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在牙科治疗期间,对自闭症儿童和健康儿童应用斯诺兹伦分散注意力技术效果的比较评估。

Comparative evaluation of the effect of Snoezelen Distraction Technique on children with Autism and healthy children during dental treatment.

作者信息

Sreenivasan Sanjna K, Lolayekar Nikita, Rai Kavita, Baksi Aishani, Dutta Kripa, R Manju

机构信息

Department of Pediatric and Preventive Dentistry, AB Shetty Memorial Institute of Dental Sciences, NITTE (Deemed to be University), Derlakatte, Dakshina Kannada, Mangaluru, Karnataka, 575018, India.

出版信息

J Oral Biol Craniofac Res. 2025 Nov-Dec;15(6):1440-1447. doi: 10.1016/j.jobcr.2025.08.022. Epub 2025 Sep 3.

Abstract

AIM

To compare the effect of Snoezelen distraction technique (SDT) on children with Autism disorder and healthy uncooperative children during dental treatment.

METHOD

ology: 17 children diagnosed with Autism (Group 1) and 17 uncooperative healthy children (Group 2) requiring dental treatment were considered for the study. The study comprised of two appointments during which physiological and behavioural parameters were recorded. First appointment, dental treatment was done without any distraction and the second appointment with Snoezelen distraction technique (SDT).

RESULTS

In Group 1, there was a statistically significant decrease in mean pulse rate (p < 0.01), mean respiratory rate (p < 0.05) and decrease in the negative behaviour frequencies (p < 0.01) from first to second appointment. In Group 2, there was a statistically significant decrease in the mean pulse rate, respiratory rate values (p < 0.01) and decrease in the negative behaviour (p < 0.05) frequencies from first to second appointment. On comparative evaluation, there was a statistically significant difference seen for the values between the groups (p < 0.05) for the change in respiratory rate with higher values in Group 1. In Appointment 2 there was a statistically significant difference seen in the frequencies between the groups for behaviour (p < 0.01) with a higher frequency for negative behaviour in Group 2 and definitively positive in Group 1.

CONCLUSION

In children with Autism and healthy uncooperative children there was a significant change in both physiological and behavioural parameters on using SDT. The changes in these parameters were statistically higher in children with Autism.

摘要

目的

比较多感官刺激放松疗法(SDT)对自闭症谱系障碍儿童和牙科治疗期间不合作的健康儿童的影响。

方法

选取17名被诊断为自闭症的儿童(第1组)和17名需要牙科治疗的不合作健康儿童(第2组)进行研究。该研究包括两次就诊,期间记录生理和行为参数。第一次就诊时,在无任何干扰的情况下进行牙科治疗,第二次就诊时采用多感官刺激放松疗法(SDT)。

结果

在第1组中,从第一次就诊到第二次就诊,平均脉搏率(p<0.01)、平均呼吸率(p<0.05)有统计学显著下降,负面行为频率降低(p<0.01)。在第2组中,从第一次就诊到第二次就诊,平均脉搏率、呼吸率值有统计学显著下降(p<0.01),负面行为减少(p<0.05)。经比较评估,两组间呼吸率变化值存在统计学显著差异(p<0.05),第1组值更高。在第二次就诊时,两组间行为频率存在统计学显著差异(p<0.01),第2组负面行为频率更高,第1组则明显为积极行为。

结论

在自闭症儿童和不合作的健康儿童中,使用多感官刺激放松疗法(SDT)后生理和行为参数均有显著变化。这些参数的变化在自闭症儿童中在统计学上更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5510/12445563/1632925d2172/gr1.jpg

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本文引用的文献

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Management of Autistic Patients in Dental Office: A Clinical Update.牙科诊所中自闭症患者的管理:临床最新进展
Int J Clin Pediatr Dent. 2018 May-Jun;11(3):219-227. doi: 10.5005/jp-journals-10005-1515. Epub 2018 Jun 1.
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Autism Disorder (AD): An Updated Review for Paediatric Dentists.自闭症谱系障碍(AD):给儿科牙医的最新综述
J Clin Diagn Res. 2014 Feb;8(2):275-9. doi: 10.7860/JCDR/2014/7938.4080. Epub 2014 Feb 3.

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