儿童固定正畸治疗与疼痛的相关分析

The relationship between orthodontic treatment and pain for children

目的:分析固定正畸治疗后患儿的疼痛情况,以期指导正畸的临床工作和术后护理。方法:随机选取335例进行固定矫治器治疗的儿童患者,采用视觉模拟评分法(VAS)在治疗后2h、6h、夜间、24h、2d、3d及7d分别测量其术后疼痛情况,进行评分及统计分析。结果:正畸治疗2h后疼痛开始加重,其后24h内疼痛程度于夜间达到最高水平,第2d开始疼痛减轻,第7d基本恢复正常状态。咀嚼与否及前后牙的疼痛情况基本相似。结论:VAS法可有效分析儿童接受正畸治疗后的疼痛情况,为医生临床工作和治疗后护理提供有益的指导。

Objective： To evaluate perceived pain intensity and discomfort after the placement of fixed orthodontic appliance in adolescent patients. Method： 335 adolescent patients were studied in this study.Visual analogue scale （VAS） evaluation was designed to evaluate the pain intensity after installation of fixed orthodontic appliance. The data had been collected at 2 hours,6 hours, the first evening, 24 hours, day 2,day 3 and day 7. Result：Orthodontic pain started 2 hours after bonding. Peak pain occurred between nighttime and 24 hours after archwire placement. Pain started to decrease after day 2 and reached a minimum at day 7. Conclusion： VAS evaluation is an effective method to analysis the response of chil- dren for orthodontic treatment, which provides a guide for further treatment and daily care.