Hasegawa Yoko, Sugahara Kazuma, Sano Saori, Sakuramoto Ayumi, Kishimoto Hiromitsu, Oku Yoshitaka
Department of Dentistry and Oral Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.
Department of Dentistry and Oral Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 May;121(5):481-9. doi: 10.1016/j.oooo.2016.01.017. Epub 2016 Feb 13.
This pilot study tested the effects of submandibular and sublingual gland stimulation by interferential current stimulation (IFCS), a noninvasive mode of electrical stimulation.
Three groups were enrolled in this study: 20 young adults, 19 older adults, and 21 patients with dry mouth. Four electrodes were attached to the submandibular area, and the secreted saliva was collected by using Salivette cotton rolls (Sarstedt K. K., Tokyo, Japan) for 15 minutes, either with or without IFCS. Patients were randomly chosen to receive IFCS. Each subject rated pain and discomfort on the Visual Analogue Scale (VAS) after each experiment. Saliva chromogranin A levels were measured as a stress marker. To compare data between conditions with and without IFCS, a two-sample Student t test analysis was performed.
Saliva flow was slightly increased in those in the dry mouth group receiving IFCS compared with those who did not receive IFCS (approximately 130%). However, no such difference was found in the young and older adult groups. There was no significant difference in the VAS values of pain and discomfort or in the stress marker levels between patients who received or did not receive IFCS in the three groups.
IFCS delivered to submandibular and sublingual glands may promote saliva secretion in persons who suffer from dry mouth in a manner that does not induce pain or physical stress.
本初步研究测试了干扰电流刺激(IFCS)这种非侵入性电刺激模式对下颌下腺和舌下腺的刺激效果。
本研究纳入了三组人群:20名年轻人、19名老年人和21名口干患者。将四个电极附着在下颌下区域,使用唾液收集棉卷(日本东京Sarstedt K. K.公司)收集15分钟分泌的唾液,收集过程中有无IFCS干预。患者被随机选择接受IFCS。每次实验后,每个受试者在视觉模拟量表(VAS)上对疼痛和不适进行评分。测量唾液嗜铬粒蛋白A水平作为应激指标。为比较有和没有IFCS两种情况下的数据,进行了双样本学生t检验分析。
与未接受IFCS的口干组患者相比,接受IFCS的口干组患者唾液流量略有增加(约130%)。然而,在年轻人和老年人组中未发现这种差异。三组中接受或未接受IFCS的患者在疼痛和不适的VAS值或应激指标水平上没有显著差异。
对下颌下腺和舌下腺进行IFCS刺激可能会以不引起疼痛或身体应激的方式促进口干患者的唾液分泌。