Ohkubo Mai, Hanzawa Atsushi, Miura Keina, Sugiyama Tetsuya, Ishida Ryo, Fukuda Ken-Ichi
Department of Oral Health and Clinical Science, Division of Dysphagia Rehabilitation, Tokyo Dental College, Chiyoda-ku, Tokyo 101-0061, Japan.
Department of Oral Health and Clinical Science, Division of Special Needs Dentistry and Orofacial Pain, Tokyo Dental College, Chiyoda-ku, Tokyo 101-0061, Japan.
Rehabil Res Pract. 2022 Apr 11;2022:5952423. doi: 10.1155/2022/5952423. eCollection 2022.
Maintaining oral hygiene is an important yet often neglected aspect of rehabilitation medicine. Our visiting dental team, which provides dental treatments and swallowing rehabilitation, partnered with a medical hospital that had no dental department and began visiting and treating inpatients at this hospital. This study is aimed at evaluating the effects of dysphagia rehabilitation, and this was jointly conducted by medical and dental hospitals. The survey was conducted between May 2017 and March 2018. We retrospectively examined dysphagia rehabilitation provided to 25 patients (12 men and 13 women) aged 40-92 years (mean age: 77.1 ± 12.3 years). The largest number of requests for dental treatment was received from the internal medicine department (13 requests, 52.0%). A total of 39 videofluoroscopic or videoendoscopic examinations of swallowing interventions for dysphagia rehabilitation were conducted. All patients' oral and swallowing functions were evaluated using the functional oral intake scale (FOIS). At initial assessment, 9, 13, and 0 patients were at FOIS levels 1, 2, and 3 (use of tube feeding), respectively, and 1, 2, and 0 patients were at FOIS levels 4, 5, and 6 (only oral feeding), respectively. At the final assessment, 6, 10, and 4 patients were at FOIS levels 1, 2, and 3, respectively, and 0, 2, and 3 patients were at FOIS levels 4, 5, and 6, respectively. Oral and swallowing functions differed significantly between the first and final visits ( = 0.02). Visits conducted by a team of oral health practitioners to a medical hospital without a dental department appear to have a major impact and will become even more important in the future.
保持口腔卫生是康复医学中一个重要但常被忽视的方面。我们的巡回牙科团队提供牙科治疗和吞咽康复服务，与一家没有牙科科室的医院合作，开始对该医院的住院患者进行访视和治疗。本研究旨在评估吞咽康复的效果，由医学和牙科医院联合开展。调查于2017年5月至2018年3月进行。我们回顾性检查了为25例年龄在40 - 92岁（平均年龄：77.1±12.3岁）的患者（12名男性和13名女性）提供的吞咽康复情况。牙科治疗请求最多的来自内科（13次请求，占52.0%）。总共进行了39次用于吞咽障碍康复干预的吞咽视频荧光造影或视频内镜检查。所有患者的口腔和吞咽功能均使用功能性经口进食量表（FOIS）进行评估。在初始评估时，分别有9、13和0例患者处于FOIS 1级、2级和3级（使用管饲），分别有1、2和0例患者处于FOIS 4级、5级和6级（仅经口进食）。在最终评估时，分别有6、10和4例患者处于FOIS 1级、2级和3级，分别有0、2和3例患者处于FOIS 4级、5级和6级。首次和末次访视时口腔和吞咽功能有显著差异（ = 0.02）。口腔健康从业者团队对没有牙科科室的医院进行访视似乎产生了重大影响，并且在未来将变得更加重要。
