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吲哚菁绿介导的光动力疗法对牙周炎疗效的Meta分析

The Effect of Indocyanine Green-mediated Photodynamic Therapy in Treating Periodontitis:A Meta-analysis

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【作者】 郭欣喻书琛李美文李昂

【Author】 GUO Xin;YU Shushen;LI Meiwen;LI Ang;Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Hospital of Stomatology, Xi’an Jiaotong University;Department of Periodontics & Oral Mucosal Diseases,Hospital of Stomatology of Xi’an Jiaotong University;

【通讯作者】 李昂;

【机构】 西安交通大学口腔医院陕西省颅颌面精准医学研究重点实验室西安交通大学口腔医院牙周黏膜病科

【摘要】 目的:评价吲哚菁绿(Indocyanine green,ICG)介导的光动力疗法(Photodynamic therapy,PDT)(ICG-PDT)在治疗慢性牙周炎中的疗效。方法:检索EMBASE、Cochrane Library、Medline/PubMed、中国期刊全文数据库(CNKI)和中国生物医学文献数据库(CBM),截止时间2020年7月28日。筛选研究ICG-PDT治疗慢性牙周炎的随机对照试验(RCT),实验组采用ICG-PDT疗法,对照组采用单纯SRP治疗。结果:共纳入8项RCT,312例受试者。治疗3个月后,ICG-PDT组的探诊深度(PPD)、菌斑指数(PI)、临床附着丧失(CAL)改善均显著优于对照组,差异有统计学意义(P<0.05),但是在相对附着水平(RAL)、探诊出血(BOP)、牙龈退缩(GR)方面与对照组相比无明显差异(P>0.2);治疗6个月后,ICG-PDT组的PI、CAL改善情况均显著优于对照组,差异有统计学意义(P<0.05)。结论:ICG-PDT辅助SRP治疗慢性牙周炎效果显著优于传统的SRP治疗。

【Abstract】 Objective To evaluate the efficacy of indocyanine green (ICG) mediated photodynamic therapy (PDT) (ICG-PDT) in treating chronic periodontitis.Methods The EMBASE,Cochrane library,Medline/PubMed,CNKI,and CBM databases were searched up to 28th July 2020.Only randomized controlled trials (RCTs) were included.The test group received ICG-PDT combined with scaling and root planning (SRP),while the control group only received SRP.Results Eight RCTs involving 312 participants were included.The ICG-PDT group showed greater improvements referring probing pocket depth (PPD),plaque index (PI),clinical attachment loss (CAL) after 3 months than that of the control group (P<0.05).However,no significant differences between groups were observed for relative attachment level (RAL)、bleeding on probing (BOP) and gingival recession (GR) (P>0.2).After 6mouths,ICG-PDT group showed greater improvements referring PI,CAL when compared with the control group (P<0.05).Conclusion ICG mediated PDT provides additional benefits in treating chronic periodontitis than SRP alone.

【基金】 西安交通大学口腔医院牙周炎精准治疗创新团队,陕组通字[2020]45号;陕西省“三秦学者”创新团队支持计划(全省一流团队)
  • 【文献出处】 中国美容医学 ,Chinese Journal of Aesthetic Medicine , 编辑部邮箱 ,2022年01期
  • 【分类号】R781.42
  • 【下载频次】139
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