术前单独咨询对第三磨牙拔除焦虑水平的影响  

Effect of Separate Consultation before Surgery on the Level of Anxiety in the Third Molar Extraction

作　　者：任迅[1] 彭敏[1] 

机构地区：[1]四川省人民医院口腔科,四川成都610072

出　　处：《四川医学》2016年第3期317-319,共3页Sichuan Medical Journal

摘　　要：目的评价术前单独咨询对第三磨牙拔除焦虑水平的影响。方法 52名患者随机纳入试验组与对照组,每组26例。试验组患者在拔牙术前一周接受拔除第三磨牙相关信息的单独咨询,对照组在术前即时接受相同咨询。两组患者均填写焦虑与疼痛问卷,医师填写患者依从性和疗效评估量表,对结果进行统计分析。结果患者焦虑水平与拔牙后疼痛程度和治疗效果间存在明显相关。试验组患者在焦虑和疼痛程度上显著低于对照组,试验组患者对单独咨询接受度高,且对于麻醉和术中操作的依从性好,整体治疗效果好于对照组,差异均有统计学意义(P<0.05)。结论口腔医生可考虑对拔牙患者进行术前单独咨询。Objective To evaluate the effect of separate consultation before surgery on the level of anxiety in the third molar extraction. Methods 52 patients were randomly divided into the experimental group and the control group,26 cases in each group. Patients in the experimental group were received the individual consultation on the relevant information of the third molar extraction a week before the extraction,while the control group were received the same advice immediately before surgery. The two groups of patients filled with anxiety and pain questionnaire and the doctors filled out the patient compliance and therapeutic effect assessment scale. The results were statistically analyzed. Results There was a significant correlation between the level of anxiety and pain after tooth extraction and treatment effect. The pain and anxiety of patients in the experimental group were significantly lower than that of the control group. Patients in the experimental group received a high degree of acceptance of separate consultation,the compliance of anesthesia and surgery was good,and the overall treatment effect was better than that of the control group.And all of the differences were statistically significant（ P〈0. 05）. Conclusion Oral doctors could consider the extraction of patients for a separate consultation before surgery.

关 键 词：拔牙 焦虑 咨询 

分 类 号：R782.11[医药卫生—口腔医学]