牙列缺损患者种植术前的焦虑水平对术后疼痛感受的影响

发布时间：2018-06-10 03:45

本文选题：牙列缺损 + 种植义齿　；参考：《南方医科大学学报》2014年04期

【摘要】：目的探讨牙列缺损患者的种植术前焦虑水平对术后疼痛感受的影响。方法临床随机选取80例牙列缺损种植义齿修复的患者,在种植手术前完成状态-特质焦虑量表(STAI)、修正版牙科焦虑量表(MDAS)的填写,术后即刻采用视觉模拟评分(VAS)和现时疼痛强度问卷(PPI)对患者的疼痛感受进行测评,分析术前状态焦虑、特质焦虑、牙科焦虑与术后VAS评分的相关性,将状态-特质焦虑量表的测评分数分为3组。L组:为较少的或没有焦虑组(20~37);M组:为适中的焦虑组(38~44);H组:为较高的或极度的焦虑组(45~80),研究不同状态焦虑和特质焦虑水平对术后疼痛感受的影响。结果种植术前的状态焦虑、特质焦虑、牙科焦虑评分之间均有显著的正相关关系(P0.01),种植术后的VAS评分与术前的特质焦虑评分之间存在显著的正相关关系(P0.01),不同特质焦虑水平分组之间的VAS评分差异具有统计学意义(P0.01),H组的VAS评分,高于M组和L组(P0.05)。结论牙列缺损患者种植术前的特质焦虑水平与术后的疼痛感受具有一定的相关性,临床上应对术前的焦虑状况加以重视。
[Abstract]:Objective to investigate the effect of preoperative anxiety on postoperative pain in patients with dentition defect. Methods 80 patients with dental dentition defect were randomly selected to complete StateTrait anxiety scale (STAI) and modified Dental anxiety scale (MDAS) before implant operation. Visual analogue scale (VAS) and the present pain intensity questionnaire (PPI) were used to evaluate the patients' pain perception immediately after operation. The correlation between preoperative state anxiety, trait anxiety, dental anxiety and postoperative VAS score was analyzed. The scores of the status-trait anxiety scale were divided into three groups: group L: less anxiety group or no anxiety group: 2037m group; moderate anxiety group; high or extreme anxiety group; study of different state anxiety and trait anxiety. The effect of different levels on postoperative pain perception. Results State anxiety, trait anxiety before implantation, There was a significant positive correlation between dental anxiety scores and post-implantation VAS scores. There was a significant positive correlation between post-implantation VAS scores and preoperative trait anxiety scores (P 0.01). There were significant differences in VAS scores among groups with different levels of trait anxiety. The VAS score of P0.01H group was statistically significant. It was higher than that of M group and L group (P 0.05). Conclusion the level of trait anxiety in patients with dental dentition defect before implantation has a certain correlation with postoperative pain, so we should pay more attention to the anxiety before implantation.
【作者单位】：南方医科大学附属口腔医院;广东省口腔医院;
【基金】：广东省科技计划项目(2008B030301186) 广州市海珠区科普计划项目KP2012(T)-1
【分类号】：R783.6

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