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老年患者口干的管理。

Management of dry mouth in elderly patients.

作者信息

Martin R E

机构信息

Department of Health Promotion and Dental Care Delivery, University of Texas Houston Dental Branch, USA.

出版信息

J Gt Houst Dent Soc. 1994 Oct;66(3):25-8; quiz 29.

PMID:9584740
Abstract

Xerostomia is not a natural consequence of the aging process. Although dry mouth is not often found to be a chief complaint of elderly patients, it is a common problem that usually receives inadequate attention. Xerostomia is the feeling of dry mouth due to insufficient secretion of saliva. It is most common among the elderly as a result of adverse effects of drug therapy, head and neck radiation, or autoimmune diseases. Chronic xerostomia has a debilitating effect on the integrity of the hard and soft tissues of the mouth. It often causes difficulty in speaking, tasting, eating, swallowing and denture retention. The goals of treatment are to stimulate salivary flow, or to restore oral moistness and prevent or alleviate the uncomfortable, harmful sequelae of xerostomia. Dentists can significantly enhance the quality of life for xerostomia sufferers by effectively managing the xerostomia sequelae in a compassionate, understanding manner.

摘要

口干并非衰老过程的自然结果。虽然口干并不常被发现是老年患者的主要诉求,但它是一个常见问题,通常未得到足够重视。口干是由于唾液分泌不足导致的口腔干燥感觉。由于药物治疗、头颈部放疗或自身免疫性疾病的不良反应,它在老年人中最为常见。慢性口干对口口腔软硬组织的完整性有削弱作用。它常常导致说话、品尝、进食、吞咽及佩戴假牙困难。治疗的目标是刺激唾液分泌,或恢复口腔湿润度,预防或减轻口干带来的不适及有害后果。牙医可以通过以富有同情心和理解的方式有效管理口干后遗症,显著提高口干患者的生活质量。

相似文献

1
Management of dry mouth in elderly patients.老年患者口干的管理。
J Gt Houst Dent Soc. 1994 Oct;66(3):25-8; quiz 29.
2
Xerostomia. A common problem among the elderly.口干症。老年人中的常见问题。
N Y State Dent J. 1998 Jun-Jul;64(6):46-52.
3
Radiation-induced xerostomia in patients with head and neck cancer: pathogenesis, impact on quality of life, and management.头颈部癌患者放射性口干症:发病机制、对生活质量的影响及管理
Head Neck. 2004 Sep;26(9):796-807. doi: 10.1002/hed.20045.
4
Xerostomia: diagnosis and management.口干症:诊断与治疗
Oncology (Williston Park). 1996 Mar;10(3 Suppl):7-11.
5
Management of dry mouth.口干的管理。
Dent Clin North Am. 1997 Oct;41(4):863-75.
6
Xerostomia: a prevalent condition in the elderly.口干症:老年人中的一种常见病症。
Ear Nose Throat J. 1999 Jul;78(7):476-9.
7
Diagnosis and management of the dry mouth: Part 1.口干的诊断与管理:第1部分。
Dent Update. 1996 Mar;23(2):56-62.
8
Salivary gland hypofunction in elderly patients.
J Calif Dent Assoc. 1994 Mar;22(3):62-8.
9
Protocol for the clinical management of dry mouth.口干症临床管理方案。
Med Oral. 2004 Aug-Oct;9(4):273-9.
10
The role of saliva in oral health: strategies for prevention and management of xerostomia.唾液在口腔健康中的作用:口干症的预防与管理策略
J Support Oncol. 2007 May;5(5):215-25.

引用本文的文献

1
Prediction of xerostomia in elderly based on clinical characteristics and salivary flow rate with machine learning.基于临床特征和唾液流率的机器学习预测老年人的口干症。
Sci Rep. 2024 Feb 10;14(1):3423. doi: 10.1038/s41598-024-54120-x.