初诊儿童牙科不合作行为分析  

Analysis on dental uncooperative behaviors of the first-visit children in clinic

作　　者：阳婵[1] 邹红梅[1] 邹静[2] 

机构地区：[1]口腔疾病研究国家重点实验室四川大学 [2]四川大学华西口腔医院儿童口腔科,成都610041

出　　处：《华西口腔医学杂志》2011年第5期501-504,508,共5页West China Journal of Stomatology

摘　　要：目的探讨初次到牙科就诊的儿童其不合作行为与儿童气质、龋病严重程度等因素的相关性,以期制定个性化的牙科治疗方案,预防和应对初诊儿童的牙科不合作行为。方法从2007年12月—2008年12月初次到儿童口腔科就诊的儿童中随机抽取195名3～7岁儿童为研究对象,对儿童进行口腔检查和实施相应的治疗措施,并对治疗过程中儿童的牙科行为进行评估分级。家长填写《NYLS 3~7岁儿童气质家长评定问卷》。结果 195名儿童中,牙科恐惧及焦虑（DFA）儿童114名（58.46%）,牙科行为管理问题（DBMP）儿童66名（33.85%）;随着年龄的增加,儿童DBMP逐渐下降;性别与儿童DFA/DBMP无关;龋病越严重的儿童越易发生DFA/DBMP。不同气质类型儿童的DFA/DBMP差异无统计学意义,但气质维度中,DFA儿童的反应阈高于非DFA儿童,DBMP儿童的节律性低于非DBMP儿童。结论应将患龋严重的儿童作为重点人群,根据不同年龄、不同气质特点采取不同行为管理方法,降低初诊儿童DFA/DBMP的发生。Objective To investigate the relationship between the uncooperative behaviors of first-visit-dental child-ren and correlative factors that include children＇s temperament,severe of dental caries and so on in order to help den-tists to make personal dentistry therapy plan for each child to prevent and deal with children＇s uncooperative behaviors.Methods From the pediatric dentistry clinic,195 first-visit-dental children（aged 3-7 years） from Dec.2007 to Dec. 2008 were randomly selected to accept dental examination and accepted corresponding treatment according to perso-nal therapy plans.Children＇s clinic behavior was valued during treatment.The parents were asked to complete NYLS temperament parents scale questionnaires for 3-7 years old children.Results Among the 195 children,there were 114（58.46%） had dental fear and anxiety（DFA） and 66（33.85%） had dental behavior management problem（DBMP）. As the children＇s age increased,the incidence of DBMP decreased.There were no statistical relationship between gen-ders and children＇s DFA/DBMP.The children＇s severity of dental caries was related to their dental behavior,the more serious the caries,the more incident the DFA/DBMP of children.There were no statistically significant differences for the DFA/DBMP of temperament type children.But the score of sensory threshold was higher in DFA children,while physiological rhythmicity was lower in DBMP,the differences were significant.Conclusion In order to reduce the incidence of DFA/DBMP,we should pay more attention to children with serious caries,and provide them individual be-havior management for different ages and temperament.

关 键 词：儿童牙科行为管理 牙科畏惧及焦虑 龋病 气质 

分 类 号：R788[医药卫生—口腔医学]