[Study on psychoprophylaxis and monoamines neurotransmitter of patients with burning mouth syndrome].

M Lin, B Li, F Gu, Y Yue, Y Huang, Q Chen, G Zeng, J Xia
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Abstract

Objective: Burning mouth syndrome (BMS) is a chronic ache disease, usually occurring in middle aged and old women. This study sought to understand the psychopathologic aspect and monoamines neurotransmitters in the plasma of the patients with BMS.

Methods: Thirty cases were selected (26 females, 4 males); 30 normal control subjects were similar to the BMS cases on age and sex. All subjects were required to complete the Eysenck personality questionnaire (EPQ), and the Self-report Symptom Inventory, Symptom Check List-90 (SCL-90) questionnaire. In case a subject's L (lie) score exceeded 50, she (he) would be removed from the test. 2 ml of blood was drawn from the subject under restine conditions with a fast in the morning to examine norepinephrine and epinephrine contents by high efficient liquid chromatography. Chi-square test, analysis of variance and t'-test were performed.

Results: The BMS group had higher scores of nervousness (N) and poikilergasia (P) and lower score of extro/introversion (E) as compared with the control (P < 0.05). The personality types in BMS group were focused on introversion and instability, but in the control group the types were focused on extroversion and stability (P < 0.05). The scores of 9 emotional factors of BMS group were significantly higher than those of the control group (P < 0.05), which indicated that the BMS patients had suffered from serial psychic disorders. The level of plasma norepinephrine in the BMS patients was higher than that of the control (P < 0.01).

Conclusion: The personality of BMS patients raised body response to harmful stimulations, and obvious psychic disorders in the patient may cause the functional disorders in central and sympathetic nervous systems, which may be associated with BMS' occurrence.

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[灼口综合征患者精神预防及单胺类神经递质研究]。
目的:灼口综合征(BMS)是一种常见于中老年妇女的慢性疼痛疾病。本研究旨在了解BMS患者的精神病理方面和单胺类神经递质在血浆中的含量。方法:选取30例患者,其中女性26例,男性4例;正常对照30例,年龄、性别与BMS患者相近。所有被试均需完成艾森克人格问卷(EPQ)和自评症状量表(SCL-90)。如果受试者的L(谎言)分数超过50分,她(他)将被取消测试资格。早晨禁食,静息条件下抽取受试者血液2ml,用高效液相色谱法检测去甲肾上腺素及肾上腺素含量。采用卡方检验、方差分析和t检验。结果:BMS组神经质评分(N)、变态反应评分(P)高于对照组(P < 0.05),外向/内向评分(E)低于对照组(P < 0.05)。BMS组人格类型以内向型和不稳定性为主,对照组人格类型以外向型和稳定性为主(P < 0.05)。BMS组9项情绪因素得分均显著高于对照组(P < 0.05),提示BMS患者存在持续性精神障碍。BMS患者血浆去甲肾上腺素水平明显高于对照组(P < 0.01)。结论:BMS患者的人格特征提高了机体对有害刺激的反应,患者明显的精神障碍可能导致中枢和交感神经系统功能障碍,这可能与BMS的发生有关。
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