比较单次和双次穿刺关节抽吸术期间的焦虑水平和患者舒适度。
Comparing anxiety levels and patient comfort during single- and double-puncture arthrocentesis.
机构信息
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Erzincan Binali Yildirim University, Erzincan, TURKEY.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ordu University, Ordu, TURKEY.
出版信息
Cranio. 2024 Jul;42(4):372-378. doi: 10.1080/08869634.2021.1992211. Epub 2021 Oct 30.
OBJECTIVE
To compare the comfort and anxiety levels of patients undergoing two different temporomandibular joint (TMJ) arthrocentesis techniques.
METHODS
Fifty female patients were randomly assigned into two groups of 25 based on the treatment modality: Group 1, single-puncture Type-1 arthrocentesis (SPA); Group 2, conventional double-puncture arthrocentesis (DPA). Preoperative and postoperative anxiety was scored with the State-Trait Anxiety Inventory-S (STAI-S) questionnaire. Blood pressure and heart rate were assessed preoperatively during the application of local anesthesia and at needle insertion into the joint cavity, the 5th and 10th minute of the procedure, and end of the procedure.
RESULTS
STAI-S scores were lower postoperative than preoperative in both groups. Heart rate and mean arterial pressure were highest during anesthesia and needle insertion ( < 0.005). Changes in heart rate, mean arterial pressure, and STAI-S scores were statistically similar between the groups.
CONCLUSION
DPA and SPA were tolerated similarly by the patients.
目的
比较两种不同颞下颌关节（TMJ）关节穿刺技术的患者舒适度和焦虑水平。
方法
根据治疗方式将 50 名女性患者随机分为两组，每组 25 名：组 1，单次穿刺 1 型关节穿刺术（SPA）；组 2，常规双穿刺关节穿刺术（DPA）。使用状态-特质焦虑量表-S（STAI-S）问卷对术前和术后的焦虑进行评分。在应用局部麻醉和关节腔内进针时、进针后第 5 分钟和第 10 分钟以及手术结束时评估血压和心率。
结果
两组患者的 STAI-S 评分均低于术前。心率和平均动脉压在麻醉和进针时最高（<0.005）。组间心率、平均动脉压和 STAI-S 评分的变化无统计学差异。
结论
DPA 和 SPA 均可被患者耐受。
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