戒烟是否会影响吸烟者口腔手术后的术后愈合? - 进行系统审查
Magnus Olsson1, Eva Nordendahl2,3,4, Björn Klinge2,5
1Faculty of Odontology, Health Technology Assessment-Odontology (HTA-O), Malmö University, Malmö, SE-205 06, Sweden. magnus.olsson@mau.se.
BMC oral health
|February 15, 2024
概括
这次系统性审查没有发现证据支持在口腔手术中进行手术前戒烟. 需要更多的研究来了解其影响和最佳的戒烟策略,吸烟者接受口腔手术.
科学领域:
- 在口腔外科手术中.
- 公共卫生 公共卫生
- 基于证据的牙科.
背景情况:
- 吸烟者面临更高的术后并发症风险,包括延迟愈合和感染.
- 术前戒烟建议用于一般手术,但缺乏针对口腔手术的具体指导方针.
- 牙医和口腔外科医生经常建议在口腔手术前戒烟.
研究的目的:
- 在口腔外科手术过程中系统地审查文献,寻找支持手术前戒烟的证据.
- 在牙和口腔手术之前确定有关戒烟影响的现有数据.
主要方法:
- 在PubMed,Scopus,Web of Science和Cochrane数据库中的系统文献搜索.
- 通过六名审查员对研究的资格和质量评估,使用ROBINS-I,RoB2和GRADE标准.
- 根据预先定义的干预,结果和研究设计的纳入标准,分析已识别的文章.
主要成果:
- 首次搜索结果显示,有2,255条记录,在删除重复后确定了16条相关文章.
- 由于不同的干预,结果或研究设计,12篇文章被排除在外.
- 只有一个具有中度偏差风险的研究仍然存在,而另外三项由于偏差风险高而被排除在外.
结论:
- 审查无法确定手术前戒烟对接受口腔外科手术的吸烟者的影响.
- 关于戒烟对口腔手术结果的影响,存在重大知识差距.
- 需要进一步的研究,以便为这一患者群建立有效的戒烟方案.
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