Jones C M, Heidmann J, Gerrish A C
Department of Dental Public Health, West Pennine Health Authority, England.
Int J Paediatr Dent. 1995 Jun;5(2):81-5. doi: 10.1111/j.1365-263x.1995.tb00169.x.
Three hundred and eight children aged 3-16 years (mean age 10.2), who were undergoing routine dental treatment, recorded on visual analogue scales their ratings of pain associated with injection and treatment. The injection pain scores were examined for their relationship to age, gender, time taken to administer the injection and injection type. The treatment pain scores were compared between groups who had teeth either extracted or restored, and between groups assessed by the operator as having total or partial anaesthesia. A significant inverse correlation was found between subjective injection pain and injection duration. The difference in treatment pain scores was significant between groups assessed by the operator as having total or partial anaesthesia. Inferior dental nerve blocks were rated significantly more painful than buccal infiltrations. Age, gender, and the operative procedure performed had no statistically significant relationship to the injection pain scores or treatment pain scores. The visual analogue pain scale was found to be unsuitable for use by children under 7 years of age.
308名年龄在3至16岁（平均年龄10.2岁）、正在接受常规牙科治疗的儿童，用视觉模拟量表记录了他们与注射及治疗相关的疼痛评分。对注射疼痛评分进行了检查，以确定其与年龄、性别、注射所用时间及注射类型之间的关系。比较了拔牙组和补牙组之间以及被操作者评估为完全麻醉或部分麻醉组之间的治疗疼痛评分。发现主观注射疼痛与注射持续时间之间存在显著的负相关。被操作者评估为完全麻醉或部分麻醉组之间的治疗疼痛评分差异显著。下牙槽神经阻滞的疼痛评分显著高于颊部浸润。年龄、性别及所进行的手术操作与注射疼痛评分或治疗疼痛评分无统计学上的显著关系。发现视觉模拟疼痛量表不适用于7岁以下儿童。
