笑气舒适化诊疗模式在儿童乳牙急性牙髓炎中的应用  

Use of nitrous oxide for comfort care in children with acute pulpitis of deciduous teeth

作　　者：刘亚蕊[1] 徐冬雪[1] 罗苑慈 刘春江[1] 罗倩婷 朱明静 曾素娟[1] Liu Yarui;Xu Dongxue;Luo Yuanci;Liu Chunjiang;Luo Qianting;Zhu Mingjing;Zeng Sujuan(Department of Pediatric Dentistry,Guangzhou Medical University Stomatological Hospital,Guangzhou 510140,Guangdong,China)

机构地区：[1]广州医科大学附属口腔医院,广东广州510140

出　　处：《广州医科大学学报》2020年第5期50-52,82,共4页Academic Journal of Guangzhou Medical University

基　　金：广州市科技计划项目(201802020018);广东省科技计划项目(2017ZC0267;2016ZC0147)。

摘　　要：目的:探讨笑气舒适化技术在儿童乳牙急性牙髓炎治疗中的镇静效果。方法:选取需进行乳牙急性牙髓炎治疗的患儿100例,随机分为实验组(笑气+局部麻醉)和对照组(单纯局部麻醉),每组各50例,使用牙科分量表(CFSS-DS)、Wong-Banker面部表情量表及Frankl治疗依从性量表分别记录患儿对治疗的恐惧程度、治疗过程中的疼痛程度及配合程度。结果:与对照组相比,在治疗过程中,实验组患儿表现出更低的恐惧程度和疼痛程度,能够更好地配合治疗(P<0.05)。结论:在儿童乳牙急性牙髓炎的治疗中,笑气吸入舒适化诊疗模式可显著缓解患儿紧张焦虑情绪,减轻疼痛感,提高治疗依从性,达到有效镇静,值得推广。Objective:To investigate the sedative effect of comfort care with nitrous oxide in children with acute pulpitis of deciduous teeth.Methods:A total of 100 children who needed intervention for acute pulpitis of deciduous teeth were randomly divided into the study group(nitrous oxide+local anesthesia)and the control group(local anesthesia alone)(n=50 each).Children’s Fear Survey Schedule-dental subscale(CFSS-DS),Wong-Baker Faces Pain Rating Scale and Frankl Behavioral Scale were used to record the fear of treatment,degree of pain and treatment compliance in the children.Results:Compared with the control group,the children in the study group showed less fear and pain during treatment,and were more compliant to the treatment(P<0.05).Conclusion:In children with acute pulpitis of deciduous teeth,comfort care with nitrous oxide inhalation may significantly relieve the tension and anxiety,reduce pain,and improve treatment compliance,hence effective sedation and worthwhile for widespread use.

关 键 词：儿童 乳牙急性牙髓炎 笑气 镇静 

分 类 号：R781.31[医药卫生—口腔医学]