心理干预在成人牙科畏惧症拔牙术中临床评价.docVIP

心理干预在成人牙科畏惧症拔牙术中临床评价 　　【摘要】目的 探讨心理干预在成人牙科畏惧症患者拔牙术中的影响。方法 采用改良corahs MDAS量表牙科畏惧症评分法，筛选出93例必需行牙拔除术的牙科畏惧症患者，随机分为干预组和对照组。干预组在行常规拔牙术时给予心理干预，而对照组只进行常规牙拔除术。将两组患者在牙拔除术中的情况用徐立平牙科畏惧症五个等级法分类，并比较两组结果。 结果 在牙拔除中干预组的牙科畏惧症程度明显降低，统计学上有显著差异性（P0.05）.结论 在拔牙术中对成人牙科畏惧症患者施行心理干预能有效缓解或消除患者紧张情绪，有利于手术的顺利进行。心理干预在成人牙科畏惧症患者拔牙术中具有重要意义。 　　【关键词】成人牙科畏惧症拔牙术 心理干预 　　中图分类号：R395文献标识码：A文章编号：1005-0515（2011）2-015-03 　　Clinical evaluation of mental intervention in tooth extraction of adult dental fear. 　　Li Xiuzhu Liu Kune 　　Dali Prefecture Institute of Schistosomiasis Control,Dali , 671000, China 　　【Abstract】Objective To explore the effect of mental intervention in tooth extraction of adult dental fear. Methods By means of modified dental anxiety scale (MADS), 93 adult DF patients who had to be extracted his tooth were selected and divided into intervention group and control group randomly. The psychological intervention as well as regular tooth extraction were applied to the patients in the intervention group. Whereas only regular tooth extraction were used in control group . The two groups occurrence in tooth extraction were divided into five levels based on Xu Li-ping clinical ratings of anxiety. Result In the intervention group ,patients showed lower dental anxiety which was significantly different from that of the control group (P0.05). Conclusion The psychological intervention can reduce or eliminate anxiety, enhance cooperation in patients and doctors, that is conducive to the smooth progress of tooth extraction . Psychological intervention is important in tooth extraction of adult dental fear. 　　【Key words】adult dental fear tooth extraction mental intervention 　　 　　牙科畏惧症（dental fear,DF）又称牙科焦虑症（dental anxiety,DA）是患者对牙科诊治过程中或某些环节产生的紧张情绪和害怕心理[1]。牙科畏惧症分为儿童牙科畏惧症和成人牙科畏惧症两种。当前，我国关于牙科畏惧症的研究主要集中在儿童，成人患者往往被忽略。成人牙科畏惧症患者主要表现为交感神经系统功能亢进，如烦躁不安，面色苍白，心悸，出汗，脉搏加快，血压升高，高声叫喊，甚至躲避或拒绝治疗[2]。由于紧张情绪和害怕心理常使需拔牙患者错过了最佳拔牙时期，高血压患者则有可能导致血压在术中升高，产生严重后果。因此拔牙术中减轻或消除牙科畏惧症患者的焦虑程度显得尤为重要。针对成人牙科畏惧症患者在拔牙术中的不同畏惧对象，采用不同的心理干预使患者由原