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灼口综合征

Burning mouth syndrome.

作者信息

Buchanan John, Zakrzewska Joanna

机构信息

Barts and The London School of Medicine and Dentistry, Dental Institute, Royal London Hospital, London, UK.

出版信息

BMJ Clin Evid. 2008 Mar 14;2008:1301.

Abstract

INTRODUCTION

Burning mouth syndrome mainly affects women, particularly after the menopause, when its prevalence may be 18-33%.

METHODS AND OUTCOMES

We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments for burning mouth syndrome? We searched: Medline, Embase, The Cochrane Library, and other important databases up to February 2007 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).

RESULTS

We found 12 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.

CONCLUSIONS

In this systematic review we present information relating to the effectiveness and safety of the following interventions: anaesthetics (local), antidepressants, benzodiazepines (topical clonazepam), benzydamine hydrochloride, cognitive behavioural therapy (CBT), dietary supplements, and hormone replacement therapy (HRT) in postmenopausal women.

摘要

引言

灼口综合征主要影响女性,尤其是在绝经后,此时其患病率可能为18% - 33%。

方法与结果

我们进行了一项系统评价,旨在回答以下临床问题:灼口综合征的治疗效果如何?我们检索了:截至2007年2月的Medline、Embase、Cochrane图书馆及其他重要数据库(临床证据综述会定期更新,请查看我们的网站获取本综述的最新版本)。我们纳入了来自美国食品药品监督管理局(FDA)和英国药品与保健品监管局(MHRA)等相关组织的危害警示。

结果

我们找到了12项符合我们纳入标准的系统评价、随机对照试验或观察性研究。我们对干预措施的证据质量进行了GRADE评估。

结论

在本系统评价中,我们呈现了以下干预措施的有效性和安全性相关信息:麻醉剂(局部)、抗抑郁药、苯二氮䓬类药物(局部用氯硝西泮)、盐酸苄达明、认知行为疗法(CBT)、膳食补充剂以及绝经后女性的激素替代疗法(HRT)。

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本文引用的文献

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Sensory dysfunction in burning mouth syndrome.灼口综合征中的感觉功能障碍。
Pain. 2002 Sep;99(1-2):41-7. doi: 10.1016/s0304-3959(02)00052-0.
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Burning mouth syndrome: prevalence and associated factors.灼口综合征:患病率及相关因素
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