心理干预对慢性牙髓炎患者疼痛及焦虑抑郁情绪的影响

Effect of Psychological Intervention on Anxiety,Depression and Dental Pain of Pulpitis Patients

目的评价心理干预对牙髓炎患者疼痛及焦虑抑郁情绪的影响。方法将120例慢性牙髓炎患者随机分为观察组与对照组,各60例。对照组患者按常规治疗,观察组患者在常规治疗基础上给予相应的心理干预。共110例患者参与并完成此项研究,其中观察组54例,对照组56例。两组均采用疼痛视觉模拟评分法(VAS)评定患者疼痛严重程度,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评定伴随的焦虑抑郁情绪,并进行比较。结果观察组患者治疗8,12周末的VAS评分、HAMA及HAMD总分均较对照组下降显著(P<0.05)。结论对牙髓炎患者实施综合心理干预,可明显减轻患者的疼痛,缓解抑郁焦虑情绪,值得临床推广。

Objective To investigate the effect of psychological intervention on anxiety,depression and dental pain of pulpitis patients. Methods 120 patients with pulpitis were randomly divided into the observation group and the control group,60 cases in each group. Pulpitis patients were divided into two groups. The control group was treated only with routine therapy,while the observation group was given psychological intervention on the basis of the routine therapy. The dental pain was analyzed by Visual Analogue Scale（VAS）, the anxiety scale was evaluated by Hamilton Anxiety Scale（HAMA）,and the depression scale was evaluated by Hamilton Depression Scale（HAMD）. 110 pulpitis patients （54 cases in observation group and 56 cases in control group which had comparability）finished in this study. Results The total scores of VAS,HAMA and HAMD in the observation group after treatment in 8 and 12 weeks were significantly decreased than in the control group （P 〈 0. 05）. Conclusion Psychological intervention may considerably improve anxiety and depression symptoms and dental pain of the pulpitis patients.