Nagler Rafael M, Hershkovich Oded
Department of Oral and Maxillofacial Surgery, Oral Biochemistry Laboratory and Salivary Clinic, Rambam Medical Centre and Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Arch Oral Biol. 2005 Jan;50(1):7-16. doi: 10.1016/j.archoralbio.2004.07.012.
The aim of this study was to investigate the relationships between oral sensorial complaints (OSCs) and salivary flow rate, composition and drug consumption of subjects aged 18-90 years. The results were correlated with both drug consumption and OSCs. Only individuals who were free of conditions that are already known to cause OSCs were included in the study. The three most significant observations were as follows: (1) elderly people have significantly reduced and altered salivary secretion compared with younger people. While specific concentrations increased, the total values of most salivary components decreased in the elderly; (2) 50% of the elderly population have OSCs regarding taste, burning mouth syndrome or xerostomia; and (3) OSCs were more prevalent in elderly people who use drugs than in those who do not. In conclusion, a reduction in salivary function and altered composition are age related. A compensatory capacity that prevents OSCs appears to exist in elderly patients who do not use drugs, but drugs were found to have an extensive effect on OSCs. The finding that the total amounts of salivary components and not only the salivary flow rate were reduced in elderly people is of great clinical relevance, since such a reduction is expected to be reflected in compromising various salivary functions.
本研究的目的是调查18至90岁受试者的口腔感觉不适(OSC)与唾液流速、成分及药物消耗之间的关系。研究结果与药物消耗和OSC均相关。本研究仅纳入了未患有已知会导致OSC疾病的个体。三项最显著的观察结果如下:(1)与年轻人相比,老年人的唾液分泌显著减少且发生改变。虽然某些特定成分的浓度增加,但老年人大多数唾液成分的总量减少;(2)50%的老年人群存在味觉、灼口综合征或口干方面的OSC;(3)使用药物的老年人中OSC比未使用药物的老年人更为普遍。总之,唾液功能降低和成分改变与年龄相关。未使用药物的老年患者似乎存在一种预防OSC的代偿能力,但发现药物对OSC有广泛影响。老年人唾液成分总量而非仅唾液流速降低这一发现具有重要的临床意义,因为这种降低预计会体现在损害各种唾液功能上。