CAJ | 학술논문

目的总结有关口腔卫生护理的Cochrane系统评价证据.方法计算机检索Cochrane Library(2008年第3期)中有关口腔卫生护理的系统评价,并进行分析.结果共检索到4篇系统评价,内容涉及:手动与电动牙刷对维护口腔卫生的效果比较,应用牙间隙刷保持固定矫治患者口腔卫生的效果评价,初级口腔卫生护理的复诊间隔的选择,刮舌预防口臭的效果.结论目前缺乏高强度证据来支持牙间隙刷等口腔卫生护理的疗效.其他口腔护理方法的疗效如漱口水等尚需通过进一步的试验来评估.现有口腔卫生护理的系统评价纳入随机对照试验的方法学质量普遍较低,部分研究存在随机方法描述不清、无隐蔽分组、无样本量计算,以及无意向治疗分析等缺陷.建议推行临床试验透明化,实施临床试验注册制度,按照CONSORT声明规范报道随机对照试验,以便总结口腔卫生护理的临床证据,提高口腔卫生护理临床水平.
목적 총결유관구강위생호리적Cochrane계통평개증거.방법 계산궤검색Cochrane Library(2008년제3기)중유관구강위생호리적계통평개,병진행분석.결과 공검색도4편계통평개,내용섭급:수동여전동아쇄대유호구강위생적효과비교,응용아간극쇄보지고정교치환자구강위생적효과평개,초급구강위생호리적복진간격적선택,괄설예방구취적효과.결론 목전결핍고강도증거래지지아간극쇄등구강위생호리적료효.기타구강호리방법적료효여수구수등상수통과진일보적시험래평고.현유구강위생호리적계통평개납입수궤대조시험적방법학질량보편교저,부분연구존재수궤방법묘술불청、무은폐분조、무양본량계산,이급무의향치료분석등결함.건의추행림상시험투명화,실시림상시험주책제도,안조CONSORT성명규범보도수궤대조시험,이편총결구강위생호리적림상증거,제고구강위생호리림상수평.
Objective To assess the evidence of Cochrane systematic reviews relating to oral hygiene care.Methods Issue 3,2008 of The Cochrane Library was searched for systematic reviews relating to oral hygiene care.Results Four systematic reviews with the forty-five randomized controlled trials(RCTs) were included.The methods of forty-five studies were of lower quality with high risk of various biases.Conclusion There is insufficient evidence to support oral hygiene care.The overall quality of RCTs about oral hygiene care is generally low.Analysis of the included trials shows some trials have no clear description of randomization methods,allocation concealment,sample size calculation,and intention-to-treat analysis.To improve the quality of reporting of RCTs,Clinical Trial Registration and Revised consolidated standards of reporting trial(CONSORT) statement should be introduced as guidelines into the trial design.