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国际头痛学会分类后灼口综合征患者的临床和流行病学特征:系统评价和荟萃分析。

Clinical and epidemiological profile of burning mouth syndrome patients following the International Headache Society classification: a systematic review and meta-analysis.

机构信息

Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil; Department of Pathology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.

Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2024 Feb;137(2):119-135. doi: 10.1016/j.oooo.2023.10.002. Epub 2023 Oct 11.

Abstract

OBJECTIVE

This systematic review aimed to determine the clinical and epidemiologic profile of patients with burning mouth syndrome (BMS) following the current classification of the International Headache Society (IHS)-the International Classification of Headache Disorders (ICHD-3) and the International Classification of Orofacial Pain (ICOP).

STUDY DESIGN

This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist and involved a comprehensive search on PubMed, Scopus, EMBASE, Web of Science, LILACS, and the gray literature.

RESULTS

Of the 4,252 studies identified, 41 were included. In general, there were no differences between the clinical and epidemiologic profiles of patients with BMS classified based on ICHD-3 or ICOP. Studies were pooled in meta-analyses and showed a significant prevalence of female patients between the sixth and seventh decade of life. The burning sensation and the tongue were the most prevalent descriptors and affected location. Significant associations were demonstrated between BMS and anxiety (P = .0006), depression (P = .004), and poor oral hygiene (P = .00001).

CONCLUSIONS

Under the existing contemporary classification systems, patients with BMS were found to be mostly females in the sixth and seventh decade of life with a burning sensation on the tongue. Experiencing depression and anxiety was a commonly existing comorbidity.

摘要

目的

本系统评价旨在根据国际头痛协会(IHS)现行分类,即国际头痛疾病分类(ICHD-3)和国际口腔颌面疼痛分类(ICOP),确定灼口综合征(BMS)患者的临床和流行病学特征。

研究设计

本研究遵循系统评价和荟萃分析的首选报告项目清单,并在 PubMed、Scopus、EMBASE、Web of Science、LILACS 和灰色文献上进行了全面检索。

结果

在确定的 4252 项研究中,有 41 项研究被纳入。总体而言,基于 ICHD-3 或 ICOP 分类的 BMS 患者的临床和流行病学特征并无差异。研究进行了荟萃分析,结果表明,在第六和第七个十年中,女性患者的患病率显著较高。烧灼感和舌头是最常见的描述词和受影响的部位。BMS 与焦虑(P =.0006)、抑郁(P =.004)和口腔卫生不良(P =.00001)之间存在显著相关性。

结论

在现有的当代分类系统下,BMS 患者主要为 60 至 70 岁的女性,其舌头上有烧灼感。抑郁和焦虑是常见的并存病症。

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