認知行為療法治療顳下頜關節(jié)紊亂病的系統(tǒng)評價.pdf

1、新疆醫(yī)科大學碩士學位論文認知行為療法治療顳下頜關節(jié)紊亂病的系統(tǒng)評價姓名：梁秋娟申請學位級別：碩士專業(yè)：口腔臨床醫(yī)學指導教師：劉海霞2011-04新疆醫(yī)科大學碩士學位論文 新疆醫(yī)科大學碩士學位論文 2Effect of Cognitive-behavioral Therapy on Temporomandibular Disorders: A Systematic Review Postgraduate: Liang qiujuan

2、Supervisor：Associate prof. Liu haixia Abstract Objective: To evaluate the efficacy of cognitive-behavioral therapy (CBT) for temporomandibular disorders (TMD). Methods: Pubmed(1990～2009, 6), OVID(1960～2009,6), EMBASE(197

3、4 ～ 2009,6), and Cochrane Central Register of Controlled Trial(2009), CBM(1978 ～ 2009, 6),CNKI(1994 ～ 2009,10)were searched to collect randomized and quasi-randomized controlled trials. Quality assessment and data extrac

4、tion were performed by two reviewers independently. Meta-analysis will be performed for the results of homogeneous studies by the Cochrane Collaboration's software RevMan 5.0 and the heterogeneous data conducted for

5、a descriptive qualitative analysis. Results: The search strategy resulted in 323 studies, of which 5 met the inclusion criteria, with 3 randomized controlled trials (RCTs) and 2 quasi-randomized controlled trials (qRCT).

6、The methodological quality varied among the studies, 2 studies as B, 3 studies as C. The quality of included studies was not high. Meta-analysis was not performed due to the apparent heterogeneity, such as different time

7、 of therapy, follow time and control groups. A descriptive qualitative analysis was performed. The efficacy of CBT for TMD was not superior to control group. The efficacy of follow-up was not uncertain due to different o

8、utcome in the included studies. Conclusions: On basis of current evidence the efficacy of CBT for TMD was not uncertain. Thus, further design strict and high-quality clinical trial are required to provide more reliable e