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在6至12岁儿童中使用传统注射器、胰岛素注射器和模拟注射器进行局部麻醉时评估焦虑水平和疼痛感知。

Evaluating anxiety levels and pain perception while administering local anesthesia using conventional, insulin, and deception syringes in 6-12-year-olds.

作者信息

Kohli Neha, Hugar Shivayogi M, Patil Vidyavathi H, Saxena Nivedita, Kadam Krishna S, Karmarkar Sanika

机构信息

Department of Pediatric and Preventive Dentistry, KAHER'S KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

出版信息

J Dent Anesth Pain Med. 2022 Jun;22(3):197-204. doi: 10.17245/jdapm.2022.22.3.197. Epub 2022 May 27.

Abstract

BACKGROUND

Injections are one of the most fear-provoking stimuli in dentistry. Painless administration of an injection is a vital step in alleviating anxiety, which in turn leads to good behavior in children. The aim is to evaluate and compare anxiety levels and pain perception using conventional, insulin, and deception syringes during the administration of local anesthesia in children.

METHODS

Forty-five children aged 6-12 were selected using a standard sample size formula and equally divided into three groups. Local anesthesia was administered using a conventional syringe to Group A participants and an insulin syringe for Group B participants. Group C participants were administered local anesthesia using a deception syringe by showing the patient disposable obturation tips, and eventually a conventional syringe was used for administration of local anesthesia after hiding them from the patient. Anxiety levels were assessed using Venham's Picture Scale and pulse rate at baseline and after administration of local anesthesia. The Wong-Baker Faces Pain Rating Scale was used to assess pain perception after the administration of local anesthesia.

RESULTS

Insulin and deception syringes showed better reduction in anxiety levels and pain perception than conventional syringes, demonstrating a high statistically significant difference.

CONCLUSION

The use of insulin and deception syringes for administration of anesthesia was demonstrated to be effective in alleviating anxiety in children and is therefore recommended as an alternative to conventional syringes.

摘要

背景

注射是牙科治疗中最引发恐惧的刺激之一。无痛注射是减轻焦虑的关键一步,而这反过来又能使儿童表现良好。目的是评估和比较在给儿童进行局部麻醉时,使用传统注射器、胰岛素注射器和欺骗性注射器时的焦虑水平和疼痛感知。

方法

使用标准样本量公式选取45名6至12岁的儿童,并将其平均分为三组。A组参与者使用传统注射器进行局部麻醉,B组参与者使用胰岛素注射器。C组参与者使用欺骗性注射器进行局部麻醉,先向患者展示一次性封闭尖端,然后在患者看不到后最终使用传统注射器进行局部麻醉。在基线和局部麻醉给药后,使用韦纳姆图片量表和脉搏率评估焦虑水平。局部麻醉给药后,使用 Wong-Baker面部疼痛评分量表评估疼痛感知。

结果

胰岛素注射器和欺骗性注射器在降低焦虑水平和疼痛感知方面比传统注射器表现更好,显示出高度统计学显著差异。

结论

使用胰岛素注射器和欺骗性注射器进行麻醉被证明能有效减轻儿童的焦虑,因此推荐作为传统注射器的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9034/9171339/1827abaeb4af/jdapm-22-197-g001.jpg

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