减少小儿牙医的牙焦虑的非药物干预:一个网络元分析
Xiangrong Kong1, Ning Song1, Lulu Chen1
1Department of Stomatology, Shenzhen Children's Hospital, Shenzhen, Guangdong, 518000, China.
BMC oral health
|September 28, 2024
概括
音乐是减少儿童牙焦虑的顶级干预措施,而催眠最好用于降低牙手术期间的心率. 需要进一步的研究来确认.
科学领域:
- 儿科牙科 儿科牙科
- 心理学 心理学 心理学
- 基于证据的实践.
背景情况:
- 儿童牙焦虑是儿科牙科的一个重要问题.
- 非药物干预通常用于在牙科治疗期间管理焦虑.
- 评估这些干预措施的比较有效性对于临床实践至关重要.
研究的目的:
- 系统地审查和网络分析非药物干预措施减少儿童牙科焦虑的有效性.
- 评估这些干预措施在儿科牙科治疗期间对心率的影响.
主要方法:
- 在多个数据库 (PubMed,Embase等) 中进行全面的系统搜索. 在2024年8月1日之前进行.
- 包含的随机对照试验 (RCT) 用Cochrane协作工具对偏见进行了评估.
- 网络元分析 (NMA) 使用R和Stata软件进行,以比较牙科焦虑和心率的干预措施.
主要成果:
- 国家药物管理局分析了61项研究,其中有6113名参与者 (年龄为4-16岁),检查了12项干预措施.
- 音乐在减少牙科焦虑方面表现出最高的有效性 (SUCRA:93.60%),其次是芳香疗法和游戏.
- 催眠对降低心率最有效 (SUCRA:98.80%),其次是音乐和放松技巧.
结论:
- 建议音乐作为治疗儿童牙焦虑的首要干预措施.
- 催眠可能是儿童牙科手术期间控制心率的首选干预措施.
- 由于文章数量有限,需要进一步进行高质量的初级研究来证实这些发现.
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