Effects of mechanical tongue cleaning on halitosis： A meta-analysis  

作　　者：Chen Chen Ying-Shu Jin 

机构地区：[1]Tianjin University of Traditional Chinese Medicine, Tianjin, China [2]Stomatological Hospital, Tianjin Medical University, Tianjin, China

出　　处：《TMR Integrative Nursing》2018年第2期68-75,共8页TMR整合护理

摘　　要：Objective： To systematically review the effects of mechanical tongue cleaning on halitosis. Methods： Searching and collecting the RCTs about treatment combine with mechanical tongue cleaning from inception to May 2017 in the databases, like CNKI, VIE WanFang Data, PubMed, the Cumulative Index to Nursing and Allied Health Literature （C1NAHL）, The Cochrane Library, Web of Science. Two reviewers screened the literatures according to inclusion and excluding criteria, extracted the data independenly, assessed bias risks. In case of disagreement, the discussion shall be settled by the third reviewer. Meta-analysis was conducted by RevMaxi 5.3. Results： A total of 4 RCTs with 185 vol- unteers were included. The results of Meta-analysis showed that treatment combine with mechanical tongue cleaning has an advantage over the control group in the levels of Winkel Tongue Coating Index （WTCI） [MD = 2.15, 95%CI（0.93,3.36）, = 0.0006], Organoleptic Assessment （ORG） [MD = -0.71, 95%CI（-0.95,-0.48）, 〈0.00001], but no significant differences between two groups in Volatile Sulphur Compounds （VSCs） [SMD = -1.13, 95%CI（-2.91,0.65）, = 0.21], Bleeding On Probing （BOP） [MD = -1.01, 95%CI（-7.05,5.03）, = 0.74]. Conclusion： Treatment combined with mechanical tongue cleaning could reduce risks of halitosis and WTCI.目的：系统评价机械性舌部清洁对口臭的影响。方法：从CNKI，VIP，万方数据，PubMed，CINAHL，Cochroxle Library，WebofScience等数据库中检索和收集各数据库从建库到2017年五月发表的、有关机械性舌部清洁对口臭影响的随机对照试验。两名研究员根据纳入和排除标准筛选文献，独立提取数据，评估偏倚风险。如有不同意见，由第三位研究员裁决。采用RevMan5．3软件进行Meta分析。结果：总共纳入4项随机对照试验，包括185名研究对象。Meta分析结果显示，采用机械性舌部清洁的患者，温克尔舌苔指数（WTCI）[MD=2．15，95％CI（0．93，3．36），=0．0006]和口腔感官性评价（ORG）[MD=-0．71，95％CI（-0．95，-0．48），〈0．000011明显优于对照组，但是挥发性硫化物（VSCs）和探诊出血（BOP）与对照组没有显著的差别。结论：结合机械清洗舌苔的治疗可以减少口臭和温克尔舌苔指数（WTCI）。

关 键 词：Mechanical tongue cleaning HALITOSIS RCT META-ANALYSIS 

分 类 号：R781.9[医药卫生—口腔医学] R241.25[医药卫生—临床医学]