中国实用口腔科杂志

中国实用口腔科杂志 ›› 2012, Vol. 5 ›› Issue (06): 361-363.

• 论著 • 上一篇    下一篇

笑气/氧气吸入镇静技术辅助牙科畏惧症患儿口腔治疗的疗效评价

  

  1. 1.济南市口腔医院儿童口腔科，济南  250001；2.山东省荣军总医院外科，济南  250013
  • 收稿日期:2011-10-13 修回日期:2012-02-14 出版日期:2012-06-15 发布日期:2012-07-20

  • Received:2011-10-13 Revised:2012-02-14 Online:2012-06-15 Published:2012-07-20

摘要： 目的    评价笑气/氧气吸入镇静技术辅助牙科畏惧症患儿口腔治疗的疗效。方法    选择2009年10月至2011年6月来济南市口腔医院就诊，有紧张恐惧情绪，无法完成常规条件下口腔治疗的患儿64 例， 随机分为试验组和对照组，每组32 例。试验组患儿在应用笑气/氧气吸入镇静技术下进行口腔治疗，对照组患儿仅在心理行为诱导下进行口腔治疗。对比两组患儿临床治疗效果及主观焦虑水平与就诊行为改善程度。结果    两组患儿治疗有效率分别为87.5%和62.5%，差异有统计学意义（P＜0.05）。治疗后两组患儿儿童畏惧调查表-牙科分量表（CFSS-DS）平均得分和Venham临床焦虑及合作行为级别评分均降低，试验组下降更明显（P＜0.05）。结论    笑气/氧气吸入镇静技术能够有效缓解患儿就诊中的焦虑恐惧情绪、改善其就诊行为表现，提高患儿口腔治疗的合作性。

关键词: 牙科畏惧症, 儿童, 心理行为诱导, 笑气/氧气吸入镇静技术

Abstract: Objective    To evaluate the effectiveness and safety of IHS in children who suffer from the anxiety and fears during their tooth treatment. Methods    Totally 64 dental fear cases treated in Jinan Stomatologic Hospital who couldn't be treated under normal conditions were chosen as the subject in this study. The cases were divided into two groups：one was experimental group， and the other was control group；32 cases were in each group. Experimental group was treated under the condition of IHS. Control group was treated only under the condition of psychological and behavioral induction. Results     The treatment efficiency between two groups were significantly different（P＜0.05）. The average score of CFSS-DS and level score of Venham clinical anxiety and cooperative behavior were lower than those before treatment；score of experimental group was lower than that of the control group（P＜0.05）. Conclusion    IHS is effective to relieve anxiety and fear，improve behavior and improve cooperative in the oral treatment.

Key words: dental fear, child, psychological and behavioral conduction, nitrous oxide/oxygen inhalation sedation