认知行为疗法治疗颞下颌关节紊乱病随机对照试验的质量评价

Quality evaluation of randomized controlled trials on treatment of cognitive-behavioral therapy on temporomandibular disorders

目的评价认知行为疗法(CBT)治疗颞下颌关节紊乱病(TMD)随机对照试验的方法学质量和报告质量。方法计算机检索Medline(Ovid平台)、荷兰医学文摘、Cochrane图书馆临床随机对照试验库、中国生物医学文献数据库和中国期刊全文数据库,手工检索5种中文口腔医学杂志,收集CBT治疗TMD的随机对照试验和半随机对照试验。按照Cochrane协作网推荐的评价方法对纳入研究进行方法学质量评价,按照随机对照试验报告统一标准(CONSORT)清单项目进行研究报告质量评价。结果检索到相关文献232篇,评价后纳入5篇。纳入的5个研究中,3个为随机对照试验,2个为半随机对照试验。质量评价结果中2个研究为B级,3个研究为C级,CONSORT清单评价最高分为24分。结论目前CBT治疗TMD的随机对照试验方法学质量较低,报告质量与国际公认的CONSORT标准也尚有一定差距。

Objective To evaluate methodological and reporting quality of the randomized controlled trials on cogni-tive-behavioral therapy（CBT） on temporomandibular disorders（TMD）.Methods The electronic databases of Medline via Ovid,EMBASE,Cochrane Central Register of Controlled Trial,CBM and CNKI,and five Chinese stomatological jour-nals were included to collect randomized controlled trial（RCT） and quasi-RCT（qRCT） on CBT on TMD.Data were assessed using the quality assessment criteria recommended by the Cochrane Collaboration,and the reporting quality was assessed using the consolidated standards of reporting trials（CONSORT） checklist.Results 232 articles were collected by the search strategy,of which 5（3 RCTs and 2 qRCTs） met the inclusion criteria.The methodological quality varied among the studies with 2 scored as B and 3 as C.The highest score evaluated by the CONSORT checklist was 24. Conclusion The methodological qualities of included studies on CBT on TMD are generally low,and its reporting qua-lity which is checked by CONSORT is also unsatisfactory yet.