牙科焦虑病人在局麻治疗时的心理干预

Psychological intervention of patients with dental anxiety during local anesthesia treatment

目的探索缓解病人的不良情绪,增加局麻治疗时的舒适度的方法。方法通过柯式牙科焦虑量表,选择有明显牙科焦虑症(DA)特质的病人150例(牙科焦虑程度评分>12分)。随机分为两组:75例为实验组,75例为对照组。实验组在改良牙科局麻治疗同时,根据病人主要担心的问题及焦虑程度给予心理辅导,消除顾虑;对照组接受传统局麻治疗。观察并记录两组病人分别在局麻前10min、局麻后即刻、局麻后10min时的牙科焦虑量表(DAS)评分,同时测量并记录血压、脉搏。结果比较对照组,实验组各项指标波动范围不大。结论通过合理使用心理干预,可有效改善病人的牙科焦虑,使更多病人坚持完成治疗。

Objective The method of alleviating the.patients＇ill mood and increasing the level of their comfort during local anesthesia was explored.Methods 150 cases with characteristics of obvious dental anxiety（DA） through Corah＇s Dental Anxiety Scale,DAS,were selected,with their dental anxiety level rated at 12.They were randomly divided into two groups：75 cases as the experimental group and the other cases the control group.While the improved dental local anesthesia was performed,according to the level of the main worrying problems and anxiety,psychological counselling was given to the experimental group with worries eliminated while the control group received the traditional local anesthesia. Dental anxiety scale（DAS）,measurement and recording of blood pressure and pulse of both groups were performed 10 minutes before therapy and after anesthesia.Results Compared with the contral group,each index fluctuating range was not large.Conclusions Dental anxiety can be effectively improved by means of reasonably using psychological intervention to enable more patients to persist in completing the trealment.