摘要
目的研究心理暗示法用于慢性牙周炎治疗期焦虑抑郁情绪及疼痛管理的临床价值。方法将我院82例慢性牙周炎患者抽签随机分为观察组与对照组,两组均41例。对照组采取常规管理,观察组在对照组基础治疗期间实施心理暗示干预,比较两组治疗期间负性情绪焦虑自评量表(SAS)、抑郁自评量表(SDS)评分差异,并观察两组治疗前后疼痛(VAS评分)及临床疗效指标探诊深度(PD)、临床附着水平(CAL)、龈沟探诊出血(BOP)的改善情况。结果干预前两组SAS、SDS比较差异无统计学意义(P>0.05),两组干预后SAS、SDS评分较干预前显著降低(P<0.05),观察组干预后SAS、SDS评分均显著低于对照组(P<0.05);两组干预前、干预后PD、CAL、BOP比较差异无统计学意义(P>0.05);观察组干预后1周、1月、2月VAS评分与对照组比较均显著较低(P<0.05)。结论心理暗示法有助于改善慢性牙周炎患者治疗期间疼痛及不良情绪,但对临床疗效无明显影响,其用于慢性牙周炎治疗期的疼痛管理具有推广价值。
Objective To study the clinical effect of psychological suggestion therapy on anxiety and depression mood as well as pain on patients with chronic periodontitis. Methods 82 patients with chronic periodontitis were randomly divided into observation group and control group,with 41 cases in each. The observation group received psychological intervention of verbal suggestion and toy transfer during the basic treatment of the control group,while patients in the control group adopted routine management during treatment. The pain(VAS score)and clinical efficacy index,depth of investigation(PD),clinical attachment level(CAL)and gingival bleeding(BOP)were observed and compared before and after treatment between the two groups. Result The difference of SAS and SDS between the two groups before the intervention was not statistically significant(P > 0.05),Scores of SAS and SDS after treatment in all patients declined significantly after treatment(P<0.05),and after treatment,Scores of SAS and SDS in the observation group were significantly lower than those in the control group(P<0.05). There was no significant difference in PD,CAL and BOP between the two groups before and after intervention(P > 0.05).1 week,1 month and 2 months after treatment,the VAS pain scores in the observation group were significantly lower than those in the control group(P<0.05). Conclusion Psychological suggestion therapy can help to release the pain and negative emotions of patients with chronic periodontitis,but it has no significant effect on clinical efficacy.
作者
苏莹
贾兴亚
杨丹
高玉琴
SU Ying;JIA Xingya;YANG Dan(Affiliated Stomatological Hospital of China Medical University,Shenyang 110002,China)
出处
《国际精神病学杂志》
2018年第6期1134-1137,共4页
Journal Of International Psychiatry
关键词
心理暗示
慢性牙周炎
焦虑
抑郁
疼痛管理
Psychological suggestion
Chronic periodontitis
Anxiety
Depression
Pain management
作者简介
第一作者:苏莹(1987.03-),女,辽宁沈阳人,本科,护师,研究方向:口腔护理与牙周牙体疾病的关系;通讯作者:高玉琴(Email:624520858@qq.com)。
