成人根管治疗患者的牙科焦虑症对根管治疗选择及治疗的影响分析(1)
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【摘要】目的：了解成人根管治疗患者的牙科焦虑症(dental anxiety，DA)情况和牙科焦虑症对根管治疗选择及治疗的影响。方法：采用改良牙科焦虑量表(MDAS)对340名成人根管治疗患者进行问卷调查，分析牙科焦虑症情况。并按问卷得分将研究对象分成两组：牙科焦虑症患者和非牙科焦虑症患者，对两组的根管治疗选择情况进行分析，并按组统计不选择根管治疗的原因。在两组选择根管治疗的患者中分别随机抽取30例，测量两组患者不同治疗时期(开髓前、根管预备前、根管充填前)DA水平的变化，进行统计学分析。结果：1、 340名患者中112名(32.94%)具有DA，牙科焦虑症患者只有35.71%(40/112)选择根管治疗，与非DA患者(63.16%,144/228)相比，有显著性差异。2、 DA患者不选择根管治疗的原因以害怕疼痛和害怕断针为主。3 、随着就诊次数的增加，两组患者的DA值均逐渐下降，同一组内治疗前后DA值均有显著性差异(P<0.01)，不同组同一治疗时期牙科焦虑症组DA值高于非牙科焦虑症组，两者相比有显著性差异(P<0.01)。结论：DA患者选择根管治疗者较少，提高患者对根管治疗的认识，减轻患者对根管治疗的焦虑, 可以让更多人选择根管治疗并在治疗中取得更好的效果。
【关键词】牙科焦虑症；根管治疗；调查
Survey of dental anxiety of adult patients with root canal therapy and effects of dental anxiety on root canal therapy and choices
HUANG Yan1,GAO Yi-jun2
【Abstract 】Objective To survey dental anxiety of adult patients with root canal therapy and effects of dental anxiety on root canal therapy and choices. Methods 340 adult patients with root canal therapy were investigated by means of questionnaire on dental anxiety scales. Adult patients with root canal therapy were divided into two groups according to scores of questionnaire. Root canal therapy choices were analyzed and reasons for not choosing root canal therapy were included. 30 adult patientswere selectedrandomly in each group. Root canal therapy were carried on two groups respectively. The change of DA level were measured in patients of two groups during treatment period. The data before and after root canal therapy were analyzed. Results 1 The incidence ratio of DA among 340 adult patients with root canal therapy was 32.94%, 35.71% of DA choosed root canal therapy，63.16% in the other group.There were statistical differences in root canal therapy choices between two groups(P < 0. 01).2 Primary reasons for not choosing root canal therapy were fear of pain and breaking needle.3 The level of DA decreased along with the increasing of treatment frequency.There were statistical difference between differenttreatment period in the DA of same group(P<0.01).There were statistical difference in the DA of the same treatment period between two groups(P <0 ......
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