视觉模拟评分法评价多个临床因素对正畸初始疼痛的影响  

Evaluating of clinical factors related to initial pain of orthodontic treatment by visual analogue scales (VAS)

作　　者：罗薇[1] 杨秩[1] 赖文莉[1] 

机构地区：[1]四川大学华西口腔医学院

出　　处：《实用口腔医学杂志》2007年第6期867-870,共4页Journal of Practical Stomatology

基　　金：自然科学基金资助(编号:30471912)

摘　　要：目的:应用视觉模拟评分法评价正畸治疗后初期患者的疼痛感受及影响因素。方法:随机选取2005～2006年期间四川大学华西口腔医院的拟作双颌固定正畸治疗的初诊患者107名。男性47(平均年龄14.63岁)人,女性60(平均年龄16.18岁)人。矫治初期均使用0.36mm(0.014英寸)的镍钛圆丝,采用视觉模拟评分法(visualanaloguescales,VAS)记录矫治器安放后4、12、24h、3、5、7d的疼痛强度。随机选取51人采用弹性橡皮圈结扎,56人采用不锈钢结扎丝结扎;其中30人为拔牙矫治病例,77人未拔牙。结果:橡皮圈结扎组患者疼痛强度在4h～3d期间大于结扎丝组,在5～7d期间小于结扎丝组,但差别均没有统计学意义;在各时间点,吃饭后嚼口香糖看电视的疼痛值明显低于进软食时候的疼痛,有显著的统计学差异;拔牙组与非拔牙组的疼痛值无明显差别。最初期女性的疼痛值大于男性,而3d后相反,其差异没有统计学意义。前牙的疼痛值大于后牙,成年人的疼痛值大于儿童。结论:正畸治疗的初始疼痛与结扎方式、拔牙与否、性别无显著相关,而与年龄、牙位有显著相关,并且分散注意力能够明显减轻正畸初始疼痛。Objective： To evaluate the initial pain and influential factors in orthodontic treatment by VAS（ visual analogue scales） ,and explore the way to alleviate the pain, Methods： 107 subjects（47 male and 60 female） were select- ed. Following insertion of the first archwire （0.36 mm Chinese NiTi wire）, visual analogue scale（VAS） was used to record the severity of pain at 4,12,24 h and on day 3,5,7. All the subjects were randomly divided into two groups by ligature with elastomeric rings （in 51 patients） or stainless steel wires （in 56 patients）. In all the 107 patients, 30 peo- ple need to extract their tooth for relieving crowding while the other 77 were non-extraction cases. Results：No significant differences of pain were found between elastomeric rings ligature cases and stainless steel wires ligature cases at each stage; as well as between extraction and non-extraction cases. But the adults perceived more pain than the adolescents. Patients who were asked to chew gum or to do something （watching TV or listening to music） for distraction perceived less pain. The differences were statistically significant between different groups. Conclusion：The orthodontist should make a good communication with patient about initial pain before the orthodontic treatment, especially for adults.

关 键 词：正畸治疗 疼痛 疼痛测定 

分 类 号：R783.5[医药卫生—口腔医学]