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薰衣草油吸入能否帮助克服儿童的牙科焦虑和疼痛?一项随机临床试验。

Can lavender oil inhalation help to overcome dental anxiety and pain in children? A randomized clinical trial.

机构信息

Faculty of Dentistry, Department of Pediatric Dentistry, Recep Tayyip Erdoğan University, Rize, Turkey.

Faculty of Dentistry, Department of Oral & Maxillofacial Surgery, Recep Tayyip Erdoğan University, Rize, Turkey.

出版信息

Eur J Pediatr. 2020 Jun;179(6):985-992. doi: 10.1007/s00431-020-03595-7. Epub 2020 Feb 6.

Abstract

Aromatherapy with essential oils can be used to relieve children. The aim of this study was to evaluate the correlations between psychological and physiologic findings after lavender oil inhalation among children assigned to undergo tooth extraction. A total of 126 children aged between 6 and 12 years were enrolled in the study. The groups were randomly divided into control and lavender groups. The lavender group inhaled 100% lavender oil for 3 min before the interventions, the control group received no prior application. Psychological assessments were made using face image scale (FIS), Face, Legs, Activity, Cry, Consolability (FLACC) and Wong-Baker pain rating scale (WBS). Physiologic changes were assessed using vital signs evaluations. All parameters were noted prior to applications, after inhalation, anesthesia injection, and tooth extraction. The lavender group showed significant lower anxiety and pain scores after tooth extraction (p < 0.05). Significantly lower levels of blood pressures and a significant pulse rate drop were found after inhalation in the lavender group. A statistically significant increase in heart rate was observed after anesthesia injection and tooth extraction in the control group (p < 0.05).Conclusion: Lavender oil can be preferred as a treatment of choice in routine pediatric dentistry.Trial registration number: NCT04115891 (Lavender Oil Inhalation Help to Overcome Dental Anxiety Among Children)What is Known:• Dental anxiety is the most common factor that causes children to have difficulty with the dentist and their parents during treatment.• Aromatherapy with essential oils can be used to relieve children.What is New:• Aromatherapy with lavender oil relieves the child by reducing the level of anxiety and facilitates dental treatment.• During surgical procedures such as local anesthesia and tooth extraction, lavender oil inhalation decreases pain levels of children.

摘要

芳香疗法使用精油可以缓解儿童的不适。本研究的目的是评估在接受牙齿拔除术的儿童中,薰衣草油吸入后心理和生理发现之间的相关性。共有 126 名年龄在 6 至 12 岁之间的儿童参与了这项研究。将这些儿童分为对照组和薰衣草组,然后随机分组。薰衣草组在干预前吸入 100%薰衣草油 3 分钟,对照组则不进行任何预先处理。通过面部图像量表(FIS)、面部、腿部、活动、哭泣、安抚度(FLACC)和 Wong-Baker 疼痛评分量表(WBS)对心理评估进行评估。通过生命体征评估来评估生理变化。所有参数均在应用前、吸入后、麻醉注射后和拔牙后进行记录。在拔牙后,薰衣草组的焦虑和疼痛评分显著降低(p<0.05)。在吸入后,薰衣草组的血压显著降低,脉搏明显下降。在对照组中,在麻醉注射和拔牙后,心率显著增加(p<0.05)。结论:在常规儿科牙科治疗中,薰衣草油可以作为首选治疗方法。试验注册号:NCT04115891(薰衣草油吸入有助于减轻儿童的牙科焦虑)已知情况:• 牙科焦虑是儿童在治疗过程中与牙医及其父母产生困难的最常见因素。• 芳香疗法使用精油可以缓解儿童的不适。新发现:• 薰衣草油的芳香疗法通过降低焦虑水平来缓解儿童,并促进牙科治疗。• 在局部麻醉和拔牙等手术过程中,吸入薰衣草油可降低儿童的疼痛水平。

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