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全身麻醉下全口修复后幼儿的牙科不适问卷:随访报告

Dental Discomfort Questionnaire for young children following full mouth rehabilitation under general anaesthesia: a follow-up report.

作者信息

Versloot J, Veerkamp J S J, Hoogstraten J

机构信息

Dept Cariology Endodontology Pedodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, The Netherlands.

出版信息

Eur Arch Paediatr Dent. 2006 Sep;7(3):126-9. doi: 10.1007/BF03262552.

Abstract

AIM

The aim of the present study was firstly to assess the persistence of pain related behaviours of the Dental Discomfort Questionnaire (DDQ) and secondly to complete a follow-up study to assess the effect of dental treatment on pain related behaviours in preschool children.

METHODS

The 9-question DDQ instrument was used to assess dental pain related behaviours in a group of preverbal children. The test-retest analysis questionnaire was filled out twice by 44 parents on behalf of their referred child. For the follow-up study the questionnaire was filled out by 71 parents before and after all dental disease was completed.

RESULTS

A strong correlation for the test-retest was found over a 2 month period before treatment. When the behaviour items were compared independently before and after treatment it appeared that after treatment all but one behaviour (i.e. bite with molar instead of teeth) was displayed less often. Overall, after treatment all children had a lower mean DDQ score.

CONCLUSIONS

Dental treatment of children leads to reduced toothache related behaviours and subsequently to a better quality of life. The DDQ is a sensitive instrument to measure dental discomfort before and after restorative treatment if and when the follow-up period is short. The DDQ can possibly support healthcare providers, teachers and parents in their assessment of toothache in young children.

摘要

目的

本研究的目的一是评估牙科不适问卷(DDQ)中与疼痛相关行为的持续性,二是开展一项随访研究,以评估牙科治疗对学龄前儿童与疼痛相关行为的影响。

方法

采用包含9个问题的DDQ工具,对一组尚不能用言语表达的儿童的牙科疼痛相关行为进行评估。44位家长代表其转诊的孩子,两次填写重测分析问卷。在随访研究中,71位家长在所有牙科疾病治疗完成前后填写问卷。

结果

在治疗前的2个月期间,重测结果显示出很强的相关性。当对治疗前后的行为项目进行独立比较时,发现治疗后除一种行为(即用臼齿咬而不是用牙齿咬)外,其他行为的出现频率均降低。总体而言,治疗后所有儿童的DDQ平均得分较低。

结论

儿童牙科治疗可减少与牙痛相关的行为,进而改善生活质量。如果随访期较短,DDQ是一种在修复治疗前后测量牙科不适的敏感工具。DDQ可能有助于医疗服务提供者、教师和家长评估幼儿的牙痛情况。

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