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高血压患者全身各系统均有相应的变化 ,特别是中老年人 ,如高血压性心血管病 ,眼病等。在口腔颌面部常引起涎腺退行性肿大 ,本研究通过临床 ,唾液总流率检查及腮腺造影对 15例高血压患者进行了系统观察。发现 15例病例临床上的腮腺肿大为特点占 87% ,腮腺造影示除腺体体积增大外主导管扩张较为常见 ,认为与主导管发生逆行性感染有关 ,可能与静止唾液流率减低有关。使用促唾剂保持静止唾液总流率在正常范围内是防止逆行感染的必要治疗手段。有 4例静止唾液总流率低于正常有明显口干症状。而动态唾液总流率未见明显异常 ,提示高血压患者涎腺贮备功能尚未明显受累 ,说明口干症状主要是静止唾液总流率下降所致
Systemic hypertensive patients have corresponding changes in the system, especially in the elderly, such as hypertensive cardiovascular disease, eye disease and so on. In oral and maxillofacial often caused salivary gland degenerative enlargement, the study of 15 cases of hypertensive patients were systematically observed by clinical, total saliva flow rate and parotid gland imaging. Found in 15 cases of clinical parotid swelling was characterized by 87% of the parotid gland showed that in addition to the gland enlargement of the main dilatation of the catheter more common, that with the main retrograde ductal infection may be associated with reduced flow of quiescent saliva . The use of salivary agents to maintain the total salivary flow rate in the normal range is to prevent retrograde infection necessary treatment. 4 cases of total saliva flow was lower than the normal obvious symptoms of dry mouth. The dynamic saliva total flow rate was no significant abnormality, suggesting that salivary gland reserve function in patients with hypertension has not yet significantly involved, indicating that the main dry mouth symptoms of saliva is caused by a decrease in the total flow rate