多元化系统护理对老年人群牙周健康指标影响的系统评价  

Effects of diversified systemic nursing on periodontal health indicators in elderly people:a Meta-analysis

作　　者：周倩妹[1] 王宪娥[1] 徐筱[1] 老慧琳 赵欣悦 胡菁颖[1] Zhou Qianmei;Wang Xiane;Xu Xiao;Lao Huilin;Zhao Xinyue;Hu Jingying(Department of Periodontics,Peking University Stomatology,Beijing 100081,China)

机构地区：[1]北京大学口腔医学院综合二科,北京100081

出　　处：《中华临床医师杂志(电子版)》2024年第5期500-506,共7页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的系统评价多元化系统护理对老年牙周健康指标的影响。方法检索PubMed、Web of Science、The Cochrane Library、中国生物医学文献数据库、中国知网和万方数据库中多元化系统护理对老年人群牙周健康影响的随机对照试验,检索时限为建库至2023年10月。使用RevMan 5.4版软件进行Meta分析。结果共纳入11项随机对照实验,Meta分析结果显示:多元化系统护理干预3个月时,菌斑指数和龈沟出血指数显著改善,探诊深度改善不明显(PLI:-1.04[-1.53,-0.54],P<0.001;SBI:-0.86[-1.57,-0.14],P=0.02;PD:-0.78[-1.59,0.03],P=0.06);干预6个月时,菌斑指数和龈沟出血指数以及老年牙周炎患者的治疗有效率均显著改善,探诊深度改善不明显(PLI:-1.35[-2.60,-0.11],P=0.003;SBI:-1.12[-2.11,-0.12],P=0.03;PD:-0.25[-0.69,0.19],P=0.27;牙周炎治疗有效率:3.75[1.68,8.38],P=0.03),干预12个月时,菌斑指数改善效果不明显(-2.29[-5.88,1.29],P=0.21)。结论多元化系统护理可以显著改善老年人群干预后3个月和6个月的菌斑指数和龈沟出血指数,还可提高老年牙周炎患者治疗后6个月的有效率,然而对干预12个月时的菌斑指数以及3个月和6个月的牙周袋探诊深度改善效果需要进一步论证。未来应当开展高质量随机对照试验以进一步验证多元化系统护理对老年人群牙周健康的影响。Objective To systematically evaluate the effects of diversified systemic nursing on periodontal health in elderly people.Methods Randomized controlled trials evaluating the effects of diversified systemic nursing on periodontal health in the elderly population were searched in PubMed,Web of Science,The Cochrane Library,China Biomedical Literature Database,CNKI,and Wanfang databases,with a timeframe from the inception of the database to October 2023.Meta-analysis was performed with RevMan version 5.4 software.Results Eleven randomized controlled trials were included,and the results of Meta-analysis showed that plaque index(PLI;-1.04[-1.53,-0.54],P<0.001)and sulcus bleeding index(SBI;-0.86[-1.57,-0.14],P=0.02)were significantly improved at 3 months of diversified systemic nursing,but the improvement of probing depth(PD;-0.78[-1.59,0.03],P=0.06)was not significant.At 6 months of intervention,the PLI(-1.35[-2.60,-0.11],P=0.003),SBI(-1.12[-2.11,-0.12],P=0.03),and the treatment efficacy for periodontitis(3.75[1.68,8.38],P=0.03)were all improved significantly,but the PD did not improve significantly(-0.25[-0.69,0.19],P=0.27).At 12 months of intervention,the improvement of PLI was not significant(-2.29[-5.88,1.29],P=0.21).Conclusion Diversified systemic nursing significantly improves PLI and SBI at 3 and 6 months post-intervention in the elderly population,and improves the treatment efficacy for periodontitis at 6 months post-treatment;however,the improvement in PLI at 12 months post-intervention and periodontal PD at 3 and 6 months need to be further demonstrated.More high-quality randomized controlled trials should be conducted to further validate the impact of diversified systemic care on periodontal health in elderly people.

关 键 词：多元化系统护理 老年 牙周 META分析 随机对照试验 

分 类 号：R473.78[医药卫生—护理学]