两种行为管理方式下牙科恐惧症患儿的心率变化  

Comparison of two different techniques for behavior management of children with dental fear in paediatric dentistry based on heart rate during treatment

作　　者：徐秀敏[1] 梅陵宣[2] 任重鸿[1] 

机构地区：[1]合肥市口腔医院儿童牙科,安徽合肥231000 [2]安徽医科大学口腔医学院,安徽合肥231000

出　　处：《牙体牙髓牙周病学杂志》2013年第12期795-797,782,共4页Chinese Journal of Conservative Dentistry

基　　金：合肥市科研计划项目(合科201125号77)

摘　　要：目的：比较两种不同行为管理方式（1ivemodeling和tell—show—do）在儿童牙科恐惧症患者中的治疗效果。方法：对初次就诊的370名儿童采用儿科恐惧量表（children fear survey schedule—dental subscale，CFSS—DS）评估，对其中154例5～9岁儿童牙科恐惧症患者进行随机分组，A组（／7,=51）livemodeling以母亲为模型，B组（n=51）live modeling以父亲为模型，c组（n=52）采用tell—show—do。在口腔检查和清洁过程中监测每个患儿的心率变化，对结果进行统计学分析。结果：370名儿童牙科畏惧症发生率为41．6％；在口腔检查和清洁过程中，A组患儿心率低于B组（P〈0．05）和C组P〈0．05）；B组低于C组（P〈0．05）。结论：live modeling是一种在儿童牙科中应用的有效行为管理技术，模型的选择与儿童年龄有关。AIM： To compare the effects of live modeling and tell-show-do for behavior management of children with dental fear（DF） during dental treatment. METHODS： Children fear survey schedule-dental subscale （ CFSS - DS） assessment was conducted for 370 children aged 5 - 9 years in initial dental treatment. 154 children with DF were randomly divided into 3 groups. The children in Group A （ n = 51 ） were prepared for dental treatment by means of live modeling with the mothers as the models, those in group B （n = 51 ） with the fathers as the models. The children in group C （n = 52） were prepared by a pediatric dentist using the tell- show- do method. Heart rate of the children was monitored during dental treatment. The data were statistically analyzed. RESULTS ： The incidence of DF of the 370 children was 41.6%. During dental treatment the heart rate of the children in group A was lower than that in group B （ P 〈 0.05 ） and in group C （ P 〈 0.05 ）, in group B was lower than in group C （ P 〈 0.05 ）. CONCLUSION ： Live modeling is effective for behavior management of children with DF during dental treatment.

关 键 词：儿童牙科畏惧症 现场实体模型 告知-示范-做 

分 类 号：R788[医药卫生—口腔医学]