Nd:YAG激光辅助根管治疗疗效的Meta分析  

The effect of Nd:YAG lasers used in root canal therapy:a Meta-analysis

作　　者：葛雯姝[1] 张瑶[2] 张一[1] 胡健英[1] 江泳[1] 

机构地区：[1]北京大学口腔医学院.口腔医院综合二科,北京100081 [2]首都医科大学附属北京口腔医院综合科,北京100050

出　　处：《口腔疾病防治》2017年第5期282-287,共6页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：国家自然科学基金(81200763)

摘　　要：目的探讨使用Nd:YAG激光辅助根管治疗的临床疗效。方法计算机检索Pub Med、Embase、Cochrane Library、中国期刊全文数据库、维普数据库、万方数据库、中文生物医学文献数据库等,筛选国内外使用Nd:YAG激光辅助根管治疗的随机对照临床研究,检索范围为1997—2015年。在严格筛选资料和质量评价的基础上,采用Rev Man5.3软件对纳入的研究结果进行Meta分析,系统评价Nd:YAG激光在根管治疗中的作用。结果共纳入8篇临床对照试验研究。对Nd:YAG激光辅助根管治疗术后24~48 h、1周和6~12个月的疗效数据采用固定模型分析。Nd:YAG激光辅助根管治疗组术后24~48 h和1周,发生根管治疗期间急症(endodontic interappointment emergencies,EIAE)的百分比较常规根管治疗组减少,差异有统计学意义(24~48 h:OR_(合并)=0.27,95%CI=0.15~0.48;1周:OR_(合并)=0.26,95%CI=0.13~0.54)。术后6~12个月,Nd:YAG激光辅助根管治疗组的失败率低于常规根管治疗组,差异有统计学意义(OR_(合并)=0.24,95%CI=0.06~1.00)。结论使用Nd:YAG激光辅助根管治疗减少了术后的疼痛反应,降低了根管治疗6~12个月失败率。Objective Meta?analysis was used to assess the effect of Nd:YAG Lasers used in root canal therapy.Methods A search of literatures about clinical effect of Nd:YAG lasers in root canal therapy in PubMed,Embase,Cochrane Library,CMCC,CNKI,VIP,Wanfang databases was conducted from1997to2015.The quality of included studies was stringently evaluated and data was analyzed by the RevMan5.3software.Results8studies were included in the Meta?analysis.Meta?analysis results showed that the ratio of the occurrence of endodontic interappointment emergencies(EIAE)of24~48hours and1week after the therapy was significantly lower in the Nd:YAG lasers group compared with the control group(24h:OR=0.27,95%CI=0.15~0.48;1week:OR=0.26,95%CI=0.13~0.54).The six months to one year failure rate of root canal therapy was lower in Nd:YAG lasers group compared with the control group,the differences were statistically significant(OR=0.24,95%CI=0.06~1.00).Conclusion The use of Nd:YAG laser in root canal therapy relieves post?treatment pain response after the therapy and also reduces the long?term failure rate of root canal treatment.

关 键 词：ND:YAG激光 根管治疗 META分析 根管治疗期间急症 失败率 

分 类 号：R781.05[医药卫生—口腔医学]