孕前口腔保健对妊娠期牙龈炎预防效果的Meta分析  

A Meta-analysis of preventive ef fects of oral health care before pregnancy on pregnancy gingivitis

作　　者：梁芳芳 李浩楠 张盼盼 徐小茵 申静 LIANG Fangfang;LI Haonan;Zhang Panpan;Xu Xiaoyin;Shen Jing(Dept.of International VIP Dental Clinic,Tianjin Stomatological Hospital,Tianjin,300041,China)

机构地区：[1]天津市口腔医院国际诊疗中心(南开大学医学院),300041 [2]河南省人民医院护理部 [3]天津医科大学口腔医学院

出　　处：《护理实践与研究》2021年第21期3184-3189,共6页Nursing Practice and Research

基　　金：天津市科技计划项目(编号:20JCYBJC01140);天津市卫生健康科技面上项目(编号:MS20014);天津市口腔医院护理科研基金项目(编号:HL202104)。

摘　　要：目的系统分析孕前口腔保健对妊娠期牙龈炎患者中的应用效果,以期为妊娠期牙龈炎的预防及治疗提供参考建议。方法采用主题词结合自由词检索中国知网、万方、维普、CBM、PubMed、Embase、Web of Science和Cochrance Library等数据库,检索年限截止到2020年4月。两名研究者根据纳入排除标准进行文献筛选、资料提取及文献质量学评价,双方核对讨论后,采用Revman5.3和Stata12.0软件进行统计分析。结果最终纳入12篇文献,研究对象为3105例。Meta分析结果显示,6篇以妊娠期牙龈炎发生率为效应指标的合并结果为[OR=0.20,95%CI(0.15,0.25),P=0.000];6篇以妊娠期GI-(03)级为效应指标的合并结果分别为[OR=7.92,95%CI(4.96,12.65),P=0.000;OR=0.34,95%CI(0.11,1.07),P=0.070;OR=0.21,95%CI(0.15,0.28),P=0.000;OR=0.31,95%CI(0.17,0.55),P=0.000];2篇以妊娠期GI值为效应指标的合并结果为[SMD=-2.88,95%CI(-5.23,-0.53),P=0.020]。结论孕前对育龄期女性进行口腔卫生保健指导,对降低妊娠期牙龈炎的发生率、GI-23级牙龈指数均有积极作用,今后应重视妊娠期妇女的孕前口腔保健工作,有效预防妊娠期牙龈炎的发生。Objective To systematically analyze the effect of pre-pregnancy oral health care on gingivitis during pregnancy,in order to provide references and suggestions for the prevention and treatment of gingivitis during pregnancy.Methods The subject words combined with free words were used to search the databases of CNKI,Wanfang,VIP,CBM,PubMed,Embase,Web of Science and Cochrance Library before April 2020.According to the inclusion and exclusion criteria,the two researchers conducted literature screening,data extraction and literature quality evaluation.Revman5.3 and Stata12.0 software were used for statistical analysis.Results 12 articles were included,the subjects were 3105 cases.The result of Meta analysis showed thatthe combined results of 6 articles with the incidence of gingivitis during pregnancy as the effect index were[OR=0.20,95%CI(0.15~0.25),P=0.000],and the combined results of 6 articles with the grade of GI-(0~3)during pregnancy were[OR=7.92,95%CI(4.96,12.65),P=0.000,OR=0.34,95%CI(0.11,1.07),P=0.07,OR=0.21,95%CI(0.15,0.28),P=0.000,OR=0.31,95%CI(0.17,0.55),P=0.000],and the combined results of 2 articles with GI value during pregnancy as the effect index were[SMD=-2.88,95%CI(-5.23,-0.53),P=0.02].Conclusion Oral health care guidance for the women of childbearing age before pregnancy plays a positive role in reducing the incidence of gingivitis and GI-23 gingival index.In the future,attention should be paid to the oral health care of pregnant women before pregnancy to effectively prevent the occurrence of gingivitis during pregnancy.

关 键 词：孕前 口腔保健 妊娠期 牙龈炎 META分析 

分 类 号：R473.78[医药卫生—护理学]