闭塞性消毒症 (幻咬综合征):一个范围广泛的审查
Ivica Pelivan1, Sven Gojsović2, Samir Čimić1
1Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Gundulićeva ulica 5, HR-10000 Zagreb, Croatia.
Dentistry journal
|January 27, 2026
概括
闭塞性消化症 (OD),或幽灵咬伤综合征,影响中年女性,并源于感官处理问题,而不是咬伤问题. 管理应该是保守的和多学科的,避免不可逆转的牙科工作.
科学领域:
- 牙科 牙科是指牙科的专业.
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 闭塞性听觉障碍 (OD),也称为幽灵咬伤综合征,是一种由对错误的咬伤的主观感觉而没有客观牙问题所标志的情况.
- 它主要影响中年女性,并且可以持续数年,这表明复杂的潜在原因超出了简单的闭塞病理.
研究的目的:
- 进行范围审查,综合当前关于OD流行病学,病因学,临床表现,诊断和管理的证据.
- 识别文献上的差距,并强调需要高质量的研究.
主要方法:
- 在多个数据库 (PubMed,Google Scholar,Scopus,Web of Science,ScienceDirect,Cochrane Library) 中进行系统的文献搜索.
- 关键词包括"幽灵咬伤"",闭合性无意识"",闭合性超意识"",闭合性超警"",不舒服的闭合"和"口腔阴道病".
- 使用PRISMA (2020) 和牛津CEBM证据水平进行选和质量评估.
主要成果:
- 包括20项研究,主要是中年妇女长期出现症状.
- OD很可能是由中央感官或信号处理障碍引起的,通常与精神病相关疾病同时发生.
- 建议采取保守的,多学科的管理 (教育,CBT,药物治疗);不可逆转的牙科治疗是禁忌的.
结论:
- 闭塞性麻醉症是一种复杂的生物心理社会状况,需要多学科护理.
- 目前的证据质量不佳,主要来自案例报告和系列.
- 高质量的受控试验对于建立基于证据的诊断标准和治疗方案至关重要.
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