Wang Li-hui, Lin Chuan-quan, Yang Long, Li Ru-liu, Chen Long-hui, Zhang Lei
Piwei Institute, Guangzhou University of Chinese Medicine. Guangzhou 510405, Guangdong Province, China.E-mail:
Shanghai Kou Qiang Yi Xue. 2015 Oct;24(5):563-8.
This study compared the effect of 3 saliva collection methods on salivary secretion, in order to select optimum collection method for follow-up studies.
Fifty-five young healthy volunteers' saliva samples were collected by EP tube collecting emulated with natural flow (ETC), rotating mouth swab slightly (RMS) and chewing mouth swab (CMS) before and after stimulating with acid. The salivary flow rate, salivary alpha-amylase (sAA) activity of each saliva sample and its ratio before and after stimulating with acid were detected to provide the basis for the preferred method of collecting saliva. SPSS 17 software package was used to compare the results before and after acid stimulation.
The salivary flow rate ratio (1.73 ± 1.35 and 1.37 ± 0.82, respectively), sAA activity ratio (1.22 ± 0.38 and 1.10 ± 0.30, respectively) and unit time total sAA activity ratio (2.12 ± 1.57 and 1.56 ± 1.18, respectively) of ETC and RMS increased after acid stimulation with the same tendency, and the detection rate of the indexes were closer between ETC and RMS (salivary flow rates: 80%, 78.2%; sAA activity:67.3%, 60.0%; unit time total sAA activity: 83.6%, 76.4%, respectively). Among them, RMS had the advantage of objective and paralleled to collect sufficient amount of saliva. However, the results of CMS were quite different with the first two methods. The detection rate of each index ratio increased in the CMS (salivary flow rate, sAA activity and unit time total sAA activity were 67.3%, 40%, 61.8%, respectively) was significantly lower than the first two, and did not accurately reflect the status of sAA activity in healthy people after acid stimulation.
RMS is recommended when studying on the variation of salivary secretion before and after salivary gland stimulated by acid.
本研究比较3种唾液采集方法对唾液分泌的影响,以选择用于后续研究的最佳采集方法。
55名年轻健康志愿者的唾液样本通过模拟自然流的EP管采集法(ETC)、轻微旋转口腔拭子法(RMS)和咀嚼口腔拭子法(CMS)在酸刺激前后进行采集。检测各唾液样本的唾液流速、唾液α淀粉酶(sAA)活性及其酸刺激前后的比值,为优选的唾液采集方法提供依据。使用SPSS 17软件包比较酸刺激前后的结果。
酸刺激后,ETC和RMS的唾液流速比值(分别为1.73±1.35和1.37±0.82)、sAA活性比值(分别为1.22±0.38和1.10±0.30)和单位时间总sAA活性比值(分别为2.12±1.57和1.56±1.18)呈相同趋势升高,且ETC和RMS之间各指标的检出率更接近(唾液流速:80%,78.2%;sAA活性:67.3%,60.0%;单位时间总sAA活性:83.6%,76.4%)。其中,RMS具有客观且能平行采集到足够量唾液的优势。然而,CMS的结果与前两种方法有很大不同。CMS中各指标比值的检出率升高(唾液流速、sAA活性和单位时间总sAA活性分别为67.3%、40%、61.8%),明显低于前两者,且不能准确反映健康人酸刺激后sAA活性的状态。
在研究唾液腺酸刺激前后唾液分泌变化时,推荐使用RMS。