拔牙患者牙科畏惧症的临床调查  

An clinical investigation of dental fear before tooth extraction

作　　者：朱伟[1] 张国良[1] 闫维[1] 胡开进[1] 

机构地区：[1]第四军医大学口腔医学院,陕西西安710032

出　　处：《临床口腔医学杂志》2009年第11期663-665,共3页Journal of Clinical Stomatology

基　　金：国家高技术研究发展计划(863计划)资助(2002AA326070)

摘　　要：目的:研究拔牙患者围拔牙手术期的焦虑状况及其相关因素,为临床防治牙科畏惧症提供指导。方法:采用改良牙科焦虑量表(DAS)对200例拔牙患者进行横断面调查和统计分析。结果:200例拔牙患者中有10.50%的患者DAS评分值≥13,属于严重的牙科焦虑情况,尤其在局部麻醉前焦虑水平最高。牙科畏惧相关因素分析中DAS评分较高因素有:女性、性格偏内向、自我或周围人有不良牙科经历者、疼痛耐受程度低、精神状态差和心情紧张等。结论:拔牙术前的牙科畏惧症有较高发生率,达到10.50%,并且其相关因素较多。患者最为恐惧的因素是拔牙前局麻注射时的疼痛。Objective： To evaluate the prevalence of dental fear and related factors in dental patients who will undergo tooth extraction for clinical direction of dental fear prevention. Method： A modified Corah Dental Anxiety Scale （DAS） was used to do a questionnaire among 200 patients who will have tooth extraction, and then statistic analysis was done. Result： 10.50 % of all the patients who were investigated had DAS scores equal or higher than 13, indicating severe dental anxiety. Among the three procedures of tooth extraction, the patients got the highest DAS scores before having anesthetic treatment. Divided according to the factors related to the development of dental anxiety, patients of the following groups got higher DAS scores： females, introverted individuals, patients to have impacted tooth extracted, patients who have had bad experience of tooth extraction or learned them from people around, patients with worse pain endurance, patients with low spirit and patients who are nervous. Conclusion： The prevalence of dental fear among patients before tooth extraction is relatively high to 10.50 %, and there are many factors closely related to the development of dental fear. The dental staff should pay attention to this phenomenon and take measures to control its development.

关 键 词：牙科畏惧症 拔牙术 临床调查 

分 类 号：R782.1[医药卫生—口腔医学]