Ogunbodede E O, Sheiham A
Department of Preventive Dentistry, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Int Dent J. 1996 Dec;46(6):565-71.
Sugar-based Oral Rehydration Therapy (ORT) is still the conventional treatment for diarrhoeal diseases. The WHO/UNICEF, and other groups endorse and actively promote its use for all cases of diarrhoea. Despite the deleterious effects of sugars promotion on dental health, and the incontrovertible role of sugars as the major factor responsible for the present upsurge in dental caries prevalence in the developing countries, the search for an ideal Oral Rehydration Solution (ORS) has so far completely ignored any dental considerations. Of the presently available rehydration solutions, the cereal or food-based solutions offer greater advantages over the sugar based solutions. Further research efforts must be directed at non-sugar based ORT, and funding organisations should give support to researchers and research institutions working to replace sugars with cereal flours, improve food-based ORS, or develop novel approaches to ORT that are based on non-cariogenic ingredients. Policy makers, researchers and health care workers generally must always consider, in addition to other factors, the dental implications of their recommendations on ORT.
基于糖的口服补液疗法（ORT）仍然是腹泻疾病的传统治疗方法。世界卫生组织/联合国儿童基金会以及其他组织认可并积极推广其在所有腹泻病例中的使用。尽管糖类的推广对牙齿健康有有害影响，并且糖类作为发展中国家目前龋齿患病率激增的主要因素这一作用无可争议，但迄今为止，寻找理想的口服补液溶液（ORS）完全忽略了任何牙齿方面的考虑。在目前可用的补液溶液中，基于谷物或食物的溶液比基于糖的溶液具有更大优势。进一步的研究工作必须针对非糖基ORT，资助机构应支持致力于用谷物粉替代糖类、改进基于食物的ORS或开发基于非致龋成分的新型ORT方法的研究人员和研究机构。政策制定者、研究人员和医护人员通常除了其他因素外，还必须始终考虑他们关于ORT的建议对牙齿的影响。
