下颌第三磨牙拔除患者疼痛、焦虑情况与人格特点的相关性分析

Correlation among pain,anxiety and personality traits of patients undergoing impacted mandibular third molar extraction

目的:探讨下颌第三磨牙拔除患者疼痛、焦虑情况及其与人格特点之间的关系。方法:选择85例下颌第三磨牙拔除患者,术前采用改良牙科焦虑量表(modified dental anxiety scale,MDAS)及艾森克人格问卷(Eysenck personality questionnaire,EPQ-RSC)进行调查评分,术后第2天采用视觉模拟疼痛量表(visual analogue scale,VAS)进行评分,分析VAS评分、MDAS评分与人格特点的相关性。采用SPSS 19.0软件包对数据进行统计学分析。结果:85例患者中,轻度疼痛、中度疼痛分别占52.94%与47.06%,轻度焦虑、中度焦虑与重度焦虑分别占61.18%、28.23%、10.59%;轻、中度疼痛患者L、P、E评分比较无显著差异(P>0.05),轻度疼痛患者N评分显著低于中度疼痛患者(P<0.05);不同焦虑程度患者L、P评分比较无显著差异(P>0.05),N评分为轻度<中度<重度(P<0.05),E评分为轻度>中度>重度(P<0.05);相关性分析显示,患者疼痛与神经质之间呈正相关性(r=0.198,P=0.001);焦虑与神经质之间呈正相关性(r=0.205,P<0.001),与内外向之间呈负相关(r=-0.312,P<0.001)。结论:下颌第三磨牙拔除患者均存在一定程度焦虑及术后疼痛,且焦虑情绪与神经质、内外向人格存在显著相关性,疼痛程度与神经质人格特点紧密相关。

PURPOSE:To study the occurrence of pain and anxiety of patients undergoing impacted mandibular third molar extraction,and analyze their correlation with personality traits.METHODS:Eighty-five patients undergoing impacted mandibular third molar extraction were selected as the subjects.Pain visual analogue scale(VAS)scores,modified dental anxiety scale(MDAS)scores and Eysenck personality questionnaire(EPQ-RSC)scores were measured and recorded.The correlation between VAS score,MDAS score and personality traits was analyzed using SPSS 19.0 software package.RESULTS:Among 85 patients,mild and moderate pain accounted for 52.94%and 47.06%respectively.Patients with mild,moderate and severe anxiety accounted for 61.18%,28.23%and 10.59%,respectively.There were no significant differences in L,P or E scores between patients with mild and moderate pain(P>0.05).N scores of patients with mild pain were significantly lower than those with moderate pain(P<0.05).There was no significant difference in L or P scores between patients with different levels of anxiety(P>0.05).The order of N scores of patients with different levels of anxiety from low to high was as follows:mild,moderate,severe(P<0.05).The order of E score from high to low was as follows:mild,moderate,severe(P<0.05).Correlation analysis showed that pain was positively correlated with neuroticism(r=0.198,P=0.001).Anxiety was positively correlated with neuroticism(r=0.205,P<0.001),but negatively correlated with introversion and extroversion(r=-0.312,P<0.001).CONCLUSIONS:Patients undergoing impacted mandibular third molar extraction all have anxiety and postoperative pain,and there is an obvious correlation between anxiety and neuroticism,introversion and extroversion.