口腔种植修复术后患者疼痛感受的现状及其影响因素  

Status quo of pain perception of patients after oral implant repair and influencing factors

作　　者：展欣[1] 童昕[2] 俞青[1] ZHAN Xin;TONG Xin;YU Qing(Department of Oral Prosthodontics,Stomatological Hospital Affiliated to Medical School of Nanjing University,Nanjing 210008;Department of Oral Implantology,Stomatological Hospital Affiliated to Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属口腔医院口腔修复科,南京210008 [2]南京大学医学院附属口腔医院口腔种植科,南京210008

出　　处：《临床与病理杂志》2023年第6期1143-1149,共7页Journal of Clinical and Pathological Research

摘　　要：目的:探究行口腔种植修复术后患者疼痛感受的现状并分析影响患者疼痛程度的危险因素,为临床采取措施减轻患者口腔种植术后疼痛程度提供参考依据。方法:随机抽取南京大学医学院附属口腔医院口腔种植科2022年9至12月行口腔种植术的患者200例,采用自行编制的问卷调查患者的一般资料及术中、术后护理情况,术前使用修正版牙科焦虑量表(Modified Dental Anxiety Scale,MDAS)评估患者的焦虑程度,术后使用视觉模拟量表(Visual Analogue Scale,VAS)评分法测量患者术后0、6、24、48、72 h的疼痛程度,分析患者种植术后疼痛感受的现状;根据术后6 h疼痛评估结果将患者分为轻度疼痛组与中重度疼痛组,分析影响患者疼痛程度的危险因素。结果:大部分患者术后为轻度疼痛,6 h达到中重度疼痛的人数最多,随着时间的延长,疼痛程度减轻,至48 h仅少部分患者仍有中重度疼痛。χ^(2)检验显示:不同疼痛程度的患者在术中冲洗液温度、手术时长、是否进行健康宣教以及有无牙科焦虑症等方面差异有统计学意义(均P<0.05),多因素logistic回归分析显示:手术时长、冲洗液温度、健康宣教和牙科焦虑症是口腔种植术后患者发生中重度疼痛的危险因素。结论:术后6 h左右中重度疼痛患者例数占比最高,手术时长、冲洗液温度、健康宣教和牙科焦虑症可能是患者术后6 h发生中重度疼痛的独立危险因素,应积极采取针对性措施,降低患者口腔修复种植术后的疼痛程度或预防术后发生疼痛。Objective:To explore the status quo of pain perception of patients after oral implantation repair and analyze the risk factors affecting the degree of pain,so as to provide reference for clinical measures to reduce the degree of pain after oral implantation.Methods:A total of 200 patients who underwent oral implantation from September to December 2022 in the Department of Oral Implantation at Stomatological Hospital Affiliated to Medical School of Nanjing University were randomly selected.The general information and intraoperative and postoperative care of patients were investigated by selfcompiled questionnaire.The Modified Dental Anxiety Scale(MDAS)was used to assess anxiety status of patients before the surgery.The Visual Analogue Scale(VAS)was used to measure the degree of pain of patients at 0,6,24,48,and 72 h after the surgery,and to analyze the status quo of patients’pain perception after the implantation.Patients were divided into a mild pain group and a moderate to severe pain group according to the results of pain evaluation at 6 h after the surgery,and the risk factors affecting the degree of pain were analyzed.Results:Most of the patients had mild pain right after the operation,and the number of patients with moderate to severe pain reached the highest after 6 h.The degree of pain decreased with time.Only a small number of patients still had moderate to severe pain after 48 h.Theχ^(2) test showed that the temperature of the flushing fluid applied intraoperatively,operation duration,health education,and preoperative dental anxiety had significant effect on patients’pain perception(all P<0.05).Multivariate logistic regression analysis showed that operation duration,intraoperative temperature of the flushing fluid,health education,and preoperative dental anxiety were independent risk factors on pain perception after oral implantation.Conclusion:The number of patients with moderate to severe pain is the highest at 6 h after the surgery,and operation duration,temperature of the flushing fluid,health e

关 键 词：口腔种植 疼痛 牙科焦虑 影响因素 

分 类 号：R783.6[医药卫生—口腔医学]