关节疾病的危险因素:对队列研究的系统审查
Cecília Doebber Da-Cas1, Lígia Figueiredo Valesan1, Luiza Pereira do Nascimento2
1Postgraduate Program of Dentistry, Federal University of Santa Catarina, Florianópolis, Brazil.
概括
这次审查确定了关部疾病 (TMD) 发病的关键风险因素,包括心理困扰,睡眠障碍,并发病症和口腔面部异常. 需要进一步的标准化研究来证实这些发现.
科学领域:
- 口腔和牙面部外科手术
- 精神病学是一个精神病学.
- 疼痛管理 疼痛管理
背景情况:
- 关节疾病 (TMD) 是一组复杂的疾病,影响关节和肌.
- 确定可靠的TMD发病风险因素对于开发有效的预防和治疗策略至关重要.
研究的目的:
- 系统地审查和综合现有文献,以确定与TMD发病相关的重大风险因素.
- 提供对导致TMD发展的因素的全面概述.
主要方法:
- 对电子数据库 (PubMed,科学网,Scopus,Embase,PsyInfo,Lilacs) 和灰色文献进行了系统的审查.
- 经过严格的查和偏见风险评估,使用Joanna Briggs研究所的批判性评估检查清单,包括21项队列研究.
- 用GRADE方法来评估证据确定性的确定性.
主要成果:
- 确定的重大风险因素包括女性性别,抑郁,焦虑,感知压力和睡眠质量差.
- 诸如刺激性肠综合征,腰部疼痛和各种类型的头痛等并发症与TMD发病有关.
- 耳鼻面部异常,荷尔蒙影响 (雌激素/水平),疼痛感知,部移动问题和受伤也被发现是显著的危险因素.
结论:
- 多种生物学,心理和社会因素似乎有助于TMD的出现.
- 未来研究中的标准化方法对于确认这些已识别的风险因素和阐明它们在TMD发展中的确切作用至关重要.
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