心理干预和布洛芬治疗牙科焦虑症患者正畸疼痛的对比研究  

Comparative study of psychological intervention and ibuprofen on orthodontic pain of patient with dental anxiety

作　　者：胡辉[1] 邓锋[1] 宋锦璘[1] 范小平[1] 

机构地区：[1]重庆医科大学附属口腔医院正畸科,400015

出　　处：《重庆医学》2007年第4期295-297,共3页Chongqing medicine

基　　金：重庆市卫生局资助项目(03-2-016)

摘　　要：目的探讨心理干预和布洛芬对牙科焦虑症患者正畸疼痛的治疗效果。方法通过改良牙科焦虑量表筛选出60例牙科焦虑症患者,按每组20例患者随机分为空白组(对照组)、心理干预组和布洛芬组,通过100mm视觉模拟评量表对患者5d内的疼痛水平(咀嚼痛、咬痛)进行评分,对比其治疗效果。结果心理干预组和布洛芬组正畸疼痛水平(咀嚼痛、咬痛)均明显低于对照组,差异有统计学意义(P<0.05);布洛芬组正畸疼痛水平低于心理干预组,差异有统计学意义(P<0.05)。结论心理干预和布洛芬对牙科焦虑症患者正畸疼痛(咀嚼痛、咬痛)的缓解均有较好的效果;布洛芬对牙科焦虑症患者正畸疼痛的缓解优于心理干预治疗。Objective To investigate psychological intervention and ibuprofen on orthodontic pain of the patient with dental anxiety, Methods Sixty patients with dental anxiety were divided into 3 groups （20 cases each）, Group A was blank group（control group） ,group B was psychological intervention group, and group C was ibuprofen group, The pain evaluations were made during chewing, biting using a 100ram Visual Analogue Scale （100mm VAS） for 5d, Results Both the psychological intervention group and the ibuprofen group reported significantly less pain（chewing pain, biting pain） than the control group（P〈0.05）, The psychological intervention group reported less pain than the ibuprofen group（P〈0.05）. Conclusion Both psychological intervention and ibuprofen significantly decreased orthodontic pain （chewing pain, biting pain） of the patients with dental anxiety, But ibuprofen is more effective on orthodontic pain of the patients with dental anxiety compared with psychological intervention.

关 键 词：牙科焦虑症 心理干预 正畸疼痛 布洛芬 

分 类 号：R783.5[医药卫生—口腔医学]