传统拔牙术和微创拔牙术对拔除阻生智齿患者焦虑心理的影响  

Comparison of anxiety between conventional tooth extraction and minimally invasive tooth extraction in patients with impacted third molars extraction

作　　者：刘琴 罗秋英 卿玲 李莉 黄智杰 黎庆芳 吴碧霞 LIU Qin;LUO Qiuying;QING Ling;LI Li;HUANG Zhijie;LI Qinfang;WU Bixia(Operating Room of Department of Oral Surgery,Stomatological Hospital,Southern Medical University,Guangzhou 510000,China;Department of Oral Surgery,Stomatological Hospital,Southern Medical University,Guangzhou 510000,China;Department of Infection Control,Stomatological Hospital,Southern Medical University,Guangzhou 510000,China)

机构地区：[1]南方医科大学口腔医院颌面外科手术室,广东广州510000 [2]南方医科大学口腔医院颌面外科,广东广州510000 [3]南方医科大学口腔医院感染管理科,广东广州510000

出　　处：《分子影像学杂志》2022年第6期934-939,共6页Journal of Molecular Imaging

摘　　要：目的探讨传统拔牙术和微创拔牙术对拔除阻生智齿患者焦虑水平的影响。方法选择2022年1~8月南方医科大学口腔医院口腔颌面外科414例门诊例智齿拔除术患者,回收有效问卷393例,按随机数表法分为传统拔牙术组(n=187)和微创拔牙术组(n=206),并通过改良Corah牙科焦虑量表(MDAS)进行术前术后焦虑评分测评,整个过程都在由经过培训的医生或护士协助进行。最终收回同一患者术前术后改良Corah牙科焦虑量表有效问卷393份,有效率为95%。结果相较于手术前,术后微创拔牙组患者焦虑数量及比例降低(P<0.001)。其中,微创拔牙术组焦虑评分为9.45±3.18分,低于传统拔牙术组的13.7±2.73分,差异有统计学意义(P<0.05)。在单变量分析中,微创拔牙术术后引起牙科焦虑症比值比为0.108,微创拔牙术对于患牙科焦虑症而言为一种保护因素,且与患牙科恐惧症的风险呈负相关关系。结论针对阻生智齿患者在治疗期间,同传统拔牙法比较,微创拔牙法显著缓降低患者焦虑程度,改善患者诊疗体验。Objective To discuss the effect of conventional and minimally invasive extraction methods on the anxiety level of patients with mandibular obstructed third molars.Methods A total of 414 patients with mandibular impacted third molars extraction from the Department of Oral and Maxillofacial surgery,Stomatology Hospital of Southern Medical University from January to August 2022 were randomly divided into two groups:conventional tooth extraction group and minimally invasive tooth extraction group.The modified dental anxiety scale evaluated the anxiety score before and after operation.Trained doctors or nurses assisted the whole process.Finally,393 valid questionnaires were collected from the same patient before and after operation,with an effective rate of 95%.Results Compared with pre-operation,the number and proportion of anxiety in the minimally invasive tooth extraction group decreased after the operation(P<0.001).The anxiety score of the minimally invasive tooth extraction group was significantly lower than that of the conventional tooth extraction group(9.45±3.18 vs 13.7±2.73,P<0.05).In univariate analysis,the OR of dental anxiety after minimally invasive tooth extraction was 0.108,indicating that minimally invasive tooth extraction was a protective factor for dental anxiety and was significantly negatively correlated with the risk of dental phobia.Conclusion While treating patients with mandibular impacted third molars minimally invasive tooth extraction can significantly reduce patients'anxiety and improve the diagnosis and treatment experience of patients with impacted third molars.

关 键 词：牙科焦虑症 改良Corah牙科焦虑量表 微创拔牙 传统拔牙 

分 类 号：R782.11[医药卫生—口腔医学]