[颞下颌关节紊乱相关慢性疼痛治疗临床实践指南解读]。

Q4 Medicine
C X Li, Z Q Song, X Jin, Z C Gong, H Liu, X Liu, M C Ding, J L Sun, X Long, B Shao
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引用次数: 0

摘要

颞下颌关节紊乱(TMD)是一组影响颞下颌关节、咀嚼肌系统、牙齿咬合甚至全身各种结构的异质性疾病,具有显著的生物-心理-社会模式特征。与 TMD 相关的慢性疼痛作为最重要的临床症状,会导致患者产生负面情绪,严重影响患者的生活质量和身心健康。尽管此前已有多种疗法治疗 TMD 相关慢性疼痛的报道,但仍缺乏得到广泛认可的疗法。Jason W Busse 教授(来自加拿大安大略省汉密尔顿市麦克马斯特大学 Michael G DeGroote 国家疼痛中心)率先与多家国际知名口腔医学院/医院合作,就 TMD 相关慢性疼痛的治疗达成国际共识,并制定了临床实践指南,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《英国医学杂志》上。该临床实践指南探讨了现有疗法对 TMD 相关慢性疼痛的疗效比较,有条件地推荐了不同治疗或缓解疼痛的具体干预措施,提出了全面、一致、规范的临床实践指南。本文介绍了该临床实践指南的方法和主要内容,以帮助临床医生充分理解和合理应用该指南,为我国TMD相关慢性疼痛的临床实践提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Interpretation of a clinical practice guideline on the management of chronic pain associated with temporomandibular joint disorders].

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 The British Medical Journal. 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.

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来源期刊
中华口腔医学杂志
中华口腔医学杂志 Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
9692
期刊介绍: Founded in August 1953, Chinese Journal of Stomatology is a monthly academic journal of stomatology published publicly at home and abroad, sponsored by the Chinese Medical Association and co-sponsored by the Chinese Stomatology Association. It mainly reports the leading scientific research results and clinical diagnosis and treatment experience in the field of oral medicine, as well as the basic theoretical research that has a guiding role in oral clinical practice and is closely combined with oral clinical practice. Chinese Journal of Over the years, Stomatology has been published in Medline, Scopus database, Toxicology Abstracts Database, Chemical Abstracts Database, American Cancer database, Russian Abstracts database, China Core Journal of Science and Technology, Peking University Core Journal, CSCD and other more than 20 important journals at home and abroad Physical medicine database and retrieval system included.
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