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下颌阻生第三磨牙手术后疼痛感知及术后满意度的性别差异——一项对比研究

Gender Difference in Pain Perception and Post-surgery Satisfaction Following Impacted Mandibular Third Molar Surgery - A Comparative Study.

作者信息

Panwar Shreya, Devadoss Pradeep, Ponvel Keerthana, Tangutur Srinisava Prasad

机构信息

Department of Craniomaxillofacial Surgery, Mazumdar Shaw Medical Center, Bangalore, Karnataka, India.

Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India.

出版信息

Ann Maxillofac Surg. 2025 Jan-Jun;15(1):2-8. doi: 10.4103/ams.ams_106_24. Epub 2025 Mar 24.

Abstract

INTRODUCTION

Dental anxiety, often a result of fear or lack of information, leads to many adults avoiding dental treatment. It is crucial for dental practitioners to assess patients' anxiety levels for quality care and post-operative recovery. The study aimed to compare patient perceptions of pain, anxiety, stress levels and satisfaction with clinical outcomes in surgical extractions of impacted mandibular third molars, using the Visual Analogue Scale and Amsterdam Pre-operative Anxiety and Information Scale.

METHODS AND MATERIALS

This prospective, clinical, comparative study was performed from June 2017 to February 2020. The study sample enclosed 60 patients - 30 males and 30 females of age ranging from 18 to 51 years. The parameter was assessed and measured for both groups and compared for the results and statistical analysis.

RESULTS

The study used IBM SPSS Statistics 16.0 for statistical analysis. Comparisons were made between groups for maximal mouth opening, extra-oral swelling, anxiety scale, pain perception and dental visit satisfaction. Intra-group comparisons were made using repeated measure analysis of variance and Bonferroni's test. Dental visit satisfaction was also compared. Statistical significance was determined at a < 0.05.

DISCUSSION

The study found that patient satisfaction was similar for both groups, but female patients experienced higher anxiety and swelling scores compared to male patients. The results suggest that surgeons should educate patients about surgical procedures and related complications.

摘要

引言

牙科焦虑通常是恐惧或信息缺乏的结果,导致许多成年人回避牙科治疗。对于牙科从业者来说,评估患者的焦虑水平对于优质护理和术后恢复至关重要。本研究旨在使用视觉模拟量表和阿姆斯特丹术前焦虑与信息量表,比较患者对下颌阻生第三磨牙手术拔除术中疼痛、焦虑、压力水平的感知以及对临床结果的满意度。

方法与材料

本前瞻性、临床、对比研究于2017年6月至2020年2月进行。研究样本包括60名患者,年龄在18至51岁之间,其中男性30名,女性30名。对两组患者的参数进行评估和测量,并对结果进行比较和统计分析。

结果

本研究使用IBM SPSS Statistics 16.0进行统计分析。对两组患者的最大张口度、口外肿胀、焦虑量表、疼痛感知和牙科就诊满意度进行了比较。组内比较采用重复测量方差分析和邦费罗尼检验。还比较了牙科就诊满意度。以P<0.05确定统计学显著性。

讨论

研究发现,两组患者的满意度相似,但女性患者的焦虑和肿胀评分高于男性患者。结果表明,外科医生应向患者介绍手术过程及相关并发症。

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