Rybalov O V, Iatsenko I V
Stomatologiia (Mosk). 1993 Oct-Dec;72(4):30-2.
Eighty-five patients with chronic parenchymatous parotitis and 73 convalescents after epidemic or acute nonepidemic parotitis were examined for their secretory function and some physicochemical characteristics of mixed saliva and parotid secretion (secretion rate, pH, viscosity, transparency, electrokinetic properties). A significant reduction of salivary secretion volume and rate were detected, as were pH shift to the acid direction and increased viscosity of both saliva and parotid secretion, reduced transparency and increased electric conductivity in the patients with chronic parenchymatous parotitis, more marked in those with an active course of the disease. Such changes were absent in convalescents after epidemic or acute nonepidemic parotitis. This permits a conclusion that none of these two conditions may be responsible for the development of a chronic inflammation of the parotid gland. The detected changes in physicochemical parameters of the saliva in chronic parenchymatous parotitis supplement the known data on the pathogenesis of this condition and may be used in the diagnosis and prediction of the course and outcome of sialadenitis. The authors emphasize the desirability of therapeutic and prophylactic measures during remissions of chronic parenchymatous parotitis.
对85例慢性实质性腮腺炎患者以及73例流行性或急性非流行性腮腺炎恢复期患者的分泌功能以及混合唾液和腮腺分泌液的一些物理化学特性（分泌率、pH值、粘度、透明度、电动特性）进行了检查。结果发现，慢性实质性腮腺炎患者的唾液分泌量和分泌率显著降低，唾液和腮腺分泌液的pH值向酸性方向偏移、粘度增加、透明度降低以及电导率增加，疾病活动期患者的这些变化更为明显。流行性或急性非流行性腮腺炎恢复期患者未出现此类变化。由此可以得出结论，这两种情况均与腮腺慢性炎症的发生无关。慢性实质性腮腺炎患者唾液物理化学参数的检测变化补充了关于该病发病机制的已知数据，可用于涎腺炎病程和预后的诊断及预测。作者强调在慢性实质性腮腺炎缓解期采取治疗和预防措施的必要性。
