期刊导航

论文摘要

牙周治疗对心血管疾病危险因素控制效果的系统评价

Periodontal treatment for cardiovascular risk factors: a systematic review

作者:邓林凯 李春洁 李茜 张玉奎 赵洪伟

Author:Deng Linkai, Li Chunjie, Li Qian, Zhang Yukui, Zhao Hongwei.

收稿日期:2012-06-10          年卷(期)页码:2013,31(5):463-463-467

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:牙周治疗,心血管疾病,牙周炎,Meta分析,系统评价,

Key words:periodontal treatment,cardiovascular diseases,periodontitis,Meta-analysis,systematic review,

基金项目:

中文摘要

目的 评价牙周治疗对部分心血管疾病危险因素的控制效果。方法 对Cochrane图书馆临床随机对照试验库、PubMed数据库、荷兰医学文摘(EMBASE)数据库和中国生物医学文献数据库进行检索,检索时间为2011年10月13日;同时对纳入文献的参考文献进行进一步检索。由两位评价者分别对纳入文献进行偏倚风险评价。运用Revman 5.1软件进行Meta分析。结果 共纳入6篇随机对照试验,涉及患者682例,偏倚风险评价显示1个研究为低偏倚风险,1个研究为中偏倚风险,4个研究为高偏倚风险。Meta分析的结果显示,牙周治疗并不能明显改善患者血清C-反应蛋白、总胆固醇、低密度脂蛋白、甘油三脂的水平(P>0.05),但在改善患者血清高密度脂蛋白水平方面效果明显[MD=0.05,95%CI(0.00,0.09),P=0.04]。结论 牙周治疗对改善患者血清高密度脂蛋白水平有较明显的效果,但还需要更多的临床随机对照试验的支持。

英文摘要

Objective To evaluate the efficacy of periodontal treatment for the management of cardiovascular risk fac-tors.Methods Eligible studies in Cochrane Controlled Trials Register/CENTRAL, PubMed, EMBASE, and China Biology Medicine disc (CBMdisc) were searched until October 13, 2011. References of the included studies were hand searched. Two reviewers assessed the risk of bias and extracted the data of the included studies in duplicate. Meta-analysis was con-ducted with Revman 5.1.Results Six randomized controlled trials involving 682 participants were included. One case had low risk of bias, another one had moderate risk of bias, and the remaining four had high risk of bias. Meta-analysis showed that periodontal treatment has no significant effect on C-reactive protein, total cholesterol, low-density lipoprotein cholesterol, and triglycerides (P>0.05). However, the treatment had a significant effect on high-density lipoprotein cholesterol [MD=0.05, 95% CI (0.00, 0.09), P=0.04].Conclusion Periodontal treatment has good effects on controlling high-density lipo-protein cholesterol although more randomized controlled trials must be conducted to verify its effectiveness.

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