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[颞下颌关节紊乱病相关慢性疼痛管理临床实践指南解读]

[Interpretation of a clinical practice guideline on the management of chronic pain associated with temporomandibular joint disorders].

作者信息

Li C X, Song Z Q, Jin X, Gong Z C, Liu H, Liu X, Ding M C, Sun J L, Long X, Shao B

机构信息

Department of Oral and Maxillofacial Oncology & Surgery, School/Hospital of Stomatology, the First Affiliated Hospital of Xinjiang Medical University, Stomatological Research Institute of Xinjiang Uygur Autonomous Region, Urumqi 830054, China.

Department of Temporomandibular Joint, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou 510182, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2024 Oct 9;59(10):988-997. doi: 10.3760/cma.j.cn112144-20231229-00313.

Abstract

Temporomandibular disorders (TMD) are a heterogeneous group of diseases that affect the temporomandibular joint, chewing muscle system, dental occlusion, and even various structures throughout the body, with significant characteristics of biological-psychological-social pattern. TMD related chronic pain, as the most important clinical symptom, can result in negative emotions seriously affecting patients' quality of life and physical and mental health. Although a variety of therapies have been previously reported to treat TMD related chronic pain, there is a lack of widely recognized therapies. Professor Jason W Busse (from Michael G DeGroote National Pain Centre, McMaster University, Hamilton ON, Canada) took the lead and collaborated with multiple internationally renowned schools/hospitals of stomatology to develop an international consensus on the management of chronic pain associated with TMD, a clinical practice guideline, which took two years and was published in December 15th, 2023 in a global top journal of clinical research . This clinical practice guideline explored the comparative effectiveness of available therapies for chronic pain associated with TMD, conditionally recommended the specific intervention for different treatment or pain relief, proposed a comprehensive, agreed, and standardized clinical practice guideline. This present article describes the methodology and key elements of the clinical practice guideline to help clinicians fully understand and appropriately apply this guidance, which could provide the references for clinical practice of TMD associated chronic pain in China.

摘要

颞下颌关节紊乱病(TMD)是一组异质性疾病,影响颞下颌关节、咀嚼肌系统、牙合,甚至全身的各种结构,具有显著的生物 - 心理 - 社会模式特征。TMD相关的慢性疼痛作为最重要的临床症状,可导致负面情绪,严重影响患者的生活质量和身心健康。尽管此前已报道多种治疗方法用于治疗TMD相关的慢性疼痛,但缺乏广泛认可的疗法。杰森·W·布斯教授(来自加拿大安大略省汉密尔顿市麦克马斯特大学迈克尔·G·德格罗特国家疼痛中心)牵头并与多个国际知名的口腔医学院/医院合作,制定了关于TMD相关慢性疼痛管理的国际共识,即一项临床实践指南,该指南历时两年,于2023年12月15日发表在全球顶级临床研究期刊上。本临床实践指南探讨了TMD相关慢性疼痛现有疗法的比较有效性,有条件地推荐了不同治疗或疼痛缓解的具体干预措施,提出了全面、一致且标准化的临床实践指南。本文介绍了该临床实践指南的方法和关键要素,以帮助临床医生充分理解并适当应用本指南,可为中国TMD相关慢性疼痛的临床实践提供参考。

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