中华口腔医学杂志
中華口腔醫學雜誌
중화구강의학잡지
Chinese Journal of Stomatology
2014年
9期
549-553
,共5页
牙周病学%牙周指数%流行病学%部分位点方案
牙週病學%牙週指數%流行病學%部分位點方案
아주병학%아주지수%류행병학%부분위점방안
Periodontics%Periodontal index%Epidemiology%Partial-mouth examination protocol
目的 评价牙周流行病学调查中常用的部分位点方案的准确性,以期为牙周流行病学调查的检查方案选择提供参考.方法 检索从建库到2014年1月31日发表于PubMed、EMBASE、中国生物医学文献数据库、中国学术期刊全文数据库和万方数字资源库的中英文文献,以及网站和会议文献,按标准纳入文献.以全口颊侧近中(mesialbuccal,MB)、颊侧中央(midbuccal,B)、颊侧远中(distalbuccal,DB)、舌侧近中(mesiallingual,ML)、舌侧中央(midlingual,L)和舌侧远中(distallingual, DL) (MB-B-DB-ML-L-DL)方案作为金标准,评价常用的9种部分位点方案的准确性.结果 按入选标准纳入的12篇文献中,9种部分位点方案均低估了牙周疾病的患病率,相对偏倚较小的是社区牙周治疗需要指数(community periodontal index of treatment needs,CPITN)牙(-12.6％～-3.5％)、全口MB-B-DB(-16.1％～-3.5％)、全口MB-B-DL(-10.8％～-6.1％)和半口MB-B-DB-ML-L-DL方案(-23.6％～-2.0％).9种方案均高估或低估严重程度和病变范围,偏倚最小的是半口MB-B-DB-ML-L-DL方案(严重程度相对偏倚:-1.0～1.1％,病变范围相对偏倚:-6.7％～0.1％),其次是全口和半口MB-B-DB方案,大多数相对偏倚在±5.0％以内.CPITN方案严重高估严重程度和病变范围,相对偏倚分别高达42.3％和38.1％.结论 半口MB-B-DB-ML-L-DL和全口MB-B-DB方案综合评价准确性较高.
目的 評價牙週流行病學調查中常用的部分位點方案的準確性,以期為牙週流行病學調查的檢查方案選擇提供參攷.方法 檢索從建庫到2014年1月31日髮錶于PubMed、EMBASE、中國生物醫學文獻數據庫、中國學術期刊全文數據庫和萬方數字資源庫的中英文文獻,以及網站和會議文獻,按標準納入文獻.以全口頰側近中(mesialbuccal,MB)、頰側中央(midbuccal,B)、頰側遠中(distalbuccal,DB)、舌側近中(mesiallingual,ML)、舌側中央(midlingual,L)和舌側遠中(distallingual, DL) (MB-B-DB-ML-L-DL)方案作為金標準,評價常用的9種部分位點方案的準確性.結果 按入選標準納入的12篇文獻中,9種部分位點方案均低估瞭牙週疾病的患病率,相對偏倚較小的是社區牙週治療需要指數(community periodontal index of treatment needs,CPITN)牙(-12.6％～-3.5％)、全口MB-B-DB(-16.1％～-3.5％)、全口MB-B-DL(-10.8％～-6.1％)和半口MB-B-DB-ML-L-DL方案(-23.6％～-2.0％).9種方案均高估或低估嚴重程度和病變範圍,偏倚最小的是半口MB-B-DB-ML-L-DL方案(嚴重程度相對偏倚:-1.0～1.1％,病變範圍相對偏倚:-6.7％～0.1％),其次是全口和半口MB-B-DB方案,大多數相對偏倚在±5.0％以內.CPITN方案嚴重高估嚴重程度和病變範圍,相對偏倚分彆高達42.3％和38.1％.結論 半口MB-B-DB-ML-L-DL和全口MB-B-DB方案綜閤評價準確性較高.
목적 평개아주류행병학조사중상용적부분위점방안적준학성,이기위아주류행병학조사적검사방안선택제공삼고.방법 검색종건고도2014년1월31일발표우PubMed、EMBASE、중국생물의학문헌수거고、중국학술기간전문수거고화만방수자자원고적중영문문헌,이급망참화회의문헌,안표준납입문헌.이전구협측근중(mesialbuccal,MB)、협측중앙(midbuccal,B)、협측원중(distalbuccal,DB)、설측근중(mesiallingual,ML)、설측중앙(midlingual,L)화설측원중(distallingual, DL) (MB-B-DB-ML-L-DL)방안작위금표준,평개상용적9충부분위점방안적준학성.결과 안입선표준납입적12편문헌중,9충부분위점방안균저고료아주질병적환병솔,상대편의교소적시사구아주치료수요지수(community periodontal index of treatment needs,CPITN)아(-12.6％～-3.5％)、전구MB-B-DB(-16.1％～-3.5％)、전구MB-B-DL(-10.8％～-6.1％)화반구MB-B-DB-ML-L-DL방안(-23.6％～-2.0％).9충방안균고고혹저고엄중정도화병변범위,편의최소적시반구MB-B-DB-ML-L-DL방안(엄중정도상대편의:-1.0～1.1％,병변범위상대편의:-6.7％～0.1％),기차시전구화반구MB-B-DB방안,대다수상대편의재±5.0％이내.CPITN방안엄중고고엄중정도화병변범위,상대편의분별고체42.3％화38.1％.결론 반구MB-B-DB-ML-L-DL화전구MB-B-DB방안종합평개준학성교고.
Objective To evaluate the accuracy of partial-mouth periodontal examination(PMPE) protocols frequently used in epidemiological periodontal surveys.Methods Articles in English or Chinese published before Jan 31st 2014 were searched,which compared the results of PMPE protocols with those of gold-standard protocol,i.e.full-mouthmesialbuccal-midbuccal-distobuccal-mesiolingual-midlingual-distolingual (MB-B-DB-ML-L-DL) protocol.Results Twelve articles were included and nine that frequently used PMPE protocols were evaluated.All these protocols underestimated the prevalence scores.For prevalence of probing depth(PD) ≥4 mm,6 mm and attachment loss(AL) ≥4 mm,6 mm,smaller amount of underestimation was observed in community periodontal index of treatment needs(CPITN) teeth (-12.6％--3.5％),full-mouth MB-B-DB(-16.1％--3.5％),full-mouth MB-B-DL(-10.8％--6.1％) and half-mouth MB-B-DB-ML-L-DL(-23.6％--2.0％) protocols.For severity and extent estimates,half-mouth MB-B-DB-ML-L-DL provided lowest biased results(relative bias:-1.0％-1.1％ for severity and-6.7％-0.1％ for extent).Full-and half-mouth MB-B-DB also performed well,with relative bias within ±5.0％ in most cases.CPITN overestimated the severity and extent of periodontal disease,the relative bias of which amounted to 42.3％ and 38.1％,respectively.Conclusions Half-mouth MB-B-DB-ML-L-DL and full-mouth MB-B-DB protocols caused lower biased results in prevalence,severity and extent estimates of PD and AL.
