Arellano-Cabezas Fernando Jesús, Carranza-Samanez Kilder Maynor
Carrera de Estomatología, Universidad Científica del Sur. Lima, Perú.
Research Group in Dental Sciences, Carrera de Estomatología, Universidad Científica del Sur. Lima,
Rev Cient Odontol (Lima). 2023 Dec 28;11(4):e175. doi: 10.21142/2523-2754-1104-2023-175. eCollection 2023 Oct-Dec.
To determine the relationship between the level of anxiety and the physiological response to invasive dental treatments.
A convenience sample of 180 patients was formed (73 men and 107 women) ≥18 years (range: 18-58) undergoing treatment with local anesthetics from three private dental offices in the city of Lima. Measurements were made before, during and after treatment on anxiety according to the IDARE questionnaire of 40 questions (20 trait and 20 state) and their physiological response was evaluated according to oxygen saturation (OS), pulse and blood pressure (BP) measured. with digital pulse oximeter and blood pressure monitor. The Friedman and Spearman correlation tests were used, working with a value of P<0.05.
Most patients had a medium level of anxiety before dental treatment (state 49.4% and trait 55.6%). OS, pulse and BP increased after application of the anesthetic and decreased at the end of treatment, with significant differences (<0.05). Anxiety scores were significantly correlated only with pulse (state: r=0.238-0.564; trait: r=0.174-0.323) and BP (state: r=0.429-0.699; trait: r=0.312-0.465) (<0.05).
State-trait anxiety had a positive relationship with the physiological dimensions of blood pressure and pulse before dental treatment with local anesthetics.
确定焦虑水平与牙科侵入性治疗的生理反应之间的关系。
选取了180名患者（73名男性和107名女性）作为便利样本，年龄≥18岁（范围：18 - 58岁），来自利马市三家私人牙科诊所，正在接受局部麻醉治疗。根据40个问题的IDARE问卷（20个特质问题和20个状态问题）在治疗前、治疗期间和治疗后对焦虑进行测量，并根据用数字脉搏血氧仪和血压监测仪测量的血氧饱和度（OS）、脉搏和血压（BP）评估其生理反应。使用Friedman和Spearman相关性检验，P值<0.05。
大多数患者在牙科治疗前焦虑水平为中等（状态焦虑为49.4%，特质焦虑为55.6%）。麻醉剂应用后OS、脉搏和血压升高，治疗结束时降低，差异有统计学意义（<0.05）。焦虑评分仅与脉搏（状态：r = 0.238 - 0.564；特质：r = 0.174 - 0.323）和血压（状态：r = 0.429 - 0.699；特质：r = 0.312 - 0.465）显著相关（<0.05）。
在使用局部麻醉剂进行牙科治疗前，状态 - 特质焦虑与血压和脉搏的生理维度呈正相关。
