颌骨囊肿开窗减压术后应用囊肿塞治器患者的牙科焦虑症调查分析

Survey of dental anxiety in jaw cyst patients treated by cyst plug after fenestration decompression

目的对颌骨囊肿开窗减压术后行囊肿塞治器患者的牙科焦虑症患病情况进行调查,并探讨与患者发生牙科焦虑症可能相关的因素。方法选取2012年3月至2014年12月来我院修复科就诊的198例颌骨囊肿开窗减压术后行囊肿塞治器治疗的成人患者进行调查,采用改良牙科焦虑量表(MDAS)评估牙科焦虑症的发生情况,采用SPSS 22.0软件包对所得数据进行统计学分析。结果颌骨囊肿开窗减压术后行囊肿塞治器患者的牙科焦虑症患病率为63.6%(126/198);χ2检验结果显示,各因素组包括性别、年龄、婚姻状况、视觉模拟量表(VAS)等级、是否初诊等的牙科焦虑症患病率的差异具有统计学意义(P<0.05);采用logistic回归分析显示,本次调查的因素组中对牙科焦虑症的危险性较大的因素是性别、年龄、VAS等级、是否初诊;Spearman等级相关分析显示,VAS等级与MDAS分级为低度正相关,总体相关系数有统计学意义。结论颌骨囊肿开窗减压术后行囊肿塞治器患者的牙科焦虑症患病率较高。患者的性别、年龄、婚姻状态、VAS等级、是否初诊与牙科焦虑症的发生有密切关系,患者经历囊肿开窗术疼痛程度与患牙科焦虑症焦虑水平呈正相关。

Objective To analyze the prevalence of dental anxiety in jaw cyst patients treated by cyst plug after fenestration decompression and to discuss its possible correlative factors. Methods A questionnaire survey was conducted among a total of 198 adult outpatients treated by cyst plug after fenestration decompression in our department from Mar. 2012 to Dec. 2014. All patients completed the Modified Dental Anxiety Scale （MDAS） to evaluate the level of dental anxiety and the related factors. The data were analyzed by SPSS 22. 0 software package. Results The prevalence rate of dental anxiety in the outpatients treated by cyst plug after fenestration decompression was 63. 6% （126/198） in the present study; 2~2 test results showed significant differences in the prevalence rates of dental anxiety in regard to the factors of sex, age, marital status, Visual Analogue Scale （VAS） degree, and receiving initial treatment or not（P〈0.05）; Logistic regression analysis demonstrated that the risk factors of dental anxiety included sex, age, VAS degree, and initial treatment or not; and Spearman rank correlation analysis showed a weakly positive correlation between VAS degree and MDAS classification, and the correlation coefficient was statistically significant. Conclusion The prevalence rate of dental anxiety in jaw cyst patients treated by cyst plug after fenestration decompression is high. Dental anxiety is closely associated with sex, age, marital status, VAS degree, and being initial treatment or not; and a positive correlation is found between the cyst fenestration decompression pain degree and the MDAS anxiety level.