儿童和青少年睡眠 Bruxism 治疗: 一个系统的审查
Jordana Senff1, Danielle Veiga Bonotto2, Priscila Brenner Hilgenberg-Sydney1
1Universidade Federal do Paraná, Departamento de Odontologia Restauradora, Curitiba, Paraná, Brazil.
Sleep science (Sao Paulo, Brazil)
|January 10, 2024
概括
药物疗法和药物提取物显示出治疗儿童睡眠 (SB) 的前景. 然而,闭合和物理治疗没有显著的效果,需要更多的研究来制定治疗方案.
科学领域:
- 儿科牙科 儿科牙科
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 睡眠 Bruxism (SB) 是一个普遍的童年状况,具有牙磨损和肌肉疼痛等潜在的不良影响.
- 目前儿科SB的治疗策略尚未成熟,需要对现有干预措施进行审查.
研究的目的:
- 系统地审查儿童和青少年睡眠 Bruxism 治疗各种治疗方法的有效性.
- 评估药理学,心理学,行为学和牙科方法来管理儿科SB.
主要方法:
- 随机临床试验的系统审查,将SB治疗与对照组进行比较.
- 在主要的电子数据库 (PubMed,Scopus,Web of Science,Cochrane,VHL) 进行了搜索,截至2021年8月.
- 研究选择,数据提取和偏差风险评估由两名独立审稿人进行.
主要成果:
- 药物治疗 (氧/亚泽) 和药物提取物 (例如,M.Officinalis) 证明了SB的迹象和症状的减少.
- 与对照组相比,闭合和物理治疗没有显示出统计学上显著的改善.
- 经过严格的选择和偏见评估过程,包括了七项研究.
结论:
- 有证据表明,药物治疗和某些药物提取物在治疗儿科睡眠乱症方面具有潜在的疗效.
- 目前的证据不足以建立儿童SB的最终治疗方案.
- 建议对儿科SB进行个性化管理,重点关注风险因素.
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