中国循证医学杂志

中国循证医学杂志

种植体支持式下颌覆盖义齿与常规义齿比较患者满意度的系统评价

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目的 系统评价种植体支持式下颌覆盖义齿和传统下颌总义齿比较的患者满意度。 方法 计算机检索 PubMed、EMbase、The Cochrane Library、CNKI、WanFang、VIP 等数据库,搜集种植体支持式下颌覆盖义齿与常规义齿比较的随机对照试验(RCT),检索时限均为建库至 2016 年 11 月 31 日。由 2 位评价员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用 RevMan 5.3 软件进行 Meta 分析。 结果 最终纳入 9 个 RCT。Meta 分析结果显示,与传统义齿相比,种植支持式覆盖义齿的患者满意度[SMD=1.11,95%CI(0.79,1.43),P<0.001]和口腔健康的生活质量[MD=–12.41,95%CI(–18.96,–5.86),P<0.001]更高。 结论 现有证据表明,对于下颌无牙颌患者,种植体支持式的覆盖义齿是比传统义齿满意度更高的选择。受纳入研究质量和数量的限制,上述结论仍需更多大样本高质量研究予以验证。

Objectives To systematically review the patients’ satisfaction of implant supported mandibular dentures and conventional dentures. Methods PubMed, EMbase, The Cochrane Library, CNKI, WanFang and VIP databases were searched to collect randomized controlled trials (RCTs) on patients’ satisfaction of implant supported mandibular dentures (IODs) and conventional dentures (CDs) from inception to November 31st, 2016. Two reviewers independently screened literature, extracted data and evaluated the risk of bias of the included studies. Then, meta-analysis was conducted using RevMan 5.3 software. Results Seven randomized-controlled trials were identified. The results of meta-analysis showed that compared with CDs group, IODs group had a relatively higher level of patients’ satisfaction (SMD=1.11, 95%CI 0.79 to 1.43, P<0.001) and oral health quality of life (MD=–12.41, 95%CI –18.96 to –5.86,P<0.001). Conclusions The current evidence suggests that IODs may be a better choice for mandibular edentulous patients than CDs. Due to the limitations of the quality and quantity of the included studies, the above conclusions still require larger sample and high quality research to verify.

关键词: 种植体支持式; 覆盖义齿; 传统义齿; 患者满意度; 下颌无牙颌; 随机对照试验; Meta 分析

Key words: Implant-supported; Overlay; Complete denture; Patient satisfaction; Mandibular edeutulous; Randomized controlled trial; Meta-analysis

引用本文: 晏奇, 花放, 苏美莹, 刘诗瑶, 施斌. 种植体支持式下颌覆盖义齿与常规义齿比较患者满意度的系统评价. 中国循证医学杂志, 2018, 18(8): 858-864. doi: 10.7507/1672-2531.201709016 复制

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