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绝经后女性灼口综合征患者唾液激素与生活质量——一项病例对照初步研究

Salivary Hormones and Quality of Life in Female Postmenopausal Burning Mouth Patients-A Pilot Case-Control Study.

作者信息

Lončar-Brzak Božana, Vidranski Valentina, Andabak-Rogulj Ana, Vidović-Juras Danica, Todorić-Laidlaw Ivana, Gabrić Dragana, Škrinjar Ivana

机构信息

Department of Oral Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia.

Department of Nuclear Medicine and Oncology, University Clinical Hospital Sisters of Mercy, 10000 Zagreb, Croatia.

出版信息

Dent J (Basel). 2020 Oct 1;8(4):111. doi: 10.3390/dj8040111.

Abstract

The objective of our study was to investigate salivary levels of estradiol, progesterone and dehydroepiandrosterone (DHEA), and quality of life, in female postmenopausal women with burning mouth syndrome. The study included new patients diagnosed with burning mouth syndrome and excluded local and systemic causes. Unstimulated saliva samples were taken in the morning from 9 AM and 11 AM and immediately frozen for hormone analysis. The patients filled out a self-perceived quality of life questionnaire Oral Health Impact Profile-14 and determined the intensity of mucosal symptoms according to the visual-analog scale grading 0 to 10. A total of 40 patients were included. The study group had significantly lower levels of salivary estradiol. No difference was observed in levels of progesterone and DHEA between the groups. The levels of salivary hormones did not exhibit a significant correlation according to the Spearman correlation test with a self-perceived quality of life questionnaire (OHIP-14) in the study group or in the control group. Further research on a larger number of patients is needed to verify these results. This information might help to enable more precise and efficient treatment.

摘要

我们研究的目的是调查患有灼口综合征的绝经后女性的唾液中雌二醇、孕酮和脱氢表雄酮(DHEA)水平以及生活质量。该研究纳入了新诊断为灼口综合征且排除了局部和全身病因的患者。于上午9点至11点采集非刺激性唾液样本,并立即冷冻以进行激素分析。患者填写了一份自我感知生活质量问卷——口腔健康影响程度量表-14,并根据0至10的视觉模拟量表对黏膜症状的强度进行评分。共纳入40名患者。研究组的唾液雌二醇水平显著较低。两组之间的孕酮和DHEA水平未观察到差异。根据Spearman相关性检验,研究组或对照组中唾液激素水平与自我感知生活质量问卷(OHIP-14)之间均未表现出显著相关性。需要对更多患者进行进一步研究以验证这些结果。这些信息可能有助于实现更精确、有效的治疗。

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