笑气镇静配合椅位视频在牙科畏惧症患者拔牙手术中的应用  

Video eyewear and N_2O inhalation sedation in dental fear patients for dental extraction

作　　者：张国良 朱伟 闫维 秦瑞峰 周宏志 胡开进 

机构地区：[1]第四军医大学口腔医院颌面外科教研室,西安710032

出　　处：《实用口腔医学杂志》2010年第1期94-95,共2页Journal of Practical Stomatology

摘　　要：目的:观察笑气和椅位视频系统对牙科畏惧症患者拔牙手术治疗依从性的作用。方法:100例牙科畏惧症拔牙患者随机分为2组,一组使用笑气和椅位视频观看影视节目为实验组,另一组单独使用笑气为对照组。拔牙中测量患者心率和脉搏氧值,拔牙结束后调查2组患者对整个拔牙过程的感受,填写患者Frankl治疗依从性量表和Houpt行为量表。结果:2组患者心率和脉搏氧值统计学无差异(P>0.05)。2组Frankl治疗依从性评分值和Houpt行为评分值均有统计学差异(P<0.05)。结论:牙科畏惧症患者在拔牙时使用笑气吸入配合椅位视频系统可以分散患者对拔牙时的注意力,使患者意识集中于视频节目中的娱乐节目,有利于缓解拔牙时的紧张情绪,可以舒适地渡过拔牙手术期。Objective： To observe the behavior therapy efficacy in dental fear patients for dental extraction using video eyewear and N2O inhalation.Methods： 100 patients were divided into two groups,one group only used N2O and other group used N2O with video eyewear.Compared two groups′ Frankl behavior rating scale and Houpt scale after dental extraction.The HR and SpO2 were measured during dental extraction.Results： Using video eyewear and N2O showed a significant good sedative effect on patients with dental fear.There were statistical difference in the Frankl behavior rating scale and Houpt scale between experiment group and control group（P0.01）.There were no significant changes in heat rate and SpO2 before and after in two groups.Conclusion： Video eyewear and N2O inhalation sedation is good for dental fear patient during dental extraction.

关 键 词：笑气 视频 牙科畏惧症 拔牙手术 

分 类 号：R782.11[医药卫生—口腔医学]