中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
9期
112-114
,共3页
口腔诊疗%术前干预%牙科焦虑症
口腔診療%術前榦預%牙科焦慮癥
구강진료%술전간예%아과초필증
Dental Surgery%Intervention before Surgery%Dental Anxiety
目的：观察口腔诊疗术前干预对成人牙科焦虑症（Dental anxiety，DA）患者的临床作用。方法：临床纳入500例DA病例，按照随机数字表法分为观察组与对照组，每组各250例。在进行口腔诊疗前，观察组患者给予术前干预，包括心理、行为管理等；对照组术前不进行特殊干预。观察治疗前后两组牙病焦虑程度评分（Dental anxiety scale，DAS）、治疗后咀嚼痛评分以及治疗满意度等指标。结果：两组患者，术前DAS评分差异无统计学意义（P>0.05）。经过术前干预，观察组DAS评分明显低于对照组，比较差异有统计学意义（P<0.05）。治疗后咀嚼痛评分方面，观察组术后1~5 d均较对照组明显降低，比较差异有统计学意义（P<0.05）。此外，观察组对治疗满意度比例达95.20%，高于对照组的80.40%，比较差异有统计学意义（P<0.05）。结论：对成人DA患者进行口腔诊疗术前干预，能够有效降低患者焦虑程度，减轻术后咀嚼痛，提高患者对治疗满意程度，值得临床推广。
目的：觀察口腔診療術前榦預對成人牙科焦慮癥（Dental anxiety，DA）患者的臨床作用。方法：臨床納入500例DA病例，按照隨機數字錶法分為觀察組與對照組，每組各250例。在進行口腔診療前，觀察組患者給予術前榦預，包括心理、行為管理等；對照組術前不進行特殊榦預。觀察治療前後兩組牙病焦慮程度評分（Dental anxiety scale，DAS）、治療後咀嚼痛評分以及治療滿意度等指標。結果：兩組患者，術前DAS評分差異無統計學意義（P>0.05）。經過術前榦預，觀察組DAS評分明顯低于對照組，比較差異有統計學意義（P<0.05）。治療後咀嚼痛評分方麵，觀察組術後1~5 d均較對照組明顯降低，比較差異有統計學意義（P<0.05）。此外，觀察組對治療滿意度比例達95.20%，高于對照組的80.40%，比較差異有統計學意義（P<0.05）。結論：對成人DA患者進行口腔診療術前榦預，能夠有效降低患者焦慮程度，減輕術後咀嚼痛，提高患者對治療滿意程度，值得臨床推廣。
목적：관찰구강진료술전간예대성인아과초필증（Dental anxiety，DA）환자적림상작용。방법：림상납입500례DA병례，안조수궤수자표법분위관찰조여대조조，매조각250례。재진행구강진료전，관찰조환자급여술전간예，포괄심리、행위관리등；대조조술전불진행특수간예。관찰치료전후량조아병초필정도평분（Dental anxiety scale，DAS）、치료후저작통평분이급치료만의도등지표。결과：량조환자，술전DAS평분차이무통계학의의（P>0.05）。경과술전간예，관찰조DAS평분명현저우대조조，비교차이유통계학의의（P<0.05）。치료후저작통평분방면，관찰조술후1~5 d균교대조조명현강저，비교차이유통계학의의（P<0.05）。차외，관찰조대치료만의도비례체95.20%，고우대조조적80.40%，비교차이유통계학의의（P<0.05）。결론：대성인DA환자진행구강진료술전간예，능구유효강저환자초필정도，감경술후저작통，제고환자대치료만의정도，치득림상추엄。
Objective:To explore the clinical effect of intervention before dental surgery for patients with dental anxiety(DA).Method:Five hundred patients with DA were chosen and randomly divided into the observation group and the control group,250 cases in each group. Before dental surgery,the observation group was given intervention including mental and behavior management and the control group was given no special intervention. Indicators like DAS before and after treatment,masticatory pain score after treatment and satisfaction degree of treatment of the two groups were observed.Result:No significant difference existed between DAS before treatments of the two groups(P>0.05). After intervention before surgery,DAS of the observation group was obviously lower than the control group(P<0.05). On masticatory pain score after treatment,1-5 d after surgery of the observation group was obviously all lower than the control group(P<0.05). Besides, satisfaction degree of treatment of the observation group was 95.20%obviously higher than the control group 80.40%(P<0.05). Conclusion:Intervention before dental surgery for patients with DA can effectively alleviate anxiety degree of patients, relieve masticatory pain and improve satisfaction degree of treatment.So it’s worth of being popularized clinically.
