负性情绪对牙列缺损患者义齿种植后疼痛的影响

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【目的】探讨负性情绪对牙列缺损患者义齿种植后疼痛的影响。【方法】选取牙列缺损义齿种植的患者90例,采用贝克抑郁量表(Beck Depression Inventory ,BDI)和贝克焦虑量表(Beck Anxiety Inventory , BAI)评定被试者的抑郁和焦虑症状,根据BAI或BDI评分分为情绪异常组和情绪正常组。采用疼痛评定指数(PRI)、现时疼痛强度(PPI)和视觉模拟评分(VAS)对评估术后疼痛,比较两组疼痛情况,并分析牙列缺损患者义齿种植后抑郁、焦虑与疼痛的相关性。【结果】90例患者中抑郁发生率11.1%(10/90),焦虑发生率18.9%(17/90);情绪异常患者义齿种植后疼痛发生率为100%(27/27),显著高于情绪正常患者30.2%(19/63)( P <0.05);情绪异常患者义齿种植后PRI、PPI和VAS评分均显著高于情绪正常患者( P <0.05);情绪异常患者BDI和BAI值与义齿种植后疼痛指标PRI、PPI和VAS呈正相关( P <0.05)。【结论】牙列缺损患者的负面情绪与义齿种植后的疼痛显著正相关,临床上应对具有焦虑、抑郁等不良情绪的患者采取针对性的心理辅助治疗,以提高其临床疗效。“,”[Objective] To explore the correlation of negative emotions with pain after oral planting in den‐tition defect patients .[Methods] From January 2012 to January 2014 ,a total of 90 dentition defect patients underwent dental restorations by implementing denture grown .Beck depression inventory (BDI) and Beck anxiety inventory (BAI) were used for evaluating the depression and anxiety symptoms .Based upon the scores of BDI and BAI ,they were divided into two groups of abnormal and normal emotions .BAI score greater than or equal to 45 points was deemed as anxiety positive and BDI score greater than or equal to 45 points as depres‐sion positive .And the scales of pain rating index (PRI) ,present pain intensity (PPI) and visual analogue score (VAS) were used for evaluating postoperative pain in both groups .The correlations of depression ,anxiety and pain were analyzed in dentition defect patients after oral planting .[Results] Among them ,depression ( n =10 ,11 .1% ) and anxiety ( n=17 ,18 .9% ) were recorded .The incidence of pain was 100% (27/27) after oral planting in dentition defect patients with abnormal emotions .It was markedly high than 30 .2% (19/63) in nor‐mal mood patients ( P<0 .05);after oral planting ,the scores of PRI ,PPI and VAS were all markedly higher in patients with abnormal emotions ( P<0 .05);the values of BDI and BAI were positively correlated with the pain parameters of PRI ,PPI and VAS after oral planting in patients with abnormal emotions ( P < 0 .05) .[Conclusion] The negative emotions were markedly positively correlated with pain after oral planting in denti‐tion defect patients .And clinicians should target psychological assistance for such negative emotions as anxiety and depression to boost clinical efficacies .
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