激光去腐对儿童疼痛程度和焦虑影响的meta分析  

Effect of Caries Removal using Laser Technique on pain levels and anxiety in children:A meta-analysis

作　　者：王梦琪 张蓓[1] 王丽萍[1] 孙新新 王琪[1] 刘佳[1] WANG Meng-qi;ZHANG Bei;WANG Li-ping;SUN Xin-xin;WANG Qi;LIU Jia(Department of Pediatric Stomatology,The First Affiliated Hospital of Xinjiang Medical University(The Affiliated Stomatological Hospital),Xinjiang Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院(附属口腔医院)儿童口腔科,新疆乌鲁木齐830054

出　　处：《临床口腔医学杂志》2024年第8期488-492,共5页Journal of Clinical Stomatology

摘　　要：目的:系统评价激光去腐对儿童疼痛程度和焦虑水平的影响。方法:计算机检索中国知网、维普数据库、中国生物医学文献数据库、Web of Science、万方数据库、The Cochrane library、PubMed、Embase,搜索有关儿童激光去龋的随机对照试验(RCT)。检索时限是建立数据库至2024年1月。由两名研究者独立筛选文献、质量评估和提取资料,最终分析用Stata 15.0和RevMan 5.3软件进行。结果:最终纳入8项研究,4篇为RCT,4篇为自身对照研究,共399名患者,538颗患牙。Meta分析结果显示:激光去腐可降低患儿的疼痛程度(Z=5.33,P<0.05),患儿认为激光去腐更舒适(Z=2.06,P<0.05),患儿再下一次治疗时更愿意选择激光治疗(Z=7.16,P<0.05)。结论:现有证据显示,激光去腐可以降低患儿疼痛程度和焦虑,且患儿对激光治疗的反应好,但受纳入研究数量限制,上述结论尚待更多研究予以验证。Objective:This study aims to conduct a systematic review on the impact of laser technique in caries removal on pain levels and anxiety in children.Methods:Randomized controlled trials(RCTs)related to laser technique on caries removal in children were collected from CNKI,VIP database,CBM,Web of Science,Wanfang Database,The Cochrane library,PubMed,and Embase from inception to January 2024.Two reviewers independently screened the literature,assessed the quality and extracted the data.The final analysis was performed using Stata 15.0 and RevMan 5.3 software.Results:Eight RCTs were included in this study-four RCTs and four own-control studies involving 399 patients(538 teeth).Meta-analysis results showed that laser technique in caries removal reduced pain levels in children(Z=5.33,P<0.05),children found laser treatment more comfortable(Z=2.06,P<0.05),and they were more likely to choose laser treatment for their next procedure(Z=7.16,P<0.05).Conclusion:Available evidence suggests that laser can effectively reduce pain levels and anxiety in children while also being well-received by them as a treatment option.However,due to the limited number of included studies,the above conclusions need further verification.

关 键 词：激光 去腐 疼痛 焦虑 META分析 

分 类 号：R788.1[医药卫生—口腔医学]