牙科焦虑状况对正畸治疗疼痛的影响研究  

Influence of dental anxiety on patients’ pain experience during orthodontic treatment

作　　者：范小平[1] 邓锋[1] 宋锦璘[1] 张翼[1] 胡辉[1] 

机构地区：[1]重庆医科大学附属口腔医院正畸科,重庆400015

出　　处：《第三军医大学学报》2006年第20期2091-2093,共3页Journal of Third Military Medical University

基　　金：重庆市卫生局科研基金资助项目(032016)~~

摘　　要：目的研究正畸患者治疗前焦虑水平对其治疗过程中疼痛的影响,为正畸矫正过程中进行心理治疗和护理以缓解甚至消除牙科焦虑提供指导依据。方法选择进行正畸治疗的患者65例,治疗前由患者填写个人情况,并完成牙科焦虑量表;戴矫治器后填写疼痛的开始时间及强度、高峰时间及强度、消失时间。对结果进行方差分析。结果牙科焦虑分高者比牙科焦虑分低者的疼痛评分高(P<0.01);而治疗前焦虑水平不影响疼痛持续的时间(P>0.05)。结论在正畸治疗中,牙科焦虑水平会影响患者的疼痛主诉程度;治疗前应对焦虑患者进行必要的心理指导,减轻焦虑程度,以利于患者的健康与合作。Objective To investigate the effect of dental anxiety （DA） on patients＇ pain experience during orthodontic treatment. Methods Every one of 65 patients was asked to complete a questionnaire modified from dental anxiety scale （DAS） before orthodontic treatment, and to complete a table with VAS score of pain after placement of the fixed appliance everyday in 1 month. The difference between 2 groups （ catastrophizer and non-catastrophizer） was statistically analyzed. Results There was statistical significance in VAS score of pain between the 2 groups （ catastrophizer and non-catastrophizer） （ P 〈 0. 01 ）, while no statistical significance in duration of pain. Conclusion Catastrophizers complain pain experience during orthodontic treatment more easily than non-catastrophizers. Cure and nurse staff should take necessary measures to provide patients with psychological therapy and nursing guidiance before orthodontic treatment.

关 键 词：正畸治疗 牙科治疗焦虑 疼痛 

分 类 号：R395.1[哲学宗教—心理学] R783.5[医药卫生—医学心理学]