艾森克人格因素对正畸中植入微种植体支抗患者焦虑症和疼痛的影响研究

摘要/Abstract

摘要： 目的通过问卷调查了解艾森克人格因素对正畸中植入微种植体支抗患者焦虑症和疼痛的影响，分析正畸治疗过程中植入微种植体支抗的患者的心理反应。方法选择在正畸治疗中接受微种植体支抗植入的患者117例，在微种植体植入前由患者填写艾森克人格问卷（EPQ）,改良牙科焦虑量表（MDAS），并对微种植体植入前、中、后不同时期的疼痛进行视觉模拟评分法（VAS）评分。调查结束后对其结果进行统计分析。结果正畸治疗过程中植入微种植体支抗的患者艾森克人格因素标准分N分与牙科焦虑症呈正相关（P=0.000），与E标准分呈负相关（P=0.000），与P、L标准分无关（P=0.524,P=0.293）。E量表标准分同植入微种植体支抗过程中疼痛得分呈负相关（P=0.000），与P、N标准分呈正相关（P均为0.000）,与L标准分无关（P=0.501）,并对其结果分组进行统计分析，有统计学意义。牙科焦虑症（MDAS≥11）和非牙科焦虑症患者(MDAS＜11)的疼痛总分上有显著差异（P=0.000）。结论正畸治疗中不同人格倾向患者会影响微种植体支抗植入前的焦虑状态及微种植体支抗植入不同时期的疼痛敏感程度。对正畸治疗中需植入微种植体支抗的患者针对其性格特征应进行必要的心理疏导。

关键词: 艾森克人格问卷, 微种植体支抗, 牙科焦虑量表, 疼痛

Abstract: Objective To study the influence of Eysenck personality factors on anxiety and pains in patients with orthodontic microimplant anchorages by questionnaires,and to analyze the psychological reactions of these patients.Methods 117 patients,before treated with orthodontic microimplant anchorages,were investigated by the Eysenck personality questionnaire (EPQ) and modified dental anxiety scale (MDAS).Pains were measured by the visual analogue scale (VAS) during early,intermediate and late periods of the implantation.Data was statistically analyzed after the questionnaire investigation.Results N score of Eysenck personality factors of patients with orthodontic microimplant anchorages was positively correlated with dental anxiety but negatively correlated with E score（P=0.000）,and shared no correlation with P and L standard score（P=0.524,P=0.293）.E standard score was negatively correlated with pain,positively correlated with P and N standard score（P=0.000）,and shared no correlation with L standard score（P=0.501）.There was a significant difference in VAS between patients with dental anxiety (MDAS≥11) and patients without dental anxiety(MDAS<11)(P=0.000).Conclusions Different personalities will affect the state of anxiety and pain sensitivity in different periods of the implantation.To improve the curative effects,proper psychological counseling is needed.

Key words: Eysenck personality questionnaire, microimplant anchorage, dental anxiety scale, pain

中图分类号:

R783.5

张庆陈文静马龙顾鑫宇侯伟林汤毅. 艾森克人格因素对正畸中植入微种植体支抗患者焦虑症和疼痛的影响研究[J]. 口腔医学, 2015, 35(8): 644-648.

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