儿童牙科畏惧症的临床分析  

Children's temperament characteristics and dental fear

作　　者：苏吉梅[1] 阮文华[1] 叶笑味[1] 吴志芳[1] 黄晓佳[1] 

机构地区：[1]浙江大学医学院附属儿童医院口腔科,浙江杭州310003

出　　处：《华西口腔医学杂志》2007年第4期362-364,共3页West China Journal of Stomatology

摘　　要：目的探讨儿童气质特征与牙科畏惧症(DF)之间的关系,了解DF儿童的气质特点。方法用中国学龄前儿童气质量表(CPTS)对254例4～6岁首次接受牙科治疗的儿童进行气质测查,用Frankl行为分级法进行DF评定,对所得结果进行统计学分析。结果254例患儿中有104例为不畏惧,80例为畏惧,70例为高度畏惧,DF发生率为59.06%。此年龄段男女的DF发生率无统计学差异(P>0.05)。不畏惧、畏惧、高度畏惧3组患儿的气质类型构成不同,差异有统计学意义(P<0.05)。经方差分析,3组患儿在适应性和心境两个气质维度得分上有统计学差异,进一步行两两比较,高度畏惧组得分高于不畏惧组(P<0.05);其他气质维度得分3组间无统计学差异(P>0.05)。结论儿童牙科畏惧症的发生与儿童本身的气质有关,适应缓慢、心境消极可能发展为儿童DF的危险因子。Objective To evaluate the relationship between children＇s temperament and dental fear, Methods 254 children（aged 4-6 years） during first dental treatment took part in the investigation, Their parents answered the Chinese preschool children＇s temperament scales（CPTS）. The Frankl method was used to classify the degree of the children＇s dental fear. The K independent samples test and One-way ANOVA test were performed to find the differences of the type of temperament and the scores of temperament dimension among three groups. Results Among the 254 children（aged 4-6 years）, 104 had no fear, 80 had fear and 70 had extreme fear. The incidence of dental fear in children was 59.06%. There were no statistical differences（P〉0.05） of dental fear between boys and girls, There were statistically significant differences for the type of temperament among no fear group, fear group and extreme fear group, The scores of adaptability and quality of mood were higher in the extreme fear group and fear group than that in the no fear group. The differences in scores of adaptability and quality of mood was statistically significant between the extreme fear group and no fear group. But the scores of other seven temperament dimensions had no statistical significant differences among three groups. Conclusion Children＇s dental fear is correlated to their temperaments. The tendencies of negative mood and slow adaptability should be considered that the patients were at risk of developing dental fear problem.

关 键 词：儿童 牙科畏惧症 气质 

分 类 号：R749.7[医药卫生—神经病学与精神病学]