Thikriat Al-Jewair, Dina Shibeika, Richard Ohrbach
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引用次数: 12
摘要
目的:探讨成人颞下颌障碍(TMDs)与睡眠障碍的关系。方法:检索PubMed、Embase、循证医学评论(Evidence-Based Medicine Reviews)和ProQuest dissertation & thesis数据库，检索截至2019年9月发表的英文论文。还审查了未发表/灰色文献和确定文章的参考文献清单。纳入标准为成年男性和女性，根据RDC/TMD或DC/TMD标准是否存在TMD，根据国际睡眠障碍分类是否存在睡眠障碍，以及以下任何研究设计:横断面，病例对照或纵向。方法学质量评估采用国家心脏、肺和血液研究所质量评估工具进行。结果:22项研究(11项横断面研究、9项病例对照研究、1项前瞻性队列研究和1项混合设计研究)符合纳入标准。对tmd与睡眠磨牙症(SB)、阻塞性睡眠呼吸暂停(OSA)和睡眠质量(SQ)的关系进行独立评估。除一项研究外，所有研究均使用RDC/TMD标准评估TMD。TMD与不同睡眠障碍的关系在SB中不一致，在OSA和SQ中呈正相关。5项研究质量良好，17项研究质量一般。结论:tmd与SB的关系尚不明确，与OSA的关系尚不充分。一直有公平的证据支持TMD和SQ之间的联系。这项研究强调需要进行高质量的纵向研究，以阐明颞下颌颞痛和睡眠障碍之间的联系。
Temporomandibular Disorders and Their Association with Sleep Disorders in Adults: A Systematic Review.
Aims: To investigate the associations between temporomandibular disorders (TMDs) and sleep disorders in adult subjects.
Methods: The PubMed, Embase, Evidence-Based Medicine Reviews, and ProQuest Dissertations & Theses databases were searched for studies published in English up to September 2019. Unpublished/gray literature and reference lists of identified articles were also examined. Inclusion criteria were male and female adults, presence or absence of a TMD based on the RDC/TMD or DC/TMD criteria, presence or absence of a sleep disorder according to the International Classification of Sleep Disorders, and any of the following study designs: cross-sectional, case-control, or longitudinal. Methodologic quality assessment was conducted using the National Heart, Lung, and Blood Institute quality assessment tools.
Results: Twenty-two studies (11 cross-sectional, 9 case-control, 1 prospective cohort, and 1 mixed design) met the inclusion criteria. TMDs were assessed independently in relation to sleep bruxism (SB), obstructive sleep apnea (OSA), and sleep quality (SQ). All studies but one assessed TMDs using the RDC/TMD criteria. The relation between the TMD and the different sleep disorders was conflicting for SB and positive for OSA and SQ. Five studies were of good quality, and 17 were of fair quality.
Conclusions: The evidence is inconclusive regarding the relationship between TMDs and SB and insufficient regarding the relationship with OSA. There is consistently fair evidence to support an association between TMD and SQ. This study highlights the need for higher-quality longitudinal studies to clarify the association between TMDs and sleep disorders.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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