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[口腔烧灼感——日常医疗实践中的灼口综合征]

[Burning sensation in oral cavity--burning mouth syndrome in everyday medical practice].

作者信息

Gerlinger Imre

机构信息

Pécsi Tudományegyetem, AOK, Fül-, orr-, gégészeti és Fej-, nyaksebészeti Klinika.

出版信息

Ideggyogy Sz. 2012 Sep 30;65(9-10):295-301.

Abstract

Burning mouth syndrome (BMS) refers to chronic orofacial pain, unaccompanied by mucosal lesions or other evident clinical signs. It is observed principally in middle-aged patients and postmenopausal women. BMS is characterized by an intense burning or stinging sensation, typically on the tongue or in other areas of the oral mucosa. It can be accompanied by other sensory disorders such as dry mouth or taste alterations. Probably of multifactorial origin, and often idiopathic, with a still unknown etiopathogenesis in which local, systemic and psychological factors are implicated. Currently there is no consensus on the diagnosis and classification of BMS. This study reviews the literature on this syndrome, with special reference to the etiological factors that may be involved and the clinical aspects they present. The diagnostic criteria that should be followed and the therapeutic management are discussed with reference to the most recent studies.

摘要

灼口综合征(BMS)是指慢性口腔面部疼痛,不伴有黏膜病变或其他明显的临床体征。主要见于中年患者和绝经后女性。灼口综合征的特征是强烈的灼烧或刺痛感,通常出现在舌头或口腔黏膜的其他部位。它可能伴有其他感觉障碍,如口干或味觉改变。其病因可能是多因素的,且常为特发性,发病机制仍不清楚,涉及局部、全身和心理因素。目前关于灼口综合征的诊断和分类尚无共识。本研究回顾了关于该综合征的文献,特别提及可能涉及的病因因素及其呈现的临床方面。参照最新研究讨论了应遵循的诊断标准和治疗管理方法。

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