失眠是否与成年人的睡眠 Bruxism 有关? 一个系统的审查和元分析
Eduardo Machado1, Jessica Klöckner Knorst2, Fabrício Batistin Zanatta2
1Sleep Medicine and Biology Division, Department of Psychobiology, Universidade Federal de Sao Paulo, Sao Paulo, Brazil.
Journal of oral rehabilitation
|October 4, 2025
概括
这一系统性审查没有发现成年人失眠和睡眠 Bruxism (SB) 之间的显著联系. 由于有限的研究和潜在的偏见影响失眠-睡眠布鲁克西斯症关联发现,需要更多的研究.
科学领域:
- 睡眠医学 睡眠医学
- 牙科 睡眠医学 睡眠医学
- 临床心理学 临床心理学
背景情况:
- 失眠和睡眠 Bruxism (SB) 是常见的睡眠障碍.
- 失眠和SB之间的关系需要彻底调查.
研究的目的:
- 系统地评估现有的关于成年人失眠和睡眠乱之间的联系的文献.
- 用元分析来综合观察性研究的证据.
主要方法:
- 进行全面的数据库搜索 (PubMed,Embase,LILACS,Scopus,Web of Science) 和灰色文献审查.
- 由两名专家进行的独立审查,使用纽卡斯尔-太华尺度 (NOS) 进行质量评估.
- 对自我报告和基于多睡眠学 (PSG) 的SB进行元分析,计算几率比率 (OR) 和95%置信区间 (CI).
主要成果:
- 包括8项研究,大约包括6990名成年人.
- 对四项研究的元分析显示,失眠和自我报告的SB之间没有显著的关联 (OR 1.17;95% CI 0.79-1.72).
- 对基于PSG的SB研究的综合分析也显示,与失眠没有显著的关联 (OR 0.91;95% CI 0.43-1.95).
结论:
- 目前的证据并不总是支持失眠和睡眠 Bruxism 之间的显著关联.
- 这些发现受到少数研究,中等偏差风险和异质性的限制.
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