牙列缺损患者种植术前的焦虑水平对术后疼痛感受的影响.PDF

·528 · doi 10.3969/j.issn. 1673-4254.2014.04.19 J South Med Univ, 2014, 34(4): 528-531 临床研究 牙列缺损患者种植术前的焦虑水平对术后疼痛感受的影响牙列缺损患者种植术前的焦虑水平对术后疼痛感受的影响 刀俊峰，章锦才，宋光保，信 琪 南方医科大学附属口腔医院//广东省口腔医院，广东 广州 510280 摘要：目的探讨牙列缺损患者的种植术前焦虑水平对术后疼痛感受的影响。方法 临床随机选取80例牙列缺损种植义齿修复 的患者，在种植手术前完成状态-特质焦虑量表（STAI）、修正版牙科焦虑量表（MDAS）的填写，术后即刻采用视觉模拟评分 （VAS）和现时疼痛强度问卷（PPI）对患者的疼痛感受进行测评，分析术前状态焦虑、特质焦虑、牙科焦虑与术后VAS 评分的相关 性，将状态-特质焦虑量表的测评分数分为3 组。L 组：为较少的或没有焦虑组（20~37）；M 组：为适中的焦虑组（38~44）；H 组：为 较高的或极度的焦虑组（45~80），研究不同状态焦虑和特质焦虑水平对术后疼痛感受的影响。结果 种植术前的状态焦虑、特质 焦虑、牙科焦虑评分之间均有显著的正相关关系（P0.01），种植术后的VAS 评分与术前的特质焦虑评分之间存在显著的正相关 关系（P0.01），不同特质焦虑水平分组之间的VAS评分差异具有统计学意义（P0.01），H组的VAS评分，高于M组和L组（P0.05）。 结论 牙列缺损患者种植术前的特质焦虑水平与术后的疼痛感受具有一定的相关性，临床上应对术前的焦虑状况加以重视。 关键词：牙列缺损；种植义齿；状态-特质焦虑量表；牙科焦虑症 Effect of preoperative anxiety level on postoperative pain sensation in patients receiving implant denture for partial edentulism DAO Junfeng, ZHANG Jincai, SONG Guangbao, XIN qi Affiliated Stomatological Hospital of Southern Medical University, Guangdong Provincial Stomatological Hospital, Guangzhou 510280, China Abstract: Objective To explore the effect of preoperative anxiety level on postoperative pain sensation in partially edentulous patients undergoing surgery for implant denture. Methods Eighty partially edentulous patients receiving implant denture were examined for preoperative anxiety level using State Trait Anxiety Inventory (STAI) and Modified Dental Anxiety Scale (MDAS) questionnaires before implantation surgery. The Visual Analogue Scale (VAS) and Present Pain Intensity (PPI) Questionnaire were used to assess the pain sensation in patients immediately after the operation. The correlations of preoperative state anxiety, trait anxiety, and dental anxiety with postoperative VAS score were analyzed. According to the assessment results of STAI, the patients were divided into lit