儿童牙科治疗术后疼痛和焦虑
Post-operative pain and anxiety related to dental procedures in children.
机构信息
Consultant in Paediatric Dentistry, Dental and Maxillofacial Centre, Bahrain Defence Force.
出版信息
Eur J Paediatr Dent. 2013 Dec;14(4):289-94.
AIM
To determine post-operative pain in children following treatment in the dental chair and its relation to dental anxiety.
METHODS
A group of 125 children, aged 5 to 18 years, attending for dental treatment had their pain recorded post-operatively using the revised version of the Faces Pain Scale (FPS-R) and the Visual Analogue Scale (VAS). Baseline anxiety scores were also recorded using the Modified Child Dental Anxiety Scale (faces) (MCDASf).
RESULTS
The mean MCDASf score was 20.1. Post-operative pain was reported in 62% of children at 2 hours, 51% at 4, and 47% at 6 hours. The surgical subgroup reported the most pain (79%), whereas the conservative treatment for primary teeth group reported the least pain (37%). Anxious patients (MCDASf > = 17) were more likely to report pain than less anxious patients at 2 (p=0.02) and 6 (p=0.03) hours post-operatively.
CONCLUSION
Dental procedures are associated with post-operative pain in children. Anxious patients are more likely to report pain.
目的
评估儿童在牙科椅上接受治疗后的术后疼痛及其与牙科焦虑症的关系。
方法
对 125 名年龄在 5 至 18 岁之间的儿童进行研究，他们在接受牙科治疗后使用修订后的面部疼痛量表（FPS-R）和视觉模拟量表（VAS）记录术后疼痛。同时使用改良儿童牙科焦虑量表（Faces）（MCDASf）记录基线焦虑评分。
结果
平均 MCDASf 得分为 20.1。2 小时后有 62%的儿童报告有疼痛，4 小时后有 51%，6 小时后有 47%。手术组报告的疼痛最多（79%），而乳牙保守治疗组报告的疼痛最少（37%）。在术后 2 小时（p=0.02）和 6 小时（p=0.03），焦虑得分较高（MCDASf≥17）的患者比焦虑得分较低的患者更有可能报告疼痛。
结论
牙科治疗会导致儿童术后疼痛。焦虑的患者更有可能报告疼痛。
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