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对2019年1月至2021年1月就诊于绍兴市人民医院及其下属分院的150例≥60岁轻度认知功能障碍患者,采用进食评估问卷调查工具-10(EAT-10)入户评估吞咽障碍发生情况,其中吞咽障碍者(EAT-10评分≥3分)92例(61.3%,吞咽障碍组),无吞咽障碍者58例(正常组)。吞咽障碍组与正常组的年龄、文化程度、食物类型、脑卒中病史、呛咳史、简易智力状态检查量表(MMSE)评分、自理能力[日常生活能力量表(ADL)的Barthel指数(Barthel评分)]、咀嚼功能评分、用药种类数比较,差异均有统计学意义(均n P<0.05);多因素logistic分析显示,年龄(≥80岁)、文化程度(初中及以下)、脑卒中病史、呛咳史、MMSE评分(3分)、用药种类数(≥3种)均是吞咽障碍的相关危险因素,食物类型(普食)是保护因素。提示,社区≥60岁轻度认知功能障碍患者吞咽障碍的发生率较高,影响因素也较多,应及早筛查、干预。n “,”The survey was conducted in Shaoxing city from January 2019 to January 2021 among 150 residents aged ≥ 60 years with mild cognitive impairment from Shaoxing People\'s Hospital and its subordinate branches. The swallowing function was evaluated by eating evaluation questionnaire-10 (EAT-10), and dysphagia (EAT-10 score ≥ 3) was identified in 92 subjects with a prevalence rate of 61.3% (dysphagia group) and other 58 residents without dysphagia was set as normal group. There were significant differences in age, educational level, diet type, history of stroke, history of choking, Mini-mental State Examination (MMSE) score, masticatory function score, the number of drug types, self-care ability (Barthel score) in Activities of Daily Living (ADL) scale between dysphagia group and normal group (all n P<0.05). Multivariate logistic analysis showed that age (≥ 80 years old), educational level (junior middle school and below), history of stroke, history of choking cough, MMSE score (3 points) and the number of drug types (≥ 3 kinds) were independent risk factors of swallowing disorder in elderly with mild cognitive impairment; and the type of diet (common diet) was the protective factor. It is suggested that the prevalence of dysphagia in community-dwelling elderly with mild cognitive impairment is high, and necessary measures should be taken to intervene according to its risk factors.n