CAJ | 학술논문

目的评价放松性音乐用于缓解复杂阻生智齿拔牙焦虑的效果.方法选择需在门诊拔除复杂阻生智齿的患者200例,按照随机数字表法分为A组和B组,A组患者术前倾听放松性音乐30 min后再在音乐氛围中拔牙,B组患者门诊常规拔牙;于病情告知后、拔牙前用贝克焦虑量表(BAI)评定患者的心理状态并监测患者的血压、心率、呼吸频率;拔牙后运用视觉模拟疼痛评分法(VAS)对患者术中的疼痛程度进行评分.结果病情告知后A、B两组患者BAI评分分别为(52.18±10.75),(52.41±14.08)分,差异无统计学意义(t=0.13,P＞0.05),但在倾听放松性音乐30 min后,A、B两组患者BAI评分分别为(38.24±6.59),(54.12±9.95)分,A组优于B组,差异有统计学意义(t=13.31,P＜0.05);术后A、B两组VAS评分分别为(1.96±0.84),(3.42±0.91)分,A组优于B组,差异有统计学意义(t=11.79,P＜0.05).结论放松性音乐能有效缓解复杂阻生智齿拔除患者的术前焦虑;并能较好地减轻术中的疼痛及不适.
목적 평개방송성음악용우완해복잡조생지치발아초필적효과.방법 선택수재문진발제복잡조생지치적환자200례,안조수궤수자표법분위A조화B조,A조환자술전경은방송성음악30 min후재재음악분위중발아,B조환자문진상규발아;우병정고지후、발아전용패극초필량표(BAI)평정환자적심리상태병감측환자적혈압、심솔、호흡빈솔;발아후운용시각모의동통평분법(VAS)대환자술중적동통정도진행평분.결과 병정고지후A、B량조환자BAI평분분별위(52.18±10.75),(52.41±14.08)분,차이무통계학의의(t=0.13,P＞0.05),단재경은방송성음악30 min후,A、B량조환자BAI평분분별위(38.24±6.59),(54.12±9.95)분,A조우우B조,차이유통계학의의(t=13.31,P＜0.05);술후A、B량조VAS평분분별위(1.96±0.84),(3.42±0.91)분,A조우우B조,차이유통계학의의(t=11.79,P＜0.05).결론 방송성음악능유효완해복잡조생지치발제환자적술전초필;병능교호지감경술중적동통급불괄.
Objective To evaluate the curative effect of relaxing music applied in complex wisdom teeth extraction.Methods A total of 200 patients with complex wisdom teeth were selected and divided into A,B groups,relaxing music was applied in group A 30 minutes before and during teeth extraction,while group B underwent teeth extraction directly.Beck Anxiety Inventory (BAI) and Visual Analogue Scale (VAS) were selected as the measuring tools of anxiety and pain intensity.Parameters including blood pressure (BP),heart rate (HR) and respiratory rate (RR) were measured before relaxing music application and after.Results After informed their disease condition,the score of BAI of group A and B was (52.18 ± 10.75),(52.41 ± 14.08),respectively,and no significant difference was found (t =0.13,P ＞ 0.05).While 30 minutes after they listened to relaxing music,the score of BAI of group A and B was (38.24 ±6.59) and (54.12 ±9.95),and group A was better than group B,and the difference was statistically significant (t =13.31,P ＜ 0.05).After the operation,the score of VAS in group A was significantly better than that in group B [(1.96 ± 0.84) vs (3.42 ±0.91) ;t=11.79,P＜0.05)].Conclusions Relaxing music could effectively relieve the anxiety and uncomfortable from complex wisdom teeth extraction.