电话访问对正畸治疗初期疼痛的影响

The Effect of Telephone Interview on Initial Pain of Orthodontic Treatment

目的:探讨医生的电话访问对患者正畸治疗初期疼痛的影响,以及对不同人格特征与情绪类型的患者正畸治疗疼痛的影响。方法:根据随机对照原则将120例正畸初诊患者分为两组,依据是否在初始弓丝安放后对其进行电话访问分为电话组和对照组。所有患者均在矫正前完成艾森克人格问卷(EPQ)以确定患者的人格特征和情绪类型,并应用视觉模拟分析法(VAS)评估患者1周内的疼痛强度及变化。结果:电话组在1周内的疼痛强度明显低于对照组,24h时差异有统计学意义(P<0.05),2~6d差异显著(P<0.01)。电话组中,外向型患者疼痛强度明显低于对照组,情绪稳定型患者疼痛强度明显低于对照组,差异有统计学意义(P<0.05)。结论:电话访问对减少患者正畸治疗初期疼痛效果显著,且对外向型和情绪稳定型患者影响更大。

Objective The aim of this study was to discuss the effect of telephone interviewaccess to the pain of patients in the initial stage of orthodontic treatment,and the effect of orthodontic treatment on the patients with different personality traits and emotional types.Methods One hundred and twenty patients were divided into two groups,according to whether have a telephone interview after the initial archwires were placed.All patients were completed eysenck personality questionnaire（EPQ）to determine the patients ＆#39;personality traits and emotional types before treatment,and apply Visual analogue scale（VAS）to assess patients pain intensity and change within a week.Results The pain intensity of the telephone group was significantly lower than that of the control group within one week,the difference was statistically significant at 24h（P〈0.05）,the difference was more significant at 2～6d（P〈0.01）.In the telephone group and the control group,the intensity of pain was significantly lower than that of the control group.The pain intensity of emotional stability was significantly lower than that of the control group,the difference was statistically significant（P〈0.05）.Conclusion Telephone interviews can reduce the patient＆#39;s pain in the initial stage of orthodontic treatment consciously,and play a greater role in patients with extroversion and emotional stability.