Pokupec Josipa-Sanja Gruden, Gruden Vladimir, Biocina-Lukenda Dolores
Stomatological Policlinic, Zagreb, Croatia.
Coll Antropol. 2009 Sep;33(3):867-72.
Stomatopyrosis of 'burning mouth' syndrome, in a narrower sense of definition, is a condition characterized by sensation of burning and heating in mouth, despite its normal mucosa. This research has been directed towards treatment of stomatopyrosis, putting emphasis on the implementation of psychopharmacotherapy and psychotherapy. The research was conducted on altogether 120 respondents suffering from stomatopyrosis. The respondents were divided into two equal groups: each one comprising 60 members. All the respondents were treated by means of a standard topical therapy. All the patients were assessed clinically and by means of psychological tests measuring depression and anxiety four times: once before the treatment, after one month, after two months and after four months since the beginning of the treatment. The acquired data were afterwards statistically processed. When grading the symptoms on VAS, i.e. visual analogous scale, the subjective assessment of symptoms was marked as 7-8 cm, which shows a high degree of burning sensation. According to our study, the quantity of saliva, which was at the beginning of the research slightly decreased, normalized after the treatment. Apart from the clinical investigation of stomatopyrosis, we applied Depression and Anxiety questionnaires. On the basis of our research, we have concluded the following: the comorbidity of stomatopyrosis with the phenomena of anxiety and depression proves that, among other factors, there is a psychogenic aetiology of this disease. Autogenic training, which is a psychotherapeutic anxiolytic technique, is a therapy of choice for stomatopyrosis, which contributes not only to the elimination of oral complaints, but to the emotional rehabilitation of the patients as well, and to the reduction of dryness in the mouth.
狭义定义的“灼口”综合征中的口腔灼痛,是一种口腔黏膜正常却有口腔烧灼感和热感的病症。本研究针对口腔灼痛的治疗,重点在于实施心理药物治疗和心理治疗。该研究共对120名口腔灼痛患者进行。这些患者被平均分为两组,每组60人。所有患者均接受标准的局部治疗。所有患者在治疗前、治疗开始后1个月、2个月和4个月时,通过临床评估以及测量抑郁和焦虑的心理测试进行评估。之后对获取的数据进行统计学处理。在视觉模拟量表(VAS)上对症状进行分级时,症状的主观评估标记为7 - 8厘米,这表明烧灼感程度较高。根据我们的研究,研究开始时唾液量略有减少,治疗后恢复正常。除了对口腔灼痛进行临床研究外,我们还应用了抑郁和焦虑问卷。基于我们的研究,我们得出以下结论:口腔灼痛与焦虑和抑郁现象并存证明,除其他因素外,该疾病存在心因性病因。自生训练作为一种心理治疗性抗焦虑技术,是口腔灼痛的首选治疗方法,它不仅有助于消除口腔不适,还能促进患者的情绪康复以及减轻口腔干燥。