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本文以33名18~33岁青年人(无龋组、冠龋组)和52名47~74岁中、老年人(无龋组、冠龋组、根龋组)为检测对象,对唾液内主要致龋菌(变链菌、放线菌、乳杆菌)及免疫活性物质(SIgA、IgG、IgA、IgM、C3和C4)进行了测定。结果表明,龋患者唾液内变链菌(MS、20%蔗糖)计数显著高于无龋者,而放线菌(CFAT)、乳杆菌(Rogosa)在两者之间无显著差异。龋患者唾液SIgA高于无龋者,且在青年人中存在显著差异。中老年龋患者IgG和IgM显著增高,可能与代偿平衡有关。
In this study, 33 young people aged from 18 to 33 (caries-free group, carious crown caries group) and 52 middle-aged and elderly people aged 47 to 74 (caries-free group, carious caries group and root caries group) The main cariogenic bacteria (Streptococcus mutans, actinomycetes, Lactobacillus) and immunocompetent substances (SIgA, IgG, IgA, IgM, C3 and C4) were measured. The results showed that the count of Saliva Streptococcus mutans (MS, 20% sucrose) in caries was significantly higher than those in caries-free, while there was no significant difference between actinomyces (CFAT) and lactobacilli (Rogosa). Salivary SIgA was higher in caries than in caries-free subjects and was significantly different among young adults. IgG and IgM were significantly higher in middle-aged and elderly caries patients, which may be related to compensatory balance.