颌面部软组织创伤不同缝合法患者的心理比较

Psychological comparision of patients with soft tissue injuries in oral and maxillofacial region by different kinds of suturing

目的探讨颌面部软组织创伤后进行皮内缝合与普通对位缝合对患者心理的影响。方法选择颌面部软组织创伤患者200例,按随机表分成 A、B 两组,分别进行皮内缝合与普通对位缝合,于术前、术后1周、术后1个月、术后3个月用医院焦虑-抑郁情绪测定表(HAD)测定患者的心理,评估两种治疗方法对患者心理的影响。结果术后1周及1个月内,采用皮内缝合治疗组,有抑郁-焦虑情绪的患者数较普通对位缝合治疗组少,两者差异有统计学意义(P<0.05),而术前及术后3个月,两者差异均无统计学意义。结论皮内缝合法对颌面部软组织创伤患者的心理影响较小,是较为理想的缝合方法。

Objective To evaluate the psychological situations of patients with soft tissue injuries in oral and maxillofacial region by different kinds of suturing.Methods A total of 200 patients were selected and randomly divided into two groups.Group A received intradermic suture while group B underwent para- position suture.All patients were evaluated by hospital anxiety and depression(HAD)scales pre-suture,after one week,one month and three months.Results The HAD total scores of group B were significantly high compared with group A(P<0.05)after one week and one month,while there was no difference between group A and group B pre-suture and three months later.Conclusions Intradermic suture results in less psychological influence in patients with soft tissue injuries in oral and maxillofacial region.