Wang Guowei, Zhao Baodong, Kong Yujia, Ma DeXun, Yang Lin, Song Yingliang, Wang Xiaojing
Department of Stomatology, No. 971 Hospital of the PLA Navy.
Department of Oral Implantology, The Stomatological School and The Affiliated Hospital of Qingdao University, Qingdao.
Medicine (Baltimore). 2020 Apr;99(17):e19523. doi: 10.1097/MD.0000000000019523.
To observe the clinical manifestations and salivary secretion of xerostomia patients in submariners who engaged in a three-month deployment. The general conditions and clinical examination of the 136 submariners were evaluated, by which the patients with xerostomia were screened out and their clinical manifestations were recorded. Besides, the flow rate of unstimulated saliva and stimulated saliva was measured and calculated. Subsequently, the related factors of xerostomia were quantitatively classified and statistically analyzed. In all the involved submariners, 42 were diagnosed to have xerostomia by physical examination after they returned from the task, among which 71.4% showed a decrease in unstimulated salivary flow rate and it was significantly correlated with the accompanying symptoms and their general conditions. Therefore, it was concluded that the occurrence of xerostomia could be related to the service life and job responsibilities of the submariners. The main manifestations were the reduction of unstimulated salivary secretion and the accompanying clinical symptoms such as cheilosis and angular cheilitis. Noticeably, the high psychological pressure and harsh living conditions need to be concerned, and further study should place more concentrations on these comprehensive influence factors and preventive actions of xerostomia.
观察参加为期三个月部署任务的潜艇艇员中口干症患者的临床表现及唾液分泌情况。对136名潜艇艇员的一般情况及临床检查进行评估,筛选出口干症患者并记录其临床表现。此外,测量并计算非刺激性唾液和刺激性唾液的流速。随后,对口干症的相关因素进行定量分类及统计分析。在所有参与任务的潜艇艇员中,42人在任务结束返回后经体格检查被诊断为口干症,其中71.4%的患者非刺激性唾液流速降低,且与伴随症状及其一般情况显著相关。因此得出结论,口干症的发生可能与潜艇艇员的服役年限及工作职责有关。主要表现为非刺激性唾液分泌减少以及伴随的临床症状,如唇干裂和口角炎。值得注意的是,需要关注高心理压力和恶劣生活条件,进一步研究应更多关注这些导致口干症的综合影响因素及预防措施。