对不同缓解疼痛的方法对儿童在局部麻醉期间的牙焦虑和疼痛感知进行比较评估:临床研究
Saumya Goyal1, Megha Patel2, Rohan Bhatt2
1Department of Pediatric and Preventive Dentistry, Karnavati School of Dentistry, Surat, Gujarat, India.
International journal of clinical pediatric dentistry
|January 9, 2025
概括
通过皮肤进行的电神经刺激 (TENS) 疗法有效地减少了儿童在牙科局部麻醉期间的疼痛和焦虑. 在处理手术不适方面,TENS的表现优于冷疗法 (EXOCOOL) 和局部麻醉凝.
科学领域:
- 儿科牙科 儿科牙科
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 局部麻醉剂注射是儿童在牙科手术期间恐惧和焦虑的主要来源.
- 有效的疼痛管理对于儿童患者的成功牙科干预至关重要.
- 术前的干预措施,如局部麻醉剂,冷治疗和TENS,可以改变疼痛感知.
研究的目的:
- 为了比较低温治疗,2%的可卡因凝和TENS在儿童局部麻醉期间减少疼痛感知效果.
- 评估这些方法对儿科患者在牙科治疗期间的焦虑和疼痛的影响.
主要方法:
- 一项随机临床试验,涉及75名年龄在4-8岁的儿童患者,需要局部麻醉.
- 干预措施包括外部冷疗法 (EXOCOOL),口内2%的林戈卡因凝或口外TENS治疗.
- 疼痛和焦虑被评估使用面部,腿部,活动,哭泣和安慰 (FLACC) 尺度,视觉模拟尺度 (VAS) 和Venham的图像测试,以及脉率和SpO2测量.
主要成果:
- 与局部麻醉凝 (p = 0.003) 相比,TENS疗法在FLACC尺度上显示了疼痛得分的统计显著降低.
- 与局部麻醉凝相比,冷疗法 (EXOCOOL) 在VAS尺度上导致疼痛得分显著降低.
- 虽然TENS和冷疗法都显示出好处,但TENS在FLACC尺度上显示出优异的疼痛减轻.
结论:
- 穿皮电神经刺激 (TENS) 疗法是儿童牙科患者在局部麻醉期间缓解疼痛和焦虑的最有效方法.
- 与冷疗法 (EXOCOOL) 和局部麻醉凝相比,TENS疗法显示出更高的疗效.
- 这些发现支持使用TENS作为一种有价值的辅助,用于在接受需要局部麻醉的牙科治疗的儿童中管理程序性疼痛和焦虑.
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