中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (02): 86-90.doi: 10.3969/j.issn.1671-4091.2024.02.002

• 临床研究 • 上一篇    下一篇

维持性血液透析患者口腔衰弱现状及影响因素分析

窦俊凯    李 莉    梅 燕    杨 亮    刘 欢    施学芝   

  1. 237000 六安，1安徽医科大学附属六安医院肾内科
    241006 六安，2皖南医学院第一附属医院肾内科
  • 收稿日期:2023-09-25 修回日期:2023-11-08 出版日期:2024-02-12 发布日期:2024-02-12
  • 通讯作者: 施学芝 E-mail:2798984003@qq.com
  • 基金资助:
    安徽省教育厅重大项目(2022AH040095)

Current situation and influencing factors of oral frailty in maintenance hemodialysis patients

DOU Jun-kai, LI Li, MEI Yan, YANG Liang, LIU Huan, SHI Xue-zhi   

  1. Department of Nephrology, Lu’an Hospital of Anhui Medical University, Lu’an 237000, China; 2Department of Nephrology, The First Affiliated Hospital of Wannan Medical College, Lu’an 241006, China
  • Received:2023-09-25 Revised:2023-11-08 Online:2024-02-12 Published:2024-02-12
  • Contact: 237000 六安，1安徽医科大学附属六安医院肾内科 E-mail:2798984003@qq.com

摘要： 目的 调查维持性血液透析患者口腔衰弱现状，并探讨其影响因素。 方法 采用便利抽样的方法选取2022年10月—2023年6月安徽医科大学附属六安医院血液透析中心的患者，采用一般资料调查表、口腔衰弱指数-8、简化的营养食欲调查量表和年龄调整后查尔森合并症指数进行调查。 结果 238例维持性血液透析患者中口腔衰弱的发生率为41.2%。二元Logistic结果显示文化程度(OR=0.591,95% CI：0.400～0.875,P =0.009)、握力(OR=0.922,95%CI：0.880～0.967,P =0.001)、年龄调整后查尔森合并指数(OR=1.820,95%CI：1.498～2.212,P＜0.001)与简化的营养食欲调查量表评分(OR=0.895,95%CI：0.803～0.998,P=0.046)是维持性血液透析患者口腔衰弱的影响因素。 结论 维持性血液透析患者口腔衰弱发生率较高，医护人员应重视血液透析患者的口腔健康问题，根据患者特征制定针对性干预措施。

关键词: 维持性血液透析, 口腔衰弱, 现状, 影响因素

Abstract: Objective To investigate the current status of oral frailty in maintenance hemodialysis (MHD) patients and to explore its influencing factors.  Method  The convenient sampling method was used to select patients from the Hemodialysis Center of Lu'an Hospital of Anhui Medical University in the period from October 2022 to June 2023. This survey was conducted using a general information questionnaire, an oral frailty index-8, a simplified nutritional appetite questionnaire, and an age-charlson comorbidity index (aCCI).  Results The incidence of oral frailty in the 238 MHD patients was 41.2%. Binary logistic regression showed that educational level (OR=0.591, 95% CI:0.400～0.875, P=0.009), grip strength (OR=0.922, 95% CI:0.880～0.967, P=0.001), aCCI score (OR=1.820, 95% CI:1.498～2.212, P＜0.001), and simplified nutritional appetite survey scale score (OR=0.895, 95% CI: 0.803～0.998, P=0.046) were the influencing factors for oral frailty in MHD patients.  Conclusion  The prevalence of oral frailty is relatively high in MHD patients. Medical professionals should pay attention to the oral health problems in MHD patients and develop targeted intervention measures based on their conditions.

Key words: Maintenance hemodialysis, Oral frailty, Influencing factor, Investigation

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