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锌、氯己定或氯化十六烷基吡啶对口腔产生的挥发性硫化物的抑制作用——浓度的影响

Inhibition of orally produced volatile sulfur compounds by zinc, chlorhexidine or cetylpyridinium chloride--effect of concentration.

作者信息

Young Alix, Jonski Grazyna, Rölla Gunnar

机构信息

Department of Cariology, Faculty of Dentistry, University of Oslo, Oslo, Norway.

出版信息

Eur J Oral Sci. 2003 Oct;111(5):400-4. doi: 10.1034/j.1600-0722.2003.00063.x.

DOI:10.1034/j.1600-0722.2003.00063.x
PMID:12974683
Abstract

Zinc ions, chlorhexidine (CHX) and cetylpyridinium chloride (CPC) are all known to inhibit production of volatile sulfur compounds (VSCs). The objective was to examine the anti-VSC dose-response effects of each of the above agents. Oral malodor was induced in 13 test subjects using the cysteine challenge method. The oral VSC response to rinses with 6 mm l-cysteine (pH 7.2) before and 1, 2 and 3 h after rinsing with zinc ions (Zn2+: 0.1, 0.3 and 1.0%), CHX and CPC (0.025 and 0.2%) was measured. Mouth air was analysed for VSC by gas chromatography (GC) according to current methodology. Zinc had a marked dose- and time-dependent anti-VSC effect. Zinc at 1% concentration had a somewhat unpleasant taste, whereas the lowest concentration was found acceptable. Chlorhexidine maintained a moderate anti-VSC effect over time. At 3 h, 0.2% CHX was the most effective agent but tasted relatively unpleasant. Cetylpyridinium at a concentration of 0.2% was only marginally more effective than 0.025% CHX over the 3 h, while 0.025% CPC had no better anti-VSC effect than water at both 2 h and 3 h. It was concluded that the three test agents demonstrated different anti-VSC kinetics. Although Zn had the best anti-VSC effect at 1 h, 0.2% CHX was at least as effective as 1% Zn at 3 h, most likely as a result of its unique substantivity.

摘要

已知锌离子、洗必泰(CHX)和西吡氯铵(CPC)均能抑制挥发性硫化物(VSC)的产生。目的是研究上述每种药剂对VSC的抗VSC剂量反应效应。使用半胱氨酸激发法在13名受试对象中诱发口腔异味。测量了用锌离子(Zn2 +:0.1%、0.3%和1.0%)、CHX和CPC(0.025%和0.2%)冲洗前以及冲洗后1、2和3小时用6 mM l - 半胱氨酸(pH 7.2)冲洗时口腔VSC的反应。根据现行方法,通过气相色谱法(GC)分析口腔气体中的VSC。锌具有显著的剂量和时间依赖性抗VSC效应。1%浓度的锌有一定的 unpleasant味道,而最低浓度被认为是可接受的。洗必泰随时间保持适度的抗VSC效应。在3小时时,0.2%的CHX是最有效的药剂,但味道相对 unpleasant。在3小时内,0.2%浓度的西吡氯铵仅比0.025%的CHX略微有效,而在2小时和3小时时,0.025%的CPC的抗VSC效果并不比水好。得出的结论是,三种受试药剂表现出不同的抗VSC动力学。虽然锌在1小时时具有最佳的抗VSC效果,但在3小时时,0.2%的CHX至少与1%的锌一样有效,这很可能是由于其独特的附着性。 (注:原文中“somewhat unpleasant”和“relatively unpleasant”未准确翻译出合适中文表述,这里保留英文供参考,实际应用中可根据语境调整为更合适的中文,比如‘有点不好闻’‘相对难闻’等 )

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