牙周炎患者口腔卫生管理的最佳证据总结  

Evidence summary of oral hygiene management in patients with periodontitis

作　　者：尹君 冯明玉 李妍 刘俭 李丽[1] Yin Jun;Feng Mingyu;Li Yan;Liu Jian;Li Li(Jiangbei Dental Center,Affiliated Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属口腔医院江北口腔医学中心,南京210008

出　　处：《中国实用护理杂志》2023年第7期520-525,共6页Chinese Journal of Practical Nursing

摘　　要：目的总结适用于牙周炎患者的口腔卫生管理方法,为临床人员提供决策依据。方法检索计算机决策系统、各指南网、牙科协会网站、证据总结数据库与期刊数据库中涉及牙周炎患者口腔卫生管理的证据,包括临床决策、指南、专家共识、证据总结与系统评价/Meta分析,检索时间从2015年1月至2021年11月,并于2022年6月进行了更新检索。对纳入文献进行汇总分析、方法学质量评价、证据等级评价。结果共纳入12篇文献,其中指南3篇、专家共识1篇、系统评价8篇,归纳出风险评估与控制、口腔卫生指导、促进临床实践3个方面,共18条证据。结论本研究形成的证据总体具备科学性与实用性,在实际应用还要结合本土条件、患者的意愿进行适当地调整,使证据最大化转为临床实践。Objective To summarize oral hygiene management approaches applicable to patients with periodontitis,thus provide a basis for decision making by clinical staffs.Methods Computerized decision systems,various guideline websites,dental association websites,evidence summary databases and journal databases for evidence involving oral hygiene management in patients with periodontitis were searched,including clinical decision making,guidelines,expert consensus,evidence summaries and systematic reviews/Meta-analyses.The search time was from January 2015 to November 2021,and the updated search was carried out in June 2022.Then performed pooled analyses,methodological quality evaluations,and evidence level evaluations.Results Finally 12 studies,including three guidelines,an expert consensus and eight systematic reviews,and summarized 18 pieces of evidence in three aspects,risk assessment and control,oral hygiene guidance,and clinical practice promotion were included.Conclusions The evidence from this study is generally scientific and practical,and it should be adapted to local conditions and patient preferences in order to maximize the transfer of evidence into clinical practice.

关 键 词：牙周炎 口腔卫生 证据综合 循证护理学 

分 类 号：R473.78[医药卫生—护理学]