拔牙焦虑影响因素及中医五行音乐疗法干预拔牙焦虑的临床疗效

Influencing factors of extraction anxiety and clinical effect of five elements music therapy in intervention of extraction anxiety.

目的:探讨拔牙焦虑影响因素,并分析中医五行音乐疗法干预拔牙焦虑的临床疗效。方法:将2018年6月~2019年12月于医院进行拔牙治疗的110例患者作为研究对象。采用问卷调查方式收集患者一般资料,采用单因素和多因素Logistic回归分析拔牙焦虑影响因素。对照组(n=28)采用常规拔牙流程,研究组(n=30)在对照组基础上采用中医五行音乐疗法。比较两组患者干预前后的焦虑变化,并用改良牙科焦虑量表(modified dental anxiety scale,MDAS)和数字评定量表(numeric rating scale,NRS)评分。结果:在110例进行拔牙治疗患者中,拔牙焦虑有58例,发生率为52.73%。女性、口腔卫生情况差、有自身痛苦拔牙史、拔牙前晚休息差、医师治疗态度冷漠、对治疗相关知识了解程度差为拔牙治疗患者焦虑发生的独立危险因素(P<0.05)。干预后研究组患者MDAS评分和NRS评分均较干预前降低,研究组均低于对照组(P<0.05)。结论:接受拔牙治疗的患者大多数存在焦虑状态,中医五行音乐疗法可有效缓解患者焦虑情绪和治疗疼痛。

Objective:To investigate the influencing factors of extraction anxiety and the clinical effect of five elements music therapy in intervention of extraction anxiety.Methods:Totally 110 patients underwent dental extraction in a hospital from June 2018 to December 2019 were enrolled.The control group(n=28)were received routine extraction,and based on this,the study group(n=30)received routine treatment combined with five elements music therapy.The general data of patients were collected by questionnaire,and the influencing factors of extraction anxiety were analyzed by univariate and multivariate Logistic regression.The scores of modified dental anxiety scale(MDAS)and numerical rating scales(NRS)were assessed before and after treatment.Results:The incidence rate of extraction anxiety was 52.73%(58/110).The independent risk factors for anxiety were female,poor oral hygiene,painful extraction history,poor sleep quality before tooth extraction,indifferent attitude of doctors and poor understanding of treatment related knowledge(P<0.05).Both MDAS score and NRS score were increased in two groups after treatment,which was higher in study group than in control group(P<0.05).Conclusion:Patients with tooth extraction suffer various degrees of extraction anxiety.Meanwhile,application of five elements music therapy can effectively alleviate the anxiety and pain degrees,which is worthy of promotion.