r-n-jРоссийский неврологический журналRussian neurological journal2658-79472686-7192МИА10.30629/2658-7947-2021-26-4-39-45r-n-j-198Research ArticleИССЛЕДОВАНИЯ И КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL RESEARCHES AND CASE REPORTSСиндром жжения полости рта у женщин менопаузального возрастаBurning mouth syndrome in menopausal womenhttps://orcid.org/0000-0002-7682-6672МаксимоваМ. Ю.MaksimovaM. Yu.

Максимова Марина Юрьевна

Москва

Maksimova Marina Yu.

Moscow

ncnmaximova@mail.ruhttps://orcid.org/0000-0002-2704-6282ИллариошкинС. Н.IllarioshkinS. N.

Москва

Moscow

snillario@gmail.comСиневаН. А.SinevaN. A.

Москва

Moscow

sineva.nina2011@yandex.ruФГБНУ «Научный центр неврологии» Минобрнауки России; ФГБОУ ВО «Московский государственный медико-стоматологического университет им. А.И. Евдокимова» Минздрава РоссииРоссияResearch Center of Neurology, Мinistry of Education and Science of Russia; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaRussian FederationФГБОУ ВО «Московский государственный медико-стоматологического университет им. А.И. Евдокимова» Минздрава РоссииРоссияA.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaRussian Federation2021120820212643945Copyright © Максимова М.Ю., Иллариошкин С.Н., Синева Н.А., 20212021Максимова М.Ю., Иллариошкин С.Н., Синева Н.А.Maksimova M.Y., Illarioshkin S.N., Sineva N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.r-n-j.com/jour/article/view/198

У многих женщин в период менопаузы возникают неприятные ощущения в полости рта — жжение, дизестезия, ксеростомия, изменение вкуса, снижающие качество жизни.

Цель исследования — выявить клинические и психологические факторы, связанные с развитием синдрома жжения полости рта, у женщин менопаузального возраста.

Материал и методы

Материал и методы. Обследованы 67 женщин в возрасте от 45 до 67 лет. Оценка степени болевых ощущений в полости рта проводилась с помощью визуальной аналоговой шкалы (ВАШ). Выраженность сухости во рту оценивали в баллах с использованием шкалы ксеростомии (The Challacombe Scale of Clinical Oral Dryness, CSCOD). Психометрическое обследование проводилось с помощью шкалы тревожности Спилбергера (Spielberger`s Anxiety Test), шкалы депрессии Монтгомери–Асберга (Montgomery–Asberg Depression Rating Scale, MADRS), госпитальной шкалы оценки тревоги и депрессии (Hospital Anxiety and Depression Scale, HADS), краткой шкалы исследования психического состояния (Mini-Mental State Examination, MMSE). Для оценки воздействия стресса на соматические, поведенческие и эмоциональные показатели жизни использовалась шкала психологического стресса (Psychological stress measure, PSM25). Анализ качества жизни проводился с помощью краткой версии опросника стоматологического здоровья (Oral Health Impact Profi le-14, OHIP-14).

Результаты

Результаты. Клинически синдром жжения полости рта у женщин менопаузального возраста проявлялся различными оральными симптомами в виде парестезий и боли в области языка, полости рта, а также ксеростомии и нарушений вкуса. Неприятные ощущения в языке развивались через 1–3 года от начала менопаузы. Этому состоянию предшествовали стрессовые события. Интенсивность боли по ВАШ составила 63,1 ± 11,8 мм. Депрессивные расстройства характеризовались средним уровнем личностной и ситуационной тревожности, неустойчивостью к стрессогенным воздействиям. При оценке качества жизни у женщин менопаузального возраста с помощью шкалы OHIP-14 суммарный балл составил 17,1 ± 5,21 балла и соответствовал удовлетворительному качеству стоматологического здоровья.

Заключение

Заключение. Синдром жжения полости рта и нейропсихиатрические расстройства (тревога, астения, депрессия, фобия, нарушения сна) у женщин менопаузального возраста являются патофизиологически связанными состояниями.

Many women in menopause experience discomfort in the oral cavity — burning, dysesthesia, xerostomia, taste changes, which lead to a reduction in the quality of life.

Aim

Aim: to identify clinical and psychological factors associated with the development of burning mouth syndrome in menopausal women.

Material and methods

Material and methods. Were examined 67 women aged 45–67 years. Assessment of oral pain performed using the Visual analog scale (VAS). Assessment of dry mouth symptoms severity performed using the Challacombe Scale of Clinical Oral Dryness (CSCOD). Psychometric tests was carried out with Spielberger’s Anxiety Test, Montgomery–Asberg Depression Rating Scale (MADRS), Hospital Anxiety and Depression Scale (HADS), Mini-Mental State Examination (MMSE). The Psychological stress measure-25 scale was also used to assess the impact of stress on somatic, behavioral, and emotional indicators of life. The quality of life was measured using the Oral Health Impact Profile-14 (OHIP-14).

Results

Results. Clinically, burning mouth syndrome in menopausal women manifested with various oral symptoms include paresthesias and pain in the tongue, oral cavity, as well as xerostomia and taste disorders. Painful sensations in the tongue developed 1–3 years after the menopause onset and was preceded by stressful life events. The pain scores on the VAS was 63.1 ± 11.8 mm. Depressive disorders were characterized by an average level of personal and situational anxiety, instability to stressful influences. The quality of life assessment in menopausal women using the OHIP-14 scale, the total score was 17.1 ± 5.21 points and corresponded to the sufficient quality of oral health.

Conclusion

Conclusion. Burning mouth syndrome and neuropsychiatric disorders (anxiety, asthenia, depression, phobia, sleep disorders) in menopausal women are pathophysiologically related conditions.

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The authors declare that there are no conflicts of interest present.