Buchanan John, Zakrzewska Joanna
Barts and The London School of Medicine and Dentistry, Dental Institute, Royal London Hospital, London, UK.
BMJ Clin Evid. 2008 Mar 14;2008:1301.
Burning mouth syndrome mainly affects women, particularly after the menopause, when its prevalence may be 18-33%.
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).
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.
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.
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%。
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。
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。
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)。