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穴位按摩联合抚触对缓解口腔种植手术患者焦虑及疼痛的效果分析

Analysis of acupoint massage combined with touch on relieving anxiety and pain in patients with oral implant surgery.

作者信息

Qu Jin-Hong, Shou Cheng-Cheng, He Xin, Wang Qin, Fang Yue-Xia

机构信息

Department of Stomatology, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Hangzhou 311300, Zhejiang Province, China.

Department of Software R&D, Hangzhou Broadlink Technology Co, Ltd., Hangzhou 311300, Zhejiang Province, China.

出版信息

World J Psychiatry. 2024 Apr 19;14(4):533-540. doi: 10.5498/wjp.v14.i4.533.

Abstract

BACKGROUND

Oral implant surgery is an effective procedure for artificial implants in missing tooth areas under local anesthesia. Because patients under local anesthesia are conscious during this procedure, compared with general anesthesia-related operations, they are more likely to experience negative emotions, such as anxiety and tension. These emotional reactions result in shivering and chills in the limbs, leading to poor doctor-patient cooperation and even avoidance of treatment. In traditional Chinese medicine, it is believed that acupoint massage regulates blood and Qi, dredge menstruation, and relieve pain, which is beneficial for patients' emotional adjustment; however, there are few related clinical studies.

AIM

To observe the changes in anxiety and pain in patients with oral implant after acupoint massage combined with touch therapy.

METHODS

One hundred patients undergoing oral implantation in our hospital between May 2020 and May 2023 were randomly divided into control and study groups, according to a random number table, with 50 patients in each group. The control group received routine intervention, and the study group received acupoint massage combined with touch on the basis of the control group. Anxiety [assessed using the Modified Dental Anxiety Scale (MDAS)], pain severity, blood pressure, heart rate, and satisfaction were compared between the two groups.

RESULTS

Before intervention, the difference in MDAS score between the two groups was not significant ( > 0.05), while after the intervention, the MDAS scores decreased in both groups compared with those before the intervention ( < 0.05); the MDAS score of the study group was lower than that of the control group, with a statistically significant difference ( < 0.05). The degree of pain in the intervention group was significantly lower than that in the control group ( < 0.05). Before the intervention, there were no significant differences in systolic and diastolic blood pressures or heart rate between the two groups ( > 0.05). The systolic and diastolic blood pressures and heart rate in the intervention group, during and after the intervention, were significantly lower than those in the control group ( < 0.05). The total degree of satisfaction in the study group was significantly higher than that in the control group ( < 0.05).

CONCLUSION

Acupoint massage combined with touch better relieves anxiety and pain in patients undergoing dental implant surgery, improving the perioperative comfort of these patients and ensuring safety and a smooth operation.

摘要

背景

口腔种植手术是在局部麻醉下对缺牙区进行人工种植的有效方法。由于局部麻醉下的患者在手术过程中意识清醒,与全身麻醉相关手术相比,他们更容易出现焦虑和紧张等负面情绪。这些情绪反应会导致肢体颤抖和发冷,从而导致医患合作不佳,甚至回避治疗。中医认为,穴位按摩能调节气血、疏通经络、缓解疼痛,有利于患者情绪调节;然而,相关临床研究较少。

目的

观察穴位按摩结合触摸疗法对口腔种植患者焦虑和疼痛的影响。

方法

选取2020年5月至2023年5月在我院接受口腔种植的100例患者,采用随机数字表法将其随机分为对照组和研究组,每组50例。对照组接受常规干预,研究组在对照组的基础上接受穴位按摩结合触摸疗法。比较两组患者的焦虑程度[采用改良牙科焦虑量表(MDAS)评估]、疼痛程度、血压、心率及满意度。

结果

干预前,两组MDAS评分差异无统计学意义(P>0.05);干预后,两组MDAS评分均较干预前降低(P<0.05),且研究组MDAS评分低于对照组,差异有统计学意义(P<0.05)。干预组疼痛程度明显低于对照组(P<0.05)。干预前,两组收缩压、舒张压及心率差异无统计学意义(P>0.05);干预组干预期间及干预后的收缩压、舒张压及心率均明显低于对照组(P<0.05)。研究组总满意度明显高于对照组(P<0.05)。

结论

穴位按摩结合触摸疗法能更好地缓解口腔种植手术患者的焦虑和疼痛,提高患者围手术期舒适度,确保手术安全、顺利进行。

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