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目的:了解和评估社区老年糖尿病患者口腔健康状况，并探讨其影响因素。方法:采用便利抽样的方法选取上海市长风社区卫生服务中心就诊的160名社区老年糖尿病患者为研究对象，使用《一般资料调查表》《Kayser-Jones简明口腔健康检查表》《老年糖尿病患者口腔健康行为调查问卷》进行调查。结果:共回收有效问卷156份，回收有效率为97.5%。均为2型老年糖尿病患者，其中男44例(28.2%)，女112例(71.8%)；年龄60～88岁，平均(70.69±7.15)岁。社区老年糖尿病患者口腔健康状况总分为(6.94±2.88)分，其中口腔卫生状况条目最差，得分为(1.39±0.51)分。多元线性回归分析显示，患者的年龄、居住状况、更换牙刷频率、牙痛时就医情况、是否接受糖尿病健康教育均是老年糖尿病患者口腔健康状况的重要影响因素(均n P<0.05)。n 结论:社区老年糖尿病患者口腔健康状况差口腔卫生状况最差，有待进一步提高。社区工作人员应高度重视老年糖尿病患者的口腔健康，尤其是口腔卫生，应及时采取有针对性、有效的措施，如全面的糖尿病健康教育等，在此过程中尤其要关注年龄较大、独居的社区老年糖尿病患者。“,”Objective:To understand and evaluate the oral health status of elderly diabetic patients in community and to explore its influencing factors.Methods:A total of 160 elderly diabetic patients in Shanghai Changfeng Community Health Service Center were selected as the research subjects by convenience sampling method. The general information questionnaire, Kayser-Jones concise oral health checklist and oral health behavior questionnaire of elderly diabetic patients were used for the investigation.Results:A total of 156 valid questionnaires were collected, with an effective rate of 97.5%.Among them, 44 cases (28.2%) were male and 112 cases (71.8%) were female.Their age ranged from 60 to 88 years old, with an average age of (70.69±7.15) years old..The oral health status of elderly patients with diabetes in the community was (6.94±2.88), among which the oral health status was the worst, with a score of( 1.39±0.514). Multiple linear regression analysis showed that age, residential status, frequency of toothbrush replacement, medical treatment in case of toothache, and whether receiving diabetes health education were important influencing factors for oral health status of elderly diabetic patients (n P<0.05).n Conclusions:The elderly patients with diabetes in the community have poor oral health status and the worst oral health status.It is necessary to further improve.Community workers should attach great importance to the oral health of elderly diabetic patients, especially oral hygiene.Timely and effective measures should be taken, such as comprehensive diabetes health education, etc., and in this process, especially concerned with elderly patients with diabetes who are older and living alone.