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高血压和牙科植入物:系统性审查和元分析
Liljan Hamadé1, Salma El-Disoki1, Bruno Ramos Chrcanovic2
1Faculty of Odontology, Malmö University, 214 21 Malmö, Sweden.
Journal of clinical medicine
|January 23, 2024
概括
高血压并没有增加牙科植入物失败率. 这次系统性审查发现,高血压和正常血压患者之间的植入物存活率没有显著差异,这表明血压控制可能不会影响植入物成功.
科学领域:
- 在口腔外科手术.
- 牙周病学 牙周病学
- 心血管健康 心血管健康
背景情况:
- 高血压是一种影响心血管健康的普遍疾病.
- 牙植入成功对于恢复功能和美观至关重要.
- 高血压对牙植入物结果的影响需要澄清.
研究的目的:
- 系统地审查和元分析高血压对牙植入物失败率的影响.
- 为了确定高血压患者是否与正常血压患者相比,牙植入物失败的风险更高.
主要方法:
- 在多个数据库中进行了全面的电子和手动文献搜索.
- 使用反变率方法进行了一对对的元分析.
- 使用I2统计学来评估异质性,结果以几率比率 (OR) 表示.
主要成果:
- 该审查包括24篇出版物,分析了高血压患者的4874种植入物和正常血压患者的16,192种植入物.
- 在高血压和正常血压组之间没有发现植入物失败风险的统计学上显著差异 (OR 1.100,p = 0.671).
- 随访时间在两组之间没有显著改变植入物失败的几率 (p = 0.824).
结论:
- 目前的证据表明,高血压与牙植入物失败的风险增加无关.
- 建议使用标准化的高血压诊断标准和详细的药理管理数据进行进一步的研究.
- 这一发现支持在经过良好管理的高血压患者中考虑植入牙.
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