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穴位按压对儿童牙科焦虑症的疗效

Effectiveness of Acupressure on Dental Anxiety in Children.

作者信息

Avisa Priyanka, Kamatham Rekhalakshmi, Vanjari Kalasandhya, Nuvvula Sivakumar

机构信息

Private practice, Chennai, Tamil Nadu, India.

Associate professor, in the Department of Pedodontics and Preventive Dentistry, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India;, Email:

出版信息

Pediatr Dent. 2018 May 15;40(3):177-183.

Abstract

PURPOSE

Acupressure is a non-invasive variant of acupuncture and is known to reduce general anxiety. The purpose of this study was to test acupressure's effect on children's dental anxiety.

METHODS

Eight- to 12-year-old children undergoing scaling and/or restorative procedures were randomly assigned to one of the following groups: acupressure (Group 1); sham (Group 2); or control (Group 3). Anxiety was recorded for all the children using the Modified Child Dental Anxiety scale (MCDAS). Acupressure beads with a piece of adhesive strip were employed over the selected acupoints for groups one and two. Anxiety was further recorded for all the children prior to and after completion of the treatment using MCDAS. The Frankl scale was used as the objective measure to assess the behavior of all the children. A physiologic parameter (pulse rate) was also recorded. The scores obtained from all the three groups were tabulated, compared, and analyzed statistically.

RESULTS

A significant difference was found in MCDAS, pulse rate, and the Frankl behavior ratings among the three groups of children, with acupressure group displaying a lower level of anxiety.

CONCLUSION

Acupressure can be a viable alternative to reduce dental anxiety in children undergoing scaling and restorative procedures.

摘要

目的

指压疗法是针灸的一种非侵入性变体,已知其可减轻一般焦虑。本研究的目的是测试指压疗法对儿童牙科焦虑的影响。

方法

将接受洗牙和/或修复治疗的8至12岁儿童随机分为以下几组之一:指压组(第1组);假指压组(第2组);或对照组(第3组)。使用改良儿童牙科焦虑量表(MCDAS)记录所有儿童的焦虑情况。第1组和第2组在选定的穴位上使用带有一条粘胶条的指压珠。在治疗完成前后,使用MCDAS进一步记录所有儿童的焦虑情况。使用弗兰克尔量表作为客观指标来评估所有儿童的行为。还记录了一个生理参数(脉搏率)。将三组获得的分数制成表格,进行比较并进行统计学分析。

结果

三组儿童在MCDAS、脉搏率和弗兰克尔行为评分方面存在显著差异,指压组的焦虑水平较低。

结论

对于接受洗牙和修复治疗的儿童,指压疗法可能是减轻牙科焦虑的一种可行替代方法。

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