前牙缺失患者种植术前精神因素对术后疼痛及满意度的影响

发布时间：2018-06-04 09:44

本文选题：前牙缺失 + 口腔种植　；参考：《重庆医科大学学报》2017年09期

【摘要】：目的:探讨前牙种植患者术前的精神因素对术后疼痛及满意度的影响。方法:随机选取2013年3月至2015年6月于重庆医科大学附属口腔医院种植科就诊的前牙缺失患者,符合纳入标准自愿选择种植义齿修复前牙缺失的患者92例,术前对其进行症状自评量表(symptom checklist-90,SCL90)和状态-特质焦虑量表(state-trait anxiety inventory,STAI)测评,术后进行痛视觉模拟评分(visual analogue scale,VAS)及自我满意疗效评分,测试每位受试者的精神心理状况,并按患者焦虑程度分组与术后疼痛评分和自我满意评分进行Pearson相关性分析。结果:纳入的前牙缺失患者SCL90总分高于全国常模;单项目分析中,前牙缺失患者与全国常模SCL90单项平均分比较,除焦虑项目得分高出12.9%外,其余项目得分与全国常模差异不明显。按量表得分相关标准分组,不同状态焦虑量表(state anxiety inventory,SAI)分组之间的术后疼痛评分和自我满意评分差异都具有统计学意义(P0.05);不同特质焦虑量表(trait anxiety inventory,TAI)分组之间的术后疼痛评分和自我满意评分差异都具有统计学意义(P0.05),且趋势与SAI一致。种植术前SAI、TAI和焦虑(SCL90)评分之间均有显著的正相关关系,SAI评分与术后疼痛评分(R=0.471,P=0.024)、自我满意(R=0.492,P=0.031)之间存在相关性;TAI评分同样与术后疼痛评分(R=0.528,P=0.041)、自我满意(R=0.573,P=0.047)之间存在相关性。结论:前牙缺失患者种植术前的精神因素与术后疼痛及满意度之间具有一定的相关性,以后研究应该综合必要的影响因素来分析种植修复患者的精神因素,寻找有无体内物质变化,寻找易于推行的干预措施,将有助于加强医患沟通,提高前牙种植修复的临床诊疗质量。
[Abstract]:Objective: to investigate the effect of psychological factors on postoperative pain and satisfaction in anterior dental implant patients. Methods: from March 2013 to June 2015, 92 patients with anterior tooth defect were randomly selected from the Department of Orthodontics, affiliated Stomatology Hospital of Chongqing Medical University. Symptom check list-90 (SCL90) and state-trait anxiety inventory (STAI) were evaluated before operation. Visual analogue scale (VASS) and self-satisfaction score were performed after operation. Pearson correlation analysis was carried out according to the degree of anxiety and postoperative pain score and self-satisfaction score. Results: the total score of SCL90 in the patients with anterior tooth loss was higher than that in the national norm, and in the single item analysis, the average score of the patients with anterior tooth loss was 12.9% higher than that of the national norm SCL90. The other items score and national norm difference is not obvious. According to the relevant criteria of the scale score, There were statistically significant differences in postoperative pain scores and self-satisfaction scores among groups with different state anxiety inventory (SAI), and the difference in postoperative pain scores and self-satisfaction scores between groups with different trait anxiety inventory (TAI) was significant (P < 0.05). All of them had statistical significance (P 0.05), and the trend was consistent with that of SAI. There was a significant positive correlation between SAITAI and anxiety SCL90 (P < 0.05). There was a correlation between SAI score and postoperative pain score (P = 0.471a, P = 0.024, P = 0.492P = 0.031). The score of Tai was also correlated with the postoperative pain score (R0.528P0.041) and self-satisfaction score (0.573P0. 047). Conclusion: there is a certain correlation between psychological factors before implantation and postoperative pain and satisfaction in patients with missing anterior teeth. It is helpful to strengthen the communication between doctors and patients and to improve the quality of clinical diagnosis and treatment.
【作者单位】：重庆医科大学附属口腔医院种植科口腔疾病与生物医学重庆市重点实验室;四川大学口腔疾病研究国家重点实验室;
【基金】：重庆市渝中区科技计划资助项目(编号:20140128) 重庆市卫生局医学科研计划资助项目(编号:2013-2-071)
【分类号】：R782.1

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