CAJ | 학술논문

目的：系统评价心理行为干预对牙周炎患者口腔卫生状况的影响。方法：计算机检索the Cochrane Library、Ovid、Pubmed、EMbase、Web of Science、EBSCO等数据库中有关心理行为干预应用于牙周炎患者的随机对照试验。由2名研究者依据纳入排除标准进行文献筛检、资料提取与质量评价,采用RevMan 5.3软件对资料进行meta分析。结果：共纳入8个随机对照试验,共508例患者。 Meta分析结果显示：在控制菌斑水平方面,心理行为干预组优于对照组[SMD=0.42,95% CI(0.21,0.64), P=0.0001]；在降低牙龈指数方面,心理行为干预组优于对照组[MD=0.18,95% CI(0.02,0.33),P=0.03]；但心理行为干预组在增加刷牙次数的效果上并不优于对照组[MD=0.17,95% CI(-0.07,0.42),P=0.17]。结论：心理行为干预在牙周炎患者控制菌斑水平,降低牙龈指数方面更具优势。
목적：계통평개심리행위간예대아주염환자구강위생상황적영향。방법：계산궤검색the Cochrane Library、Ovid、Pubmed、EMbase、Web of Science、EBSCO등수거고중유관심리행위간예응용우아주염환자적수궤대조시험。유2명연구자의거납입배제표준진행문헌사검、자료제취여질량평개,채용RevMan 5.3연건대자료진행meta분석。결과：공납입8개수궤대조시험,공508례환자。 Meta분석결과현시：재공제균반수평방면,심리행위간예조우우대조조[SMD=0.42,95% CI(0.21,0.64), P=0.0001]；재강저아간지수방면,심리행위간예조우우대조조[MD=0.18,95% CI(0.02,0.33),P=0.03]；단심리행위간예조재증가쇄아차수적효과상병불우우대조조[MD=0.17,95% CI(-0.07,0.42),P=0.17]。결론：심리행위간예재아주염환자공제균반수평,강저아간지수방면경구우세。
AIM:To determine the effects of psychological intervention in the improvement of oral health of the patients with periodontitis. METHODS:The randomized controlled trial( RCTs) on the application of psychologi-cal intervention in patients with periodontitis were collected using the databases of Cochrane Library, Ovid, Pubmed, Embase, Web of Science and EBSCO. Selection and critical appraisal of the studies were independently screened by two authors, and a quantitative analysis was conducted by RevMan 5. 3 software. RESULTS:8 RCTs with 508 pa-tients were included. The results of meta-analysis showed that psychological intervention was more effective in control-ling the level of plaque than traditional health education [SMD=0. 42, 95% CI(0. 21, 0. 64),P=0. 0001];psycho-logical intervention was found effective in decreasing gingival index[MD=0. 18, 95% CI(0. 02, 0. 33),P=0. 03];but not in increasing frequency of tooth brushing[MD=0. 17, 95% CI( -0. 07, 0. 42),P =0. 17]. CONCLU-SION:Psychological intervention is effective in controlling the level of plaque and decreasing gingival index.