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笑气(氧化亚氮)与小儿牙科的催眠疗法。

Nitrous oxide and hypnotherapy in paediatric dentistry.

机构信息

Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio" Chieti-Pescara, Chieti (CH), Italy.

Department of Psychological, Health, and Territorial Sciences, University "G. d'Annunzio", Chieti-Pescara, Chieti (CH), Italy.

出版信息

Eur J Paediatr Dent. 2023 Sep 1;24(3):229-237. doi: 10.23804/ejpd.2023.1932.

Abstract

AIM

Patient compliance is of paramount importance for proper dental treatment, which can be difficult to achieve in children due to anxiety and fear, hindering the therapeutic procedure. In addition to well-known sedation methods (pharmacological and nitrous oxide), further methods of approach are being tested, such as hypnotherapy.

MATERIALS

The sample consisted of 150 children (90 males, 60 females). Paper questionnaires, frequency meter, nitrous oxide dispenser in association with the use of the television were exploited. At the end of treatment, subjective pain was assessed using the VAS scale, while objective pain was assessed using the FLACC scale and heart rate. This made it possible to compare two experimental groups, one treated with nitrous oxide, and the other with hypnotherapy. The control group was treated with classic behavioural approach techniques. The results obtained were analysed by SPSS Software (Statistical Package for Social Science, version 27) and the inferences between the results were calculated for confirmation.

CONCLUSION

Hypnotherapy can be a valid substitute for nitrous oxide in paediatric dentistry.

摘要

目的

患者的配合对于恰当的牙科治疗至关重要,但由于儿童的焦虑和恐惧,这可能难以实现,从而阻碍了治疗过程。除了众所周知的镇静方法(药理学和一氧化二氮)外,还在测试其他方法,如催眠。

材料

样本由 150 名儿童(90 名男性,60 名女性)组成。使用问卷调查表、频率计、与电视联用的一氧化二氮分配器。治疗结束时,使用 VAS 量表评估主观疼痛,使用 FLACC 量表和心率评估客观疼痛。这使得可以比较两个实验组,一个使用一氧化二氮治疗,另一个使用催眠治疗。对照组采用经典行为方法。使用 SPSS 软件(社会科学统计软件包,版本 27)分析获得的结果,并计算结果之间的推论以进行确认。

结论

催眠可以作为儿童牙科中一氧化二氮的有效替代品。

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