Nakayama Yoshimi, Washio Masakazu, Mori Mitsuru
Hokkaido Iwamizawa Public Health Center, Japan.
J Epidemiol. 2004 Sep;14(5):143-50. doi: 10.2188/jea.14.143.
Oral health conditions and related factors of patients with Parkinson's disease (PD) have not been well elucidated. The aim of the present study was to investigate oral health conditions and related factors which may influence oral health conditions among patients with PD.
We compared oral health conditions and related factors between 104 PD patients and 191 inhibitants (controls) who received dental health check-ups in Hokkiado, Japan. The unconditional logistic regression model was used for adjusting for sex and age. We also conducted stratified analysis by sex and age group using this model. The chi2 test and the Cochran-Mantel-Haenzel test were used for simple and stratified analyses of knowledge of oral health among PD patients, respectively.
In the present survey, we found the following results. (1) PD patients had more complaints of chewing difficulties and denture discomfort than controls. (2) Fewer PD patients had their own teeth than controls regardless of sex. (3) Fewer PD patients cleaned their dentures every day than controls, regardless of sex or age. (4) More than half of the PD patients had problems with swallowing.
We found that PD patients had more complaints about their oral health and more problems in oral health behavior than the general population. These findings may provide useful information for the caregivers of PD patients to conduct oral health care as well as for making oral health plans for PD patients and for medical and welfare services.
帕金森病(PD)患者的口腔健康状况及相关因素尚未得到充分阐明。本研究的目的是调查PD患者的口腔健康状况以及可能影响其口腔健康状况的相关因素。
我们比较了104例PD患者和191名接受牙齿健康检查的日本北海道居民(对照组)的口腔健康状况及相关因素。使用无条件逻辑回归模型对性别和年龄进行校正。我们还使用该模型按性别和年龄组进行了分层分析。分别使用卡方检验和 Cochr an-Mantel-Haenzel检验对PD患者的口腔健康知识进行简单分析和分层分析。
在本次调查中,我们发现以下结果。(1)与对照组相比,PD患者咀嚼困难和义齿不适的主诉更多。(2)无论性别如何,PD患者拥有自己牙齿的人数均少于对照组。(3)无论性别或年龄,每天清洁义齿的PD患者均少于对照组。(4)超过一半的PD患者存在吞咽问题。
我们发现,与普通人群相比,PD患者对口腔健康的抱怨更多,口腔健康行为问题也更多。这些发现可能为PD患者的护理人员开展口腔保健、为PD患者制定口腔健康计划以及医疗和福利服务提供有用信息。