Guo Huaqi, Wang Tongxia, Li Xuechao, Ma Qiong, Niu Xiaohong, Qiu Jie
Department of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, No. 199 Dong Gang West Road, Lanzhou, Gansu, China.
Gansu Provincial Maternity and Child Care Hospital, No. 143 North Road, Lanzhou, Gansu, China.
Sleep Breath. 2017 Dec;21(4):1013-1023. doi: 10.1007/s11325-017-1496-3. Epub 2017 Apr 10.
The aim of this article was to assess the sleep behaviors that serve as risk factors related to bruxism in children ages 0 to 12 years by performing a systematic review and meta-analysis of published studies.
Seven databases were searched to identify all peer-reviewed articles potentially relevant to the review. Data were pooled for random-effects modeling. Sleep risk factors related to bruxism in this age group are summarized using pooled odds ratios (ORs), 95% confidence intervals (CIs), and P values.
Of 5637 initially identified articles, 14 met inclusion criteria. Study qualities of all case-control studies were high. Quality of cross-sectional studies was more variable. The pooled ORs, 95% CIs, and P values were as follows: snoring (2.86, 1.85-4.42, <0.0001), mouth breathing (1.51, 1.04-2.18, 0.029), restless sleep (2.31, 1.89-2.83, <0.0001), drooling (1.79, 1.07-2.97, 0.026), stomach position during sleep (1.70, 1.0-2.39, 0.003), and inadequate sleep time (2.56, 1.48-4.43, 0.001).
Snoring, mouth breathing, restless sleep, drooling, stomach position during sleep, and lack of sleep were the risk factors related to bruxism in children.
本文旨在通过对已发表研究进行系统评价和荟萃分析，评估0至12岁儿童中与磨牙症相关的睡眠行为风险因素。
检索了七个数据库，以识别所有可能与该评价相关的同行评审文章。对数据进行汇总以进行随机效应建模。使用汇总比值比（OR）、95%置信区间（CI）和P值总结该年龄组中与磨牙症相关的睡眠风险因素。
在最初识别的5637篇文章中，14篇符合纳入标准。所有病例对照研究的研究质量都很高。横断面研究的质量则更具差异性。汇总的OR、95%CI和P值如下：打鼾（2.86，1.85 - 4.42，<0.0001）、口呼吸（1.51，1.04 - 2.18，0.029）、睡眠不安（2.31，1.89 - 2.83，<0.0001）、流口水（1.79，1.07 - 2.97，0.026）、睡眠时的体位（1.70，1.0 - 2.39，0.003）以及睡眠时间不足（2.56，1.48 - 4.43，0.001）。
打鼾、口呼吸、睡眠不安、流口水、睡眠时的体位以及睡眠不足是儿童磨牙症的风险因素。
