Journal of Oral Science Research ›› 2023, Vol. 39 ›› Issue (8): 751-754.DOI: 10.13701/j.cnki.kqyxyj.2023.08.016

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Consistency of Salivary Flow Rate and Xerostomia in Patients with Sjögren's Syndrome

WEI Minghui1, WANG Yuanyuan1, WANG Yuhong1, WANG Xinwen1*, DU Wanglei2*   

  1. 1. State Key Laboratory of Oral &Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Clinical Research Center for Oral Diseases, Department of Oral medicine,School of Stomatology,the Fourth Military Medical University, Xi'an 710032, China;
    2. Department of Clinical Immunology, First Affiliated Hospital, the Fourth Military Medical University, Xi'an 710032, China
  • Received:2023-02-06 Published:2023-08-17

Abstract: Objective: To assess the consistency of salivary flow rate and xerostomia, and explore the risk factors for reduced salivary flow rate in patients with Sjögren's syndrome (SS). Methods: The clinical data of 151 patients with SS were collected, including a sensation of oral dryness (xerostomia), unstimulated salivary flow rate (USFR), hematological indexes, and medical history. The Kappa consistency test and Spearman's correlation coefficient were used to analyze the data. Results: There was a very low consistency between the reduced USFR and xerostomia in SS patients. The reduced USFR was positively correlated with the course of SS, ANA antibody, IgM, and the comorbidity of autoimmune liver disease. Conclusion: The consistency of USFR and xerostomia in SS patients was poor. Although USFR has a certain predictive and monitoring value for SS, it may be influenced by multiple factors. Understanding the risk factors influencing USFR and implementing targeted intervention would be helpful for oral health management of SS patients.

Key words: Sjögren's syndrome, unstimulated salivary flow rate, IgM, xerostomia, autoimmune liver disease, SSA, SSB