临时关疾病的自我管理疗法 - - 系统性审查的证据
Tessa Bijelic1, Ambrosina Michelotti2, Rosaria Bucci2
1Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
Journal of oral rehabilitation
|October 8, 2025
概括
临时关疾病 (TMD) 的自我管理疗法显示出有希望的结果,包括患者教育,行为疗法和练习. 需要进一步的研究来解决生活质量和不良影响的证据差距.
科学领域:
- 或面部疼痛研究研究.
- 基于证据的医学是基于证据的医学.
- 系统审查方法论 系统审查方法论
背景情况:
- 慢性口腔面部疼痛影响10-15%的人口,通常与关节疾病 (TMD) 相关.
- 有效的TMD管理需要一种生物心理社会,以患者为中心的方法,以自我管理策略获得关注.
研究的目的:
- 进行总体审查,评估有关TMD自我管理疗法的现有系统审查 (SRs).
- 综合当前关于TMD自我管理疗效的证据基础.
主要方法:
- 在PubMed,Scopus,LILACS和Cochrane图书馆进行系统搜索,直到2023年12月.
- 包括11个SR,包括49个初级研究,使用AMSTAR 2评估偏差风险.
- 遵守PRISMA和PRIOR指南,并使用预先注册的协议 (PROSPERO CRD42021276856).
主要成果:
- 在11个纳入的SR中,有6个报告TMD自我管理的良好结果.
- 与其他干预相比,五个SR发现没有足够的证据来支持或反驳自我管理.
- 确定了与生活质量和不良影响有关的证据缺口,在审查的SR中存在方法限制.
结论:
- 目前的证据表明,自我管理策略,包括患者教育,行为疗法和练习,通常对TMD有益.
- 审查强调需要更高质量的初级研究,以加强TMD自我管理的证据基础.
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