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口干症的相关风险因素和症状:一项横断面研究。

Risk factors and symptoms associated with xerostomia: a cross-sectional study.

机构信息

Department of Medicine, Surgery and Dentistry, University of Milan, Milan, Italy.

出版信息

Aust Dent J. 2011 Sep;56(3):290-5. doi: 10.1111/j.1834-7819.2011.01347.x.

Abstract

BACKGROUND

The aim of this study was to examine the symptoms and risk factors associated with self-reported xerostomia.

METHODS

Data were collected from 601 self-administered questionnaires among dental clinic attendees. Logistic regression models to estimate odds ratios and 95% confidence intervals were used to investigate the association for exposures of interest, such as socio-demographic characteristics, self-reported symptoms, oral hygiene habits and xerostomia.

RESULTS

Participants reported having dry mouth in 19.6% of cases. Xerostomia was associated with a significant increase in the odds of having dry lips, throat, eye, skin and nose. Patients with self-reported xerostomia were three times more likely to drink water to swallow food than were patients without xerstomia. Older individuals were significantly more likely to report dry mouth, and the prevalence of xerostomia increased with advancing age. The prevalence of xerostomia in patients taking one or more drugs was significantly higher compared to medication-free patients, and increased with increasing numbers of medications used. Finally, individuals with a nervous or mental disorder, or who wore removable dentures were five times more likely to develop xerostomia than patients without disorder or dentures.

CONCLUSIONS

Dentists should be familiar with the symptoms of xerostomia and be prepared to take an active role in the diagnosis, management and treatment of the oral complications.

摘要

背景

本研究旨在探讨与自我报告的口干症相关的症状和危险因素。

方法

从 601 份牙科诊所就诊者的自我管理问卷中收集数据。使用逻辑回归模型来估计比值比和 95%置信区间,以调查感兴趣的暴露因素(如社会人口统计学特征、自我报告的症状、口腔卫生习惯和口干症)的关联。

结果

参与者报告有 19.6%的病例存在口干。口干症与嘴唇、喉咙、眼睛、皮肤和鼻子干燥的几率显著增加有关。有自我报告的口干症的患者比没有口干症的患者更有可能喝水吞咽食物。年龄较大的人更有可能报告口干,并且随着年龄的增长,口干症的患病率增加。服用一种或多种药物的患者口干症的患病率明显高于未服用药物的患者,并且随着使用药物数量的增加而增加。最后,患有神经或精神障碍或佩戴可摘义齿的个体发生口干症的可能性是没有障碍或义齿患者的五倍。

结论

牙医应熟悉口干症的症状,并准备在诊断、管理和治疗口腔并发症方面发挥积极作用。

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