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阿托品作用下咀嚼刺激唾液分泌与使用变色口香糖评估的混合能力之间的关系。

Association between chewing-stimulated salivary flow under the effects of atropine and mixing ability assessed using a color-changeable chewing gum.

机构信息

Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

J Prosthodont Res. 2017 Oct;61(4):387-392. doi: 10.1016/j.jpor.2016.12.009. Epub 2017 Jan 23.

Abstract

PURPOSE

To assess the time course of chewing-stimulated salivary flow after oral atropine administration, and determine the association between chewing-stimulated salivary flow and mixing ability using color-changeable chewing gum in dentate adults.

METHODS

Ten healthy dentate adults were administered 1mg oral atropine to induce mouth dryness. The subjects' chewing-stimulated salivary flow was assessed using the Saxon test. They were then asked to rinse their mouth with tap water for 15s, and to chew on color-changeable chewing gum for 60s at a constant rate of 60 cycles per min. This procedure was performed before, and at 10-min intervals for up to 120min after the atropine administration. The experiment was repeated after 1 week. Steel's test was used to compare the chewing-stimulated salivary flow rates at each time point after atropine administration with the baseline value. The effect of the stimulated salivary flow rates on the degree of color change was analyzed using linear mixed effects models, with the stimulated salivary flow rates as fixed factors and subjects as the random factor.

RESULTS

Chewing-stimulated salivary flow showed a significant decrease from 50 to 120min after oral atropine administration (P<0.05) and the amount of chewing-stimulated salivary flow had a significant effect on the color change of the color-changeable chewing gum (P<0.001).

CONCLUSIONS

We observed a decrease in stimulated salivary flow after orally administering 1mg atropine, and a positive association between mixing ability using color-changeable chewing gum and chewing-stimulated salivary flow in dentate subjects.

摘要

目的

评估口服阿托品后咀嚼刺激唾液分泌的时间过程,并使用变色咀嚼口香糖评估有牙成年人的咀嚼刺激唾液分泌与混合能力之间的关系。

方法

10 名健康有牙成年人给予 1mg 口服阿托品以诱发口干。使用 Saxon 试验评估受试者的咀嚼刺激唾液分泌。然后,让他们用自来水漱口 15s,以 60 次/分钟的恒定速度咀嚼变色咀嚼口香糖 60s。该程序在阿托品给药前以及给药后 10 分钟间隔直至 120 分钟进行。1 周后重复该实验。Steel 检验用于比较阿托品给药后每个时间点的咀嚼刺激唾液分泌率与基线值。使用线性混合效应模型分析刺激唾液分泌率对变色程度的影响,以刺激唾液分泌率为固定因素,以受试者为随机因素。

结果

口服阿托品后 50-120 分钟,咀嚼刺激唾液分泌明显减少(P<0.05),且刺激唾液分泌量对变色咀嚼口香糖的颜色变化有显著影响(P<0.001)。

结论

我们观察到在口服 1mg 阿托品后,刺激唾液分泌减少,并且在有牙受试者中,使用变色咀嚼口香糖的混合能力与咀嚼刺激唾液分泌之间存在正相关关系。

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