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目的评价布洛芬联合表象训练对牙科焦虑症患者正畸疼痛及血浆皮质醇浓度的影响。方法选择2015年9月-2017年3月来我科室行正畸治疗的患者138例,根据Excel表格法将患者随机分为观察组和对照组,每组69例。对照组患者给予布洛芬治疗,观察组在布洛芬治疗的同时,增加表象训练,进行心理干预。比较两组安放后2h、1d、2d、3d、4d、5d、6d的VAS评分和SAS评分,治疗前、安放后2h、1d、2d的血浆皮质醇水平和治疗依从性。结果观察组安放后2h、1d、2d、3d、4d、5d、6d的VAS评分低于对照组(P<0.05);观察组安放后2h、1d、2d、3d、4d、5d、6d的SAS评分低于对照组(P<0.05);观察组在治疗前、安放后2h、1d、2d的血浆皮质醇水平低于对照组(P<0.05);观察组治疗依从率为97.10%,高于对照组的88.41%(P<0.05)。结论布洛芬联合表象训练可有效减轻牙科焦虑症患者的正畸疼痛,缓解焦虑症状,降低治疗过程中的应激反应,提高治疗依从性,该疗法有较高的临床应用价值,值得进一步研究。
Objective To evaluate the effect of ibuprofen combined with imagery training on orthodontic pain and plasma cortisol concentration in patients with dental anxiety. Methods From September 2015 to March 2017, 138 cases of orthodontic treatment in our department were selected and divided into observation group and control group according to Excel table method, with 69 cases in each group. Patients in the control group were treated with ibuprofen. In the observation group, while ibuprofen was treated, the training of appearance was increased and psychological intervention was performed. The VAS score and SAS score of 2h, 1d, 2d, 3d, 4d, 5d, 6d after PCI were compared between two groups before treatment, 2h, 1d and 2d after PCI, and the treatment compliance. Results The VAS score of observation group at 2h, 1d, 2d, 3d, 4d, 5d and 6d after operation was lower than that of control group (P <0.05). SAS group 2h, 1d, 2d, 3d, 4d, (P <0.05). The level of plasma cortisol in observation group before treatment was lower than that in control group at 2h, 1d and 2d after treatment (P <0.05). The compliance rate in observation group was 97.10%, higher than that in control group 88.41% of the control group (P <0.05). Conclusions Ibuprofen combined with imagery training can effectively reduce the orthodontic pain, relieve the anxiety symptoms, reduce the stress response during treatment and improve the treatment compliance in patients with dental anxiety. The therapy has high clinical value and deserves further study .