Сlinical evaluation of xerostomia manifestations in young-old and middle-old adults

T. G. Petrova, L. D. Obukhova, O. N. Gerasimenko, T. V. Zvereva, T. M. Ragimova
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Abstract

Relevance. The subjective evaluation and analysis of clinical manifestations and risk factors for the development of xerostomia in young- and middle-old adults living in Novosibirsk and the Novosibirsk region plays a leading role in choosing the treatment strategy for this category of patients.Material and methods. A single-stage open study involved 101 people, of whom 48% (n = 49) were male and 52% (n = 52) were female. The average age of the examined was 66.3 [60.0; 88.0] years; 64 subjects were young-old patients (60.0; 75.0), and 37 subjects were middle-old patients (75.0; 88.0). All examined patients underwent an assessment of their dental status and subjective evaluation of xerostomia severity using the validated Russian version of the "The Summated Xerostomia Inventory" (XI). Xerostomia diagnosis in the study patients included the examination according to "The Challacombe Scale of Clinical Oral Dryness" (CSCOD) and sialometry. Taking records of comorbidities, malnutrition syndrome, systemic medications, and bad habits helped to study the risk factors for xerostomia development.Results. The analysis of the subjective evaluation and signs in older patients most frequently revealed moderate xerostomia. There was a moderate negative correlation between the age of the examined and the salivary secretion rate (ρ = -0.578, p < 0.01). Women more often showed severe xerostomia (p < 0.001). The examination of 87.6% of the subjects revealed xerostomia manifestations, confirmed by clinical signs and laboratory data. In 12.4% of patients with complaints and clinical signs of xerostomia, sialometry did not confirm xerostomia.Conclusion. The study results showed a decrease in the secretion rate in older patients with age. In women, complaints and clinical and laboratory signs of xerostomia were more pronounced. Patients' subjective assessment of dry mouth manifestations did not always correspond to the xerostomia clinical and laboratory diagnostic data. The prevalence of xerogenic risk factors was established in young-old and middle-old patients.
对中青年口干症表现的临床评估
相关性。对居住在新西伯利亚市和新西伯利亚州的中青年人的临床表现和发生口腔干燥症的风险因素进行主观评估和分析,对选择这类患者的治疗策略起着主导作用。101人参与了一项单阶段开放式研究,其中48%(n = 49)为男性,52%(n = 52)为女性。受试者的平均年龄为 66.3 [60.0; 88.0]岁;64 名受试者为青年患者(60.0; 75.0),37 名受试者为中年患者(75.0; 88.0)。所有受检者都接受了牙齿状况评估,并使用经过验证的俄文版 "口腔干燥症总和量表"(XI)对口腔干燥症的严重程度进行了主观评估。研究对象的口腔干燥症诊断包括根据 "Challacombe 临床口腔干燥量表"(CSCOD)和唾液测定法进行检查。记录合并症、营养不良综合征、全身用药和不良生活习惯有助于研究口腔干燥症发生的风险因素。对老年患者的主观评价和体征进行分析后发现,中度口腔干燥症最为常见。受检者的年龄与唾液分泌率呈中度负相关(ρ = -0.578,p < 0.01)。女性更常表现出严重的口腔干燥症(p < 0.001)。87.6%的受试者在检查中发现了口腔干燥症的表现,并得到了临床症状和实验室数据的证实。12.4%的患者有口腔干燥症的主诉和临床症状,但口腔唾液量测定不能证实其患有口腔干燥症。研究结果表明,随着年龄的增长,老年患者的分泌率有所下降。女性患者的主诉以及口腔干燥症的临床和实验室体征更为明显。患者对口干表现的主观评估并不总是与口腔干燥症的临床和实验室诊断数据相符。在青年和中年患者中,致口腔干燥风险因素的发生率已经确定。
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