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口腔功能低下的分级筛查与功能评估中国专家共识(2025)OA

Chinese expert consensus on graded screening and functional assessment of oral hypofunction(2025)

中文摘要英文摘要

为规范我国老年人口腔功能低下在社区和基层医疗机构中的筛查与分级评估流程,并与既往已发表的《口腔功能低下筛查及膳食康复处方中国专家共识(2025)》形成系列化共识,本篇由口腔学、康复医学、营养学、老年医学及公共卫生等多学科专家组成工作组,在系统检索国内外相关文献和指南的基础上,结合我国社区与专科服务体系实际,经循证评价与多轮专家讨论和函证形成.共识在沿用既有定义和分级框架的前提下,突出"社区筛查为主、专科评估为辅"的分级管理理念,提出7 条新的专家共识条目,明确社区老年人口腔功能低下的初筛路径,推荐SOFT量表作为首选社区筛查工具,并分别就口腔卫生、牙周/牙龈健康、咀嚼能力、吞咽功能和舌口唇功能等关键维度,给出适用于不同服务层级的评估方法与转诊建议.本共识作为"评估篇",与"膳食康复处方篇"前后呼应,可为临床医师、社区卫生服务人员、营养师及养老服务机构开展老年人口腔功能低下的规范化管理提供参考.

This expert consensus was developed to standardize community-based screening and graded assessment of oral hypofunction in older adults in China and to complement the previously published Chinese expert consensus on screening and dietary rehabilitation prescription for oral hypofunction(2025)as a series.A multidisciplinary working group comprising experts in dentistry,rehabilitation medicine,clinical nutrition,geriatrics and public health systematically reviewed relevant literature and guidelines,took into account the realities of community and specialist healthcare services in China,and graded the evidence and strength of recommendations according to principles of evidence-based medicine.Based on the existing definitions and staging framework of oral hypofunction,the present consensus emphasizes a graded pathway of"community-led screening with specialist-supported evaluation"and proposes seven new consensus statements.These statements clarify the pathway of community screening,primary care evaluation and specialist diagnosis;recommend the SOFT scale as the first-line community screening tool for oral hypofunction in older adults;and provide practical recommendations for assessment methods and referral strategies across five functional domains,including oral hygiene,periodontal/gingival health,masticatory function,swallowing function and tongue-lip motor function.Together with the dietary rehabilitation prescription consensus,this assessment-focused document forms a complementary series that may help clinicians,community health workers,dietitians and long-term care providers implement standardized management of oral hypofunction in older adults.

口腔功能低下的分级筛查与功能评估中国专家共识工作组;袁永学

中国康复研究中心

口腔功能低下口腔虚弱老年人社区卫生服务筛查功能评估专家共识

oral hypofunctionoral frailtyolder adultscommunity health servicesscreeningfunctional assessmentexpert consensus

《老年医学与保健》 2026 (1)

22-31,10

10.3969/j.issn.1008-8296.2026.01.007

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