口腔疾病防治 ›› 2021, Vol. 29 ›› Issue (11): 752-760.doi: 10.12016/j.issn.2096-1456.2021.11.005

• 临床研究 • 上一篇    下一篇

抗菌光动力疗法对2型糖尿病牙周炎患者牙周治疗效果和血糖控制影响的系统评价与Meta分析

徐腾飞1(),陈斌1,敖慧芝1,孙卫斌1,吴文蕾2()   

  1. 1.南京大学医学院附属口腔医院牙周科, 江苏 南京(210008)
    2.南京大学医学院附属口腔医院高级专家诊疗科, 江苏 南京(210008)
  • 收稿日期:2021-03-09 修回日期:2021-04-25 出版日期:2021-11-20 发布日期:2021-07-20
  • 通讯作者: 吴文蕾 E-mail:87719270@qq.com;wlwu@nju.edu.cn
  • 作者简介:徐腾飞,住院医师,硕士研究生,Email: 87719270@qq.com
  • 基金资助:
    国家自然科学基金项目(51972167)

Effect of the antimicrobial photodynamic therapy in the treatment of periodontitis in type 2 diabetes mellitus: a systematic review and meta-analysis

XU Tengfei1(),CHEN Bin1,AO Huizhi1,SUN Weibin1,WU WenLei2()   

  1. 1. Department of Periodontal, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
    2. Department of Senior Expert Diagnosis and Treatment, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
  • Received:2021-03-09 Revised:2021-04-25 Online:2021-11-20 Published:2021-07-20
  • Contact: WenLei WU E-mail:87719270@qq.com;wlwu@nju.edu.cn
  • Supported by:
    National Natural Science Foundation of China(51972167)

摘要:

目的 采用系统评价和Meta分析的方法评价抗菌光动力疗法(antimicrobial photodynamic therapy,aPDT)对2型糖尿病(type-2 diabetes mellitus,T2DM)合并牙周炎患者的牙周治疗效果,为T2DM合并牙周炎的患者提供更好的治疗方法。方法 通过检索PubMed、Cochrane、Embase、Web of Science、CNKI、CBM、万方数据库及手工检索杂志中相关临床随机对照试验(randomized controlled trial,RCT),采用RevMan 5.3软件进行Meta分析并进行系统评价。结果 共纳入8篇RCT,Meta分析结果显示,治疗后3个月,与单纯龈下刮治+根面平整术(subgingival scaling and root planing,SRP)相比,aPDT辅助SRP治疗在改善探诊深度(probing depth,PD)上效果更好,差异有统计学意义[WMD=-0.32,95%CI(-0.45, -0.2),P< 0.05],但在治疗后6个月时两组差异无统计学意义[WMD=-0.15,95%CI(-0.40, 0.10),P=0.23]。在6个月的随访期间内,两组的临床附着水平(clinical attachment level,CAL)、探诊出血(bleeding on probing,BOP)和血清糖化血红蛋白(glycosylated hemoglobin,HbA1c)水平差异均无统计学意义(P> 0.05)。结论 aPDT辅助T2DM患者牙周非手术治疗在短期内能改善PD,但在改善CAL、BOP和HbA1c疗效上效果不显著。

关键词: 抗菌光动力疗法; 2型糖尿病; 牙周炎; 龈下刮治; 根面平整术; 牙周治疗; Meta分析; 随机对照试验; 血糖控制

Abstract:

Objective This systematic review and meta-analysis was undertaken to evaluate the efficacy of antibacterial photodynamic therapy (aPDT) in the treatment of periodontitis in type-2 diabetes mellitus (T2DM) patients and to provide better treatment for patients with T2DM complicated with periodontitis.Methods The PubMed, Cochrane, Embase, Web of Science, CNKI, CBM, and Wanfang databases were searched for relevant randomized controlled trials (RCTs). RevMan 5.3 was applied for the meta-analysis, and a systematic evaluation was conducted. Results A total of 8 RCTs were included. The results showed that compared to simple subgingival scaling and root planing (SRP), aPDT assisted SRP had a better effect on improving the probing depth (PD) at 3 months after treatment, The difference was statistically significant [WMD=-0.32,95%CI(-0.45, -0.2), P < 0.05], but 6 months after treatment, there was no significant difference in the two groups [ WMD=-0.15,95%CI(-0.40, 0.10),P=0.23]. During the 6-month follow-up period, there were no significant differences in the clinical attachment level (CAL), bleeding on probing (BOP) or hemoglobin A1c (HbA1c) between the two groups (P> 0.05).Conclusion aPDT-assisted periodontal nonsurgical treatment in T2DM patients can improve PD in the short term but has no significant effect on the improvement of CAL, BOP and HbA1c.

Key words: antibacterial photodynamic therapy; 2 diabetes mellitus; periodontitis; subgingival scaling; root planning; periodontal therapy; meta-analysis; randomized controlled trail; blood sugar control

中图分类号: 

  • R78