唤醒布鲁克斯主义在人口中的流行:系统性审查和元分析
Nikola Stanisic1, Ovidiu Ionut Saracutu2, Anna Colonna2
1Department of Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden; Section for Orofacial Pain and Jaw Function, Institute for Odontology and Oral Health, Aarhus University, Aarhus, Denmark.
The journal of evidence-based dental practice
|July 27, 2025
概括
醒着布鲁克斯症 (AB) 影响口腔健康,在特定群体中患病率更高. 这一审查发现"可能"的AB在25.9%和"可能"的AB在16.0%的一般人群.
科学领域:
- 口腔健康 口腔健康
- 牙科研究 牙科研究
- 公共卫生 公共卫生
背景情况:
- Bruxism,特别是醒着的 Bruxism (AB),对口腔健康产生负面影响,导致牙磨损和修复失败.
- 睡眠障碍与心理社会因素密切相关,使其与睡眠障碍区别开来.
- 了解AB患病率对于管理相关的口腔健康问题至关重要.
研究的目的:
- 在一般成年人群中系统地审查和评估清醒性 Bruxism (AB) 的患病率.
- 评估特定亚种群的AB患病率,确定潜在的风险群体.
- 综合目前关于AB流行病学的证据.
主要方法:
- 在PubMed,Scopus和Web of Science数据库中进行了全面的文献搜索.
- 遵循了PRISMA的指导方针,包括报告成年人患有AB的研究.
- 使用乔安娜·布里格斯研究所工具评估了偏差风险,并进行了随机效应元分析.
主要成果:
- 包括94项涉及49163人的研究;对66项研究进行了元分析.
- 自我报告的"可能"AB的平均患病率为25.9% (95%CI22.2-29.9).
- 基于临床的"可能"AB患病率为16.0% (95% CI 10.0-24.5),在患有关节疾病 (50.0%) 和全身疾病 (40.1%) 的个人中,患病率显著更高.
结论:
- 醒着布鲁克斯症的患病率在不同亚群体之间有很大差异.
- 这些发现强调了需要患者特异性因素和有针对性的临床策略来管理AB.
- 由于已识别的偏差风险,对AB评估方法的进一步研究是有必要的.
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