Montebugnoli L, Pelliccioni G A, Borghi C
Università degli Studi di Bologna.
Prev Assist Dent. 1990 Sep-Oct;16(5):19-26.
The purpose of this study was to record some clinical and psychological parameters in attempt to find out and to estimate patients with abnormal cardiovascular responses during dental therapy. On the basis of psychological questionnaires, used to value anxiety, resulted that patients who have self defined themselves anxious and therefore objectively nervous while in the dental chair, underwent cardiovascular responses significantly lower than those who were not anxious. Among the clinical parameters studied, blood pressure and the heart rate during basic conditions are not able to foresee hemodynamic responses during dental extraction. The only clinical situation able to relate to a corresponding regularity with an hemodynamic response during dental extraction, is the blood pressure determination during a provoked generic mental stress. These findings suggest that cardiovascular response during dental stress depends on the personal individual reaction of each individual.
本研究的目的是记录一些临床和心理参数,试图找出并评估在牙科治疗期间心血管反应异常的患者。基于用于评估焦虑的心理问卷,结果显示,那些自我定义为焦虑且因此在牙科治疗椅上客观上紧张的患者,其心血管反应明显低于那些不焦虑的患者。在所研究的临床参数中,基础状态下的血压和心率无法预测拔牙过程中的血流动力学反应。唯一能够与拔牙过程中的血流动力学反应呈现相应规律相关的临床情况,是在诱发的一般精神应激期间测定血压。这些发现表明,牙科应激期间的心血管反应取决于每个人的个体反应。