Mandel L, Tamari K
Salivary Gland Center, Columbia University School of Dental and Oral Surgery, New York 10032, USA.
J Am Dent Assoc. 1995 Nov;126(11):1537-41. doi: 10.14219/jada.archive.1995.0083.
It is not unusual for patients who are pregnant or have a hiatal hernia to develop gatroesophageal reflux with the resultant symptoms of heartburn. This article reviews the role reflux plays in causing episodes of increased salivation. Stimulation of the esophagus by gastric acids excites and esophagosalivary reflex. A marked increase in salivary flow ensues, neutralizing the acid content of the esophagus. The dental practitioner is in a strategic position to be consulted about or recognize the existence of the esophagosalivary reflex and the consequent bouts of sialorrhea. Recognition mandates medical consultation.
怀孕或患有食管裂孔疝的患者出现胃食管反流并伴有烧心症状是很常见的。本文回顾了反流在导致唾液分泌增加发作中所起的作用。胃酸对食管的刺激会激发食管唾液反射。随后唾液分泌显著增加，中和食管中的酸性物质。牙科医生处于一个关键位置，可就食管唾液反射的存在及随之而来的流涎发作进行咨询或识别。识别后需要进行医学咨询。
