中华生物医学工程杂志
中華生物醫學工程雜誌
중화생물의학공정잡지
CHINESE JOURNAL OF BIOMEDICAL ENGINEERING
2012年
2期
149-152
,共4页
黄伟安%郭俊兵%黄代营%程蔚琪
黃偉安%郭俊兵%黃代營%程蔚琪
황위안%곽준병%황대영%정위기
口臭%牙周炎%挥发性硫化物%舌苔
口臭%牙週炎%揮髮性硫化物%舌苔
구취%아주염%휘발성류화물%설태
Halitosis%Periodontitis%Volatile sulfide compounds%Tongue coating
目的 研究口气中挥发性硫化物(VSC)与牙周临床指标及舌苔的相关性.方法 采用鼻闻法评定口臭值(OS),筛选出口臭值≥2,全身健康牙周炎患者50例.使用便携式气相色谱仪(Oral ChromaTM)检测每例患者口气中硫化氢(H2S)、甲基硫醇(CH3SH)、二甲基硫[(CH3)2S]的浓度.记录牙周袋探诊深度(PD),出血指数(BI),菌斑指数(PLI)以及舌苔厚度(Tt)与舌苔面积(Ta).结果 口臭值(3.28±0.75)与VSC中硫化氢、甲基硫醇、二甲基硫的水平[(810.30±204.09、234.53±113.88、21.45±13.12)μg/L]呈正相关(r=0.456、r=0.386、r=0.325,均P＜0.05).与PLI、BI也呈正相关(r=0.528,r=0.558,均P＜0.05).硫化氢与PD、BI间呈正相关(r=0.356,r=0.306,均P＜0.05).甲基硫醇与PLI、PD、BI均呈正相关(r=0.416、r=0.407、r=0.489,均P＜0.05).二甲基硫与PD、BI间均呈正相关(r=0.369,r=0.443,均P＜0.05).口臭值、硫化氢与舌苔面积、舌苔厚度均呈正相关(P＜0.05).甲基硫醇与舌苔厚度呈正相关(P＜0.05).结论 口气挥发性硫化物中二甲基硫可能主要来源于牙周袋,而硫化氢和甲基硫醇则可能来源于牙周炎与舌苔.
目的 研究口氣中揮髮性硫化物(VSC)與牙週臨床指標及舌苔的相關性.方法 採用鼻聞法評定口臭值(OS),篩選齣口臭值≥2,全身健康牙週炎患者50例.使用便攜式氣相色譜儀(Oral ChromaTM)檢測每例患者口氣中硫化氫(H2S)、甲基硫醇(CH3SH)、二甲基硫[(CH3)2S]的濃度.記錄牙週袋探診深度(PD),齣血指數(BI),菌斑指數(PLI)以及舌苔厚度(Tt)與舌苔麵積(Ta).結果 口臭值(3.28±0.75)與VSC中硫化氫、甲基硫醇、二甲基硫的水平[(810.30±204.09、234.53±113.88、21.45±13.12)μg/L]呈正相關(r=0.456、r=0.386、r=0.325,均P＜0.05).與PLI、BI也呈正相關(r=0.528,r=0.558,均P＜0.05).硫化氫與PD、BI間呈正相關(r=0.356,r=0.306,均P＜0.05).甲基硫醇與PLI、PD、BI均呈正相關(r=0.416、r=0.407、r=0.489,均P＜0.05).二甲基硫與PD、BI間均呈正相關(r=0.369,r=0.443,均P＜0.05).口臭值、硫化氫與舌苔麵積、舌苔厚度均呈正相關(P＜0.05).甲基硫醇與舌苔厚度呈正相關(P＜0.05).結論 口氣揮髮性硫化物中二甲基硫可能主要來源于牙週袋,而硫化氫和甲基硫醇則可能來源于牙週炎與舌苔.
목적 연구구기중휘발성류화물(VSC)여아주림상지표급설태적상관성.방법 채용비문법평정구취치(OS),사선출구취치≥2,전신건강아주염환자50례.사용편휴식기상색보의(Oral ChromaTM)검측매례환자구기중류화경(H2S)、갑기류순(CH3SH)、이갑기류[(CH3)2S]적농도.기록아주대탐진심도(PD),출혈지수(BI),균반지수(PLI)이급설태후도(Tt)여설태면적(Ta).결과 구취치(3.28±0.75)여VSC중류화경、갑기류순、이갑기류적수평[(810.30±204.09、234.53±113.88、21.45±13.12)μg/L]정정상관(r=0.456、r=0.386、r=0.325,균P＜0.05).여PLI、BI야정정상관(r=0.528,r=0.558,균P＜0.05).류화경여PD、BI간정정상관(r=0.356,r=0.306,균P＜0.05).갑기류순여PLI、PD、BI균정정상관(r=0.416、r=0.407、r=0.489,균P＜0.05).이갑기류여PD、BI간균정정상관(r=0.369,r=0.443,균P＜0.05).구취치、류화경여설태면적、설태후도균정정상관(P＜0.05).갑기류순여설태후도정정상관(P＜0.05).결론 구기휘발성류화물중이갑기류가능주요래원우아주대,이류화경화갑기류순칙가능래원우아주염여설태.
Objective To examine the correlation among volatile sulfide compounds (VSC) in exhaled breaths with clinical periodontal index and tongue coating.Methods A total of 50 patients who was free of systemic disease but suffered from periodontitis with organoleptic score (OS) of ≥2 based on organoleptic rating were screened.The concentrations of hydrogen sulfide,methyl mercaptan and dimethyl sulfide in exhaled breaths were measured by using a portable sulfide monitor (Oral ChromaTM).The periodontal probing depth (PD),bleeding index (BI),plaque index (PLI),thickness of tongue coating (Tt) and area of tongue coating (Ta) were examined.Results OS(3.28±0.75) was positively correlated with concentrations of hydrogen sulfide,methyl mercaptan and dimethyl sulfide in V SC [ (810.30±204.09,234.53±113.88,21.45±13.12)μg/L,r=0.456,r=0.386,r=0.325,all P＜0.05].There was a positive correlation between OS and PLI as well as between OS and BI (r=0.528 and 0.558,respectively,both P＜0.05).Concentration of hydrogen sulfide was shown to be positively correlated with PD and BI (r=0.356 and 0.306,respectively,both P＜0.05).Concentration of methyl mercaptan was positively correlated with PLI,PD and BD (r=0.416,0.407 and 0.489,respectively,all P＜0.05).And the concentration of dimethyl sulfide showed positive correlation with PD and BI (r=0.369 and 0.443,respectively,both P＜0.05).In addition,both OS and concentration of hydrogen sulfide were revealed to be positively correlated with Ta and Tt (all P＜0.05).By contrast,there was positive correlation between the concentration of methyl mercaptan and Tt (P＜0.05).Conclusion Periodontal may bc the main source of dimethyl sufide pockets.Hydrogen sulfide and methyl mercaptan may come from periodontitis and tongue coatings.
