.5%）、营养治疗药物（12.9%）和作用于肌肉骨骼系统的药物（11.4%）。本研究支持先前报告的结果，即老年人中医疗状况的存在率很高，并且药物使用的发生率随着年龄的增长而增加。
