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茉莉香薰疗法在儿童牙科手术中的抗焦虑作用:一项单盲随机安慰剂对照试验

Anxiolytic Effect of Jasmine Aromatherapy in Pediatric Dental Procedures: A Single-Blinded Randomized Placebo-Controlled Trial.

作者信息

Jafarzadeh Samani Mehdi, Ziaei Sanaz, Monjezi Niloofar, Fazaeli Razieh, Sedaghat Nahad, Panahi Hesam, Mortazavi Shahrzad

机构信息

Dental Research Center, Department of Pediatric Dentistry, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Student Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Front Dent. 2024 Oct 15;21:39. doi: 10.18502/fid.v21i39.16731. eCollection 2024.

Abstract

The aim of the present investigation was to evaluate the possible anxiolytic effect of jasmine aromatherapy in pediatric dental procedures. A parallel randomized single-blinded placebo-controlled clinical trial was designed and conducted from February 19 until April 19, 2020, on children aged 7 to 12 years-old requiring class 1 restorative treatment of primary or permanent tooth with infiltration anesthesia. Interventions were defined as 15 minutes of aromatherapy using 2mL of jasmine extract for the intervention group, and with water for the control group. Outcomes were defined as child's anxiety and pain perception, measured by modified child dental anxiety scale (MCDAS), visual analogue scale (VAS) and changes of vital signs. After the patients received interventions based on their groups, their data was collected and analyzed. We used parametric tests and linear regression for outcome comparisons. 56 patients were randomized and allocated in two groups, 28 to each. The groups did not differ significantly regarding age, sex, heart rate and O2 saturation before, during, and after procedures. Based on multivariable regression, the intervention group showed a significantly reduced MCDAS (B (95% CI) =-2.11 (-4.09, -0.13), P=0.04) and VAS (B (95% CI) =-2.30 (-3.50, -1.10), P<0.001) scores. Jasmine aromatherapy showed to be effective in reducing children's anxiety and pain perception during dental procedures and therefore, can be suggested as a cheap and practical complementary method in dental practice.

摘要

本研究的目的是评估茉莉花香薰疗法在儿童牙科手术中可能产生的抗焦虑作用。2020年2月19日至4月19日,针对7至12岁需要对乳牙或恒牙进行I类修复治疗并采用浸润麻醉的儿童,设计并开展了一项平行随机单盲安慰剂对照临床试验。干预措施定义为:干预组使用2mL茉莉提取物进行15分钟的香薰疗法,对照组使用水。结果定义为通过改良儿童牙科焦虑量表(MCDAS)、视觉模拟量表(VAS)以及生命体征变化来衡量儿童的焦虑和疼痛感知。患者按组接受干预后,收集并分析他们的数据。我们使用参数检验和线性回归进行结果比较。56名患者被随机分为两组,每组28人。两组在手术前、手术期间和手术后的年龄、性别、心率和血氧饱和度方面无显著差异。基于多变量回归分析,干预组的MCDAS得分(B(95%置信区间)=-2.11(-4.09,-0.13),P=0.04)和VAS得分(B(95%置信区间)=-2.30(-3.50,-1.10),P<0.001)显著降低。茉莉花香薰疗法在减轻儿童牙科手术期间的焦虑和疼痛感知方面显示出有效性,因此,可以作为一种廉价且实用的辅助方法在牙科实践中推荐使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c011/11586644/65fde2e73c44/FID-21-39-g001.jpg

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