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儿科牙科患者新型牵引方法的评估:一项观察者盲法、随机、平行组、优效性临床试验。

Evaluation of a Novel Distraction Method in Paediatric Dental Patients: An Observer-Blinded, Randomised, Parallel-Group, Superiority Clinical Trial.

作者信息

Sukhbirsingh Oberoi Ashmeetkaur, Khanna Richa, Singh Rajeev Kumar, Ansari Afroz Alam, Arya Amit, Bhattacharjee Abhisek

机构信息

Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences, King George's Medical University, Lucknow, India.

Department of Psychiatry, King George's Medical University, Lucknow, India.

出版信息

Int J Paediatr Dent. 2025 Sep;35(5):923-931. doi: 10.1111/ipd.13307. Epub 2025 Mar 10.

DOI:10.1111/ipd.13307
PMID:40065573
Abstract

BACKGROUND

The study introduces novel camouflage sleeves for the 'Dental Syringe Camouflage Technique' (DSCT) as a distraction tool to reduce dental anxiety and pain in paediatric patients while evaluating its efficacy.

AIM

To evaluate the efficacy of DSCT using light-/dark-coloured sleeves to reduce needle-associated anxiety and pain in paediatric dental patients.

DESIGN

A single-blinded, randomized clinical trial with 76 children aged 6-9 years, divided into control and experimental groups. The experimental group was further divided based on sleeve colour. Anxiety was assessed using a self-reported scale, and vital signs were monitored. Local anaesthesia (LA) was administered using conventional dental syringes (CoDSs) or camouflaged dental syringes (CaDSs). Postintervention, self-reported pain was also recorded. Data analysis compared groups and pre- and postintervention observations.

RESULTS

A significant reduction in children's self-reported anxiety was observed in the experimental group compared to the control, with no significant differences in perceived pain. Children with lighter sleeves showed a greater decrease in anxiety scores than those with darker ones.

CONCLUSIONS

Camouflage sleeves for LA syringes reduced anxiety during administration but did not significantly impact reported pain. Lighter sleeves were more effective. No significant changes were observed in pulse rate (PR) or blood pressure (BP) with the use of CaDSs.

摘要

背景

本研究引入了用于“牙科注射器伪装技术”(DSCT)的新型伪装套筒,作为一种分散注意力的工具,以减轻儿科患者的牙科焦虑和疼痛,同时评估其疗效。

目的

评估使用浅色/深色套筒的DSCT对减轻儿科牙科患者与针头相关的焦虑和疼痛的疗效。

设计

一项单盲随机临床试验,纳入76名6-9岁儿童,分为对照组和试验组。试验组根据套筒颜色进一步分组。使用自我报告量表评估焦虑,并监测生命体征。使用传统牙科注射器(CoDSs)或伪装牙科注射器(CaDSs)进行局部麻醉(LA)。干预后,还记录自我报告的疼痛。数据分析比较了各组以及干预前后的观察结果。

结果

与对照组相比,试验组儿童自我报告的焦虑显著降低,在疼痛感知方面无显著差异。套筒颜色较浅的儿童焦虑评分下降幅度大于颜色较深的儿童。

结论

用于LA注射器的伪装套筒在给药过程中减轻了焦虑,但对报告的疼痛没有显著影响。较浅颜色的套筒更有效。使用CaDSs时,脉搏率(PR)或血压(BP)未观察到显著变化。

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