Ekelund R
Department of Cariology, University of Helsinki, Finland.
Community Dent Oral Epidemiol. 1988 Jun;16(3):159-62. doi: 10.1111/j.1600-0528.1988.tb00565.x.
The purpose of the present study was to investigate the relationship between such general diseases and dental treatability of the elderly living in municipal old people's homes in Finland. The sampling methods used were PPS sampling (probabilities proportionate to size), and non-randomized and randomized sampling. The subjects were 480 residents of 24 municipal old people's homes in different parts of Finland. Of the subjects 153 were men and 327 women, and their ages ranged from 65 to 100 yr. Data on the general diseases was obtained from the subjects' medical histories. The assessment of dental treatability was based on the subjects' communicative ability and cooperation during interview, on a clinical oral examination, and on the subjects' ability to cope with the stress of an interview and examination. Eleven percent of the subjects had no diagnosed diseases, whereas 28% had three or more. The most common diseases in both men and women were cardiovascular diseases followed by respiratory disorders in men and endocrine disorders in women. The dental treatability was considered very poor or poor in 29% and good in 26% of cases. No clear statistical correlation was found between dental treatability and the number of diseases suffered by the subject. However, cardiovascular diseases and neurologic and mental disorders were found to reduce dental treatability more than other disorders.
本研究的目的是调查芬兰市立养老院中老年人的此类常见疾病与牙科治疗可行性之间的关系。所采用的抽样方法为概率与规模成比例抽样（PPS抽样）以及非随机和随机抽样。研究对象为芬兰不同地区24家市立养老院的480名居民。其中153名是男性，327名是女性，年龄在65岁至100岁之间。关于常见疾病的数据来自研究对象的病史。牙科治疗可行性的评估基于研究对象在访谈期间的沟通能力与合作情况、临床口腔检查以及研究对象应对访谈和检查压力的能力。11%的研究对象未被诊断出患有疾病，而28%的研究对象患有三种或更多疾病。男性和女性中最常见的疾病均为心血管疾病，其次男性为呼吸系统疾病，女性为内分泌疾病。29%的病例中牙科治疗可行性被认为非常差或差，26%的病例中被认为良好。未发现牙科治疗可行性与研究对象所患疾病数量之间存在明显的统计相关性。然而，发现心血管疾病以及神经和精神障碍比其他疾病更能降低牙科治疗可行性。
