暴露疗法治疗牙科恐惧患者疗效评价的应用研究  

Application research of exposure therapy in the treatment of patients with dental fear

作　　者：马媛媛[1] 侯锐[2] 陈永进[3] 邓蔓菁[1] 武银霞[1] 钟昌萍[1] MA Yuanyuan HOU Rui CHEN Yongfin DENG Manjing WU Yinxia ZHONG Changping(Department of Stomatology, Institute of Surgery Research, Daping Hospital, Chongqing 400042, Chin)

机构地区：[1]第三军医大学大坪医院野战外科研究所口腔科,重庆400042 [2]军事口腔医学国家重点实验室、第四军医大学口腔医学院口腔外科,陕西西安710032 [3]军事口腔医学国家重点实验室,第四军医大学口腔医学院急诊与综合临床科,陕西西安710032

出　　处：《口腔医学》2016年第11期1014-1016,共3页Stomatology

基　　金：国家自然科学基金(30672326)

摘　　要：目的研究暴露疗法对牙科恐惧患者的治疗效果。方法选择63例需要拔牙治疗的牙科恐惧患者,按照就诊ID卡的末位分成2组,单号为暴露疗法组,双号为对照组,采用问卷调查的方式评估患者术中配合程度、术后焦虑程度、治疗后及术后91 d自评对口腔治疗的恐惧心理分数。结果 63例患者均能够很好地配合治疗,术后暴露疗法组比对照组牙科恐惧总均分下降,低于对照组,患者自评对口腔治疗前后的恐惧得分也下降。结论暴露疗法对于牙科恐惧患者的治疗及术后焦虑的缓解效果是明显、安全的。Objective To study the therapeutic effect of exposure therapy on the patients with dental fear. Methods 63 cases of extraction treatment with dental fear,were divided into two groups in accordance with the medical ID card on the bottom： odd numbers were exposed therapy group,even numbers were control group. Questionnaire assessment was used to evaluate the degree of postoperative anxiety,degree of cooperation in operation,the fear scores of oral treatment after treatment and 91 days after the self-assessment.Results All of the 63 patients had good treatment. Compared with the control group,the total average dental fear scores were lower than those of control group after exposure,and self rating of oral treatment also decreased the fear scores. Conclusion The effect of exposure therapy for the treatment of patients with dental fear and the relief of postoperative anxiety is obvious and safe.

关 键 词：牙科恐惧 暴露疗法 放松训练 

分 类 号：R780.1[医药卫生—口腔医学]