儿童牙科恐惧症的临床调查分析

A Clinical Investigation of Children's Dental Phobia

目的对360例口腔疾病患儿就诊时的行为表现及引起恐惧症的相关因素进行调查和分析,为临床治疗儿童恐惧症提供依据。方法依据牙科恐惧症评判标准,对360例口腔疾病患儿进行系统评估,对牙科恐惧症患儿的发病因素及防治措施进行总结分析。结果不同年龄患儿牙科恐惧症发生率不同,年龄越小发生率越高,差异有统计学意义(P<0.01);独生子女与非独生子女牙科恐惧症发生率不同,差异有统计学意义(P<0.01);气质类型不同,牙科恐惧症发生率不同,差异有统计学意义(P<0.01)。陌生治疗环境、以往的牙科治疗经历及父母的文化程度等,都可引起牙科恐惧症的发生。结论儿童牙科恐惧症的发生由多方面因素造成,临床上需要针对不同因素,采取有针对性的措施。

OBJECTIVE The behaviors of 360 children in their treatment of oral diseases and the factors resulting in phobia were inves- tigated to provide a basis for clinical treatment of children phobia. METHOD 360 cases of children with oral diseases were systemati- cally evaluated according to the evaluation criteria of dental phobia. Meanwhile, the pathogenic factors, and controlling and prevent- ing measures of children dental phobia were analyzed. RESULTS Children at different ages presented varied incidence rates of dental phobia. The younger the age was, the higher the incidence rate was. The differences are statistically significant（P〈0.O1）; the inci- dence rates of the only and non-only children are different, as well as children with different temperament types, and the difference are also statistically significant（P〈0.01）; other factors such as new environment, experiences in dental treatment and educational level of parents could induce dental phobia as well. CONCLUSIONS The children dental phobia could be caused by many factors. Therefore, some specific measures need to be taken in clinical treatment based on different factors.