灼口综合征多学科综合治疗进展

Advances in comprehensive multidisciplinary treatment for burning mouth syndrome

灼口综合征(burning mouth syndrome,BMS)是一种以口腔黏膜烧灼样疼痛为特征的慢性口面部疼痛疾病,发病因素与社会心理、神经病理、内分泌或免疫等多因素有关,目前仍缺乏有效的治疗方案。随着BMS发病因素及治疗研究的不断进展,多学科综合治疗逐渐被引入并成为一种全新的诊疗趋势。由于BMS病因复杂,在多学科治疗前,必须经过充分且全面的诊断分析,选择最佳的综合治疗方案,以口腔科的诊断和治疗为基础和前提,其他多学科联合治疗,包括并发疾病治疗、心理干预、不良习惯纠正等;联合激光治疗和心理干预是目前治疗手段中较为有效的治疗方式,其舒适性高、患者接受程度好;必要时可以辅以甲钴胺片,氯硝西泮、α⁃硫辛酸等药物营养神经与对症治疗。BMS的多学科综合治疗有望成为一种新的趋势,为提升治疗效果提供新的策略。

Burning mouth syndrome(BMS)is a chronic oral and facial pain disorder characterized by burning pain in the oral mucosa,with multiple pathogenic factors including psychosocial,neuropathological,endocrine,and immune factors.There is still a lack of effective treatment options that have been demonstrated to work.With the development of research on the pathogenesis and treatment of BMS,multidisciplinary comprehensive treatment has gradually been intro⁃duced and become a new trend of diagnosis and treatment.Before multidisciplinary treatment,it is necessary to go through a full and comprehensive diagnosis and analysis,select the best comprehensive treatment plan,take the diagno⁃sis and treatment of stomatology as the basis and premise,and apply other multidisciplinary combined treatment,includ⁃ing the treatment of concurrent diseases,psychological interventions,correction of bad habits,etc.A combination of la⁃ser therapy and psychological intervention is a more effective treatment method among the current treatment methods,with high comfort and good acceptance by patients.If necessary,mecobalamin tablets,clonazepamα⁃lipoic acid and other drugs can be used to nourish nerves and provide symptomatic treatment.The comprehensive multidisciplinary treatment of BMS is expected to become a new trend and provide a new strategy for improving the therapeutic effect.