牙槽外科焦虑症的调查和分析  

Investigation and analysis of dental anxiety in the department of alveolar surgery

作　　者：陈莺[1] 林丽婷[1] 赖娘妹[1] 杨辛[1] 唐海阔[1] 

机构地区：[1]中山大学光华口腔医学院·附属口腔医院,广东省口腔医学重点实验室,广州510055

出　　处：《中华口腔医学研究杂志（电子版）》2013年第2期29-31,共3页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：广东省医学科研基金[粤卫2010(84)号]

摘　　要：目的探讨口腔专科医院口腔颌面外科牙科焦虑症(DA)的发病情况,并分析相关的发病因素,为缓解DA提供思路。方法随机抽取两天内口腔颌面外科门诊就诊,确认需要进行牙槽外科操作的患者220例,进行一般项目调查表、改良牙科焦虑量表(MDAS)的调查及测评,并对相关因素进行统计学分析。结果 DA的发病率为65.9%(145/220);DA患者中46.8%(68/145)有过逃避治疗行为;性别、不同渠道获得"拔牙很痛"的信息和不良看牙经历是主要影响因素,91.0%(132/145)的DA患者希望在候诊过程中和医护人员进行交流。结论 DA在牙槽外科发病率比其他科室更高;医护人员的耐心解释和相关卫生宣教可能能够降低DA的发生。Objective To investigate the incidence of dental anxiety （DA） in the department of Alveolar surgery, and analyze the relevant factors of DA. Methods 220 patients who will receive alveolar operation, mainly tooth extraction, were surveyed by modified DA scale （MDAS） and normal questionnaire, and statistic analysis was done. Results The incidence of DA was 65.9% （145/220）. In the group of the patient with DA, 46.8% （68/145） had the behavior of treatment evading; and the main factors that influence the DA are the gender, the information of ＂extraction of tooth is very pain＂ from different route and the malign dental experience; 91% （132/145） patients want to communicate with medics before treatment. Conclusion DA is common in the department of alveolar surgery, and the incidence is higher than in other department. The patient elucidation of medics and sanitation education may be helpful to reduce DA.

关 键 词：牙科焦虑症 牙槽外科 

分 类 号：R749.72[医药卫生—神经病学与精神病学]