布洛芬联合表象训练对牙科焦虑症患者正畸疼痛及血浆皮质醇浓度的影响

EFFECTS OF IBUPROFEN COMBINED WITH IMAGERY TRAINING ON ORTHODONTIC PAIN AND PLASMA CORTISOL LEVELS IN PATIENTS WITH DENTAL ANXIETY

目的评价布洛芬联合表象训练对牙科焦虑症患者正畸疼痛及血浆皮质醇浓度的影响。方法选择2015年9月-2017年3月来我科室行正畸治疗的患者138例,根据Excel表格法将患者随机分为观察组和对照组,每组69例。对照组患者给予布洛芬治疗,观察组在布洛芬治疗的同时,增加表象训练,进行心理干预。比较两组安放后2h、1d、2d、3d、4d、5d、6d的VAS评分和SAS评分,治疗前、安放后2h、1d、2d的血浆皮质醇水平和治疗依从性。结果观察组安放后2h、1d、2d、3d、4d、5d、6d的VAS评分低于对照组(P<0.05);观察组安放后2h、1d、2d、3d、4d、5d、6d的SAS评分低于对照组(P<0.05);观察组在治疗前、安放后2h、1d、2d的血浆皮质醇水平低于对照组(P<0.05);观察组治疗依从率为97.10%,高于对照组的88.41%(P<0.05)。结论布洛芬联合表象训练可有效减轻牙科焦虑症患者的正畸疼痛,缓解焦虑症状,降低治疗过程中的应激反应,提高治疗依从性,该疗法有较高的临床应用价值,值得进一步研究。

Objective To evaluate the effect of ibuprofen combined with imagery training on orthodontic pain and plasma cortisol levels in patients with dental anxiety.Methods From September 2015 to March 2017,138 patients with orthodontic treatment in our department were randomly divided into the experimental group and the control group,with 69 patients in each group according to the Excel method.Patients in the control group were treated with ibuprofen, while the experimental group was treated with ibuprofen and increased imagery training and psychological intervention. The VAS scores and SAS scores of 2h, 1D,2D, 3D, 4D, 5D and 6D were compared between the two groups before and after treatment.The levels of plasma cortisol and treatment compliance of 2h,lD and 2D before and after treatment were compared.Results The results showed that the observation group after 2h, 1D, 2D, 3D, 4D, 5D, 6D and VAS were significantly lower than the control group （P〈0.05） ; the observation group after 2h,1D,2D,3D,4D,5D,6D and SAS were significantly lower than the control group （P 〈0.05） ; observation of plasma cortisol levels in treatment group before and after 2h, 1D,2D was significantly lower than the control group （P 〈0.05） ; the observation group treatment compliance rate was 97.10% ,significantly higher than 88.41% in the control group （P〈0.05）.Conclusion Ibuprofen combined imagery training can effectively relieve the pain of orthodontic patients with dental anxiety the relief of anxiety symptoms,reduce the stress response during treatment, improve treatment compliance. This therapy has high clinical value,worthy of further study.