笑气/氧气镇静辅助计算机程控给药系统对牙科畏惧症患儿口腔治疗的临床研究  

Clinical study on the application of laughing gas/oxygen sedation assisted computerized administration system to children with dental fear

作　　者：汪凤 李娜 许岩 詹娟 刘乐华 史海涛 WANG Feng;LI Na;XU Yan;ZHAN Juan;LIU Lehua;SHI Haitao(Urumqi Stomatological Hospital,830000,China)

机构地区：[1]乌鲁木齐市口腔医院,830000

出　　处：《实用口腔医学杂志》2020年第5期791-794,共4页Journal of Practical Stomatology

基　　金：乌鲁木齐市卫生健康委科技计划项目(编号:201927)。

摘　　要：目的:研究笑气/氧气镇静辅助计算机程控给药系统对牙科畏惧症患儿的临床效果。方法:纳入96例牙科畏惧症患儿的临床资料,分2组(n=48)。对照组患儿常规口腔治疗,观察组患儿笑气/氧气镇静辅助计算机程控给药系统治疗。观察2组患儿治疗效果,比较2组患儿在入室躺下时(T1)、行口腔检查时(T2)、治疗过程中(T3)、完成治疗时(T4)的镇静评分以及依从性和焦虑评分,比较2组患儿家长满意度及复诊合作情况。结果:观察组治疗有效率为97.92%,对照组为85.42%(P<0.05)。治疗后,2组患儿在T2~T4时Ramsay镇静评分、依从性评分均明显高于对照组(P<0.05),焦虑评分明显低于对照组。观察组患儿家长满意度为95.83%,对照组为81.25%(P<0.05),观察组患儿复诊合作率为83.33%,对照组为64.58%(P<0.05)。结论:笑气/氧气镇静辅助计算机程控给药系统治疗牙科畏惧症患儿的疗效显著,镇静作用好,能有效缓解患儿焦虑情绪,提高患儿治疗依从性。Objective:To study the clinical effects of laughing gas/oxygen sedation assisted computerized controlled drug delivery system on children with dental fear.Methods:96 children with dental fear were divided into 2 groups(n=48).The children in control group was given routine oral cavity treatment,those in the observation group were treated with laughing gas/oxygen sedation assisted computer-programmed drug delivery system treatment and oral cavity treatment.The treatment effects of the 2 groups,sedation score,at lying down(T1),during oral examination(T2),during treatment(T3)and at the completion of treatment(T4),compliance and anxiety score,parental satisfaction and the cooperation status of children at follow-up were compared between the 2 groups.Results:The effective rate of treatment in the observation group and control group was 97.92%and 85.42%(P<0.05).After treatment,Ramsay sedation scores and compliance scores of the observation group were higher than those in the control group at T2 to T4(P<0.05),the anxiety score was significantly lower than the control group(P<0.05).The parental satisfaction of children in the observation and control groups was 95.83%and 81.25%respectively(P<0.05),the cooperation rate of follow-up visits in the observation and control groups was 83.33%and 64.58%respectively(P<0.05).Conclusion:The therapeutic effect of nitrous oxide/oxygen sedation assisted computer program-controlled drug delivery system on children with dental fear has a better sedative effect,can effectively relieve anxiety,improve treatment compliance of the children with dental fear.

关 键 词：牙科畏惧症 笑气/氧气 镇静 焦虑 依从性 

分 类 号：R788[医药卫生—口腔医学]