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吸入性抗哮喘药物的致龋潜力

Cariogenic Potential of Inhaled Antiasthmatic Drugs.

作者信息

Brigic Amela, Kobaslija Sedin, Zukanovic Amila

机构信息

Pediatric Clinic, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.

出版信息

Med Arch. 2015 Aug;69(4):247-50. doi: 10.5455/medarh.2015.69.247-250. Epub 2015 Aug 4.

Abstract

INTRODUCTION

The organism of children with asthma is exposed to the effects of the disease but also the drugs for its treatment. Antiasthmatic drugs have different modes that promote the caries formation which varies according to their basic pharmacological composition. Namely, these drugs have a relatively low pH (5.5), can contain sweeteners such as lactose monohydrate in order to improve the drug taste or both. Frequent consumption of these inhalers in combination with reduced secretion of saliva increases the risk of caries.

MATERIAL AND METHODS

The study sample consisted of 200 patients, age from 7-14 years, divided into two groups: control group (n1 = 100) consisted of healthy children and the experimental group consisted of children suffering from asthma (n2 = 100). In both groups of respondents are determined the DMFT index, plaque index value and hygienic-dietary habits using the questionnaire. The subjects in the control group had significantly higher DMFT index than subjects in the experimental group (p = 0.004). It is determined that there are no significant differences in the values of plaque index (p>0.05).

CONCLUSION

The effect of different diseases or medications from their treatment, diet and fermentable carbohydrates in the etiology of dental caries cannot be observed outside the living conditions of subjects, their social epidemiologic status, age, habits, oral hygiene, fluoride use, etc.

摘要

引言

哮喘患儿的机体不仅会受到疾病的影响,还会受到治疗药物的影响。抗哮喘药物促进龋齿形成的方式各不相同,这取决于它们的基本药理成分。具体而言,这些药物的pH值相对较低(5.5),可能含有诸如一水乳糖等甜味剂以改善药物口感,或者两者皆有。频繁使用这些吸入器并伴有唾液分泌减少会增加患龋齿的风险。

材料与方法

研究样本包括200名年龄在7至14岁之间的患者,分为两组:对照组(n1 = 100)由健康儿童组成,实验组由哮喘患儿组成(n2 = 100)。通过问卷确定两组受访者的DMFT指数、菌斑指数值和卫生饮食习惯。对照组受试者的DMFT指数显著高于实验组受试者(p = 0.004)。菌斑指数值无显著差异(p>0.05)。

结论

在受试者的生活条件、社会流行病学状况、年龄、习惯、口腔卫生、氟化物使用等因素之外,无法观察到不同疾病或其治疗药物、饮食及可发酵碳水化合物在龋齿病因学中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1058/4610653/5fa4da556f04/MA-69-247-g001.jpg

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