上前牙全瓷冠贴面修复前后患者心理状况变化的研究

摘要/Abstract

摘要： ［摘要］目的评价上前牙美容修复治疗后患者的心理状况变化。方法选择来我院以美容为主诉要求的适合并接受瓷贴面和全瓷冠治疗的患者78例（男29例、女49例）,治疗后对患者进行满意度调查。采用SCL-90问卷对患者初诊时及修复治疗3个月后的心理状况进行研究分析，Spss 13.0软件对所获资料进行均数比较、配对t检验和两独立样本t检验。结果患者对瓷贴面和全瓷冠修复效果的主观满意度分别为97.8%和100.0%。上前牙美容修复患者治疗前SCL-90躯体化、强迫症状、人际关系敏感、抑郁、焦虑、偏执和精神症状均数均高于正常。美容修复3个月后，患者心理状况得到了有效改善，躯体化、强迫症状、人际关系敏感、抑郁、焦虑和偏执改善具有显著性（P<0.05）；其中人际关系敏感、抑郁和焦虑改善效果女性好于男性（P<0.05）。结论瓷贴面和全瓷冠修复具有良好的主观疗效, 患者的心理状况较正常人心理状况差，治疗后心理状况得到明显改善。

关键词: 前牙美学修复，心理状况，SCL-90

Abstract: Objective To study the psychological state of patients before and after treatment with ceramic veneers and all-ceramic crowns using SCL-90 scale. Methods 78 adult patients (29 males, 49 females) who complained about the inaesthetic upper anterior teeth were included in this study. SCL-90 scale was used to analyze and contrast psychological state before and after treatment with ceramic veneers and all-ceramic crowns. Spss 13.0 software was adopted to conduct mean comparison, paired t- test, and two- sample t- test analysis on the information obtained. Results After treatment with ceramic veneers and all-ceramic crowns, patients’ subjective satisfaction reached 97.8% and 100% respectively. Though patients’ mean SCL-90 scores of somatization, enforcement, interpersonal sensitivity, depression, anxiety and paranoia were higher than those of normal people before treatment, their psychological status had improved after three months of esthetic restorations. SCL-90 scores of somatization, enforcement, interpersonal sensitivity, depression, anxiety and paranoia decreased significantly (P＜0.05). Female patients improved better in interpersonal sensitivity, depression and anxiety than male patients(P＜0.05). Conclusion Ceramic veneers and all-ceramic crowns have positive subjective therapeutic effects. The psychological state of patients with inaesthetic anterior teeth is worse than the normal before treatment, but their psychological state can improve significantly after esthetic restorations.

Key words: Anterior teeth, Esthetic restoration, Psychological state

中图分类号:

R783.3

臧爱平张延晓徐庆杨梅. 上前牙全瓷冠贴面修复前后患者心理状况变化的研究[J]. , 2017, 37(8): 729-732.

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