低氧再灌注损伤是否发生于颞下颌关节骨性关节炎?

Journal of orofacial pain Pub Date : 2012-01-01
Lukas M Vos, James J R Huddleston Slater, Martha K Leijsma, Boudewijn Stegenga
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引用次数: 0

摘要

目的:确定文献中关于缺氧再灌注损伤是否在一般关节疾病,特别是颞下颌关节(TMJ)骨关节炎(OA)的发病机制中起作用的现有证据。方法:系统检索CENTRAL、PubMed、EMBASE等电子数据库。搜索策略结合了叙词库术语“再灌注损伤”和“关节”,排除了可能引起医源性再灌注损伤的“止血带”。应用纳入和排除标准,提取数据,评估质量。结果:共纳入4项研究,从4个不同方面探讨了关节缺氧-再灌注机制。所有的研究都调查了膝关节或肩关节的几种关节炎,并且都是观察性研究,除了其中一项研究的一部分是随机对照试验。这些研究没有提供任何证据来支持或拒绝TMJ骨性关节炎发生缺氧再灌注的假设。阳性但不充分的证据支持膝关节OA发生缺氧再灌注损伤的假设。此外,纳入的一些研究结果表明,OA与其他类型的关节炎在缺氧再灌注机制方面存在差异。结论:没有证据支持或否定TMJ OA发生缺氧再灌注的假设,支持膝关节OA发生缺氧再灌注损伤的证据有限。由于研究表明OA与其他类型关节炎在缺氧再灌注机制方面存在差异,因此该领域的进一步研究需要将OA与其他类型关节炎区分开来。
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Does hypoxia-reperfusion injury occur in osteoarthritis of the temporomandibular joint?

Aims: To determine the available evidence in the literature for whether hypoxia-reperfusion injury plays a role in the pathogenesis of joint diseases in general and of osteoarthritis (OA) of the temporomandibular joint (TMJ) in particular.

Methods: The electronic databases CENTRAL, PubMed, and EMBASE were systematically searched. The search strategy combined thesaurus terms "reperfusion injury" and "joints" and excluded "tourniquet," which possibly induces iatrogenic reperfusion injury. Inclusion and exclusion criteria were applied, data were extracted, and quality was assessed.

Results: Four studies could be included, investigating four different aspects of the hypoxia-reperfusion mechanism in joints. All studies investigated several arthritides in the knee or shoulder joint and were observational studies, except for one section of one of the studies, which was a randomized controlled trial. These studies do not provide any evidence to support or reject the hypothesis that hypoxia reperfusion occurs in TMJ OA. Positive but weak evidence is provided to support the hypothesis that hypoxia-reperfusion injury occurs in OA of the knee joint. Furthermore, some results of the included studies suggest differences between OA and other types of arthritis in relation to the hypoxia-reperfusion mechanism.

Conclusion: There is no evidence to support or reject the hypothesis that hypoxia reperfusion occurs in TMJ OA, and limited evidence is provided to support that hypoxia-reperfusion injury occurs in OA of the knee joint. Since the studies suggest differences between OA and other types of arthritis in relation to hypoxia-reperfusion mechanisms, further research in this field needs to distinguish OA from other types of arthritis.

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来源期刊
Journal of orofacial pain
Journal of orofacial pain 医学-牙科与口腔外科
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期刊最新文献
Way forward Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders. Neuroplasticity in the adaptation to prosthodontic treatment. Temporomandibular disorder pain after whiplash trauma: a systematic review. Why seek treatment for temporomandibular disorder pain complaints? A study based on semi-structured interviews.
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