患有牙焦虑的成年患者的治疗结果:一个比较后期研究
Talia Becker1, Mishel Kleinerman Kuperberg1, David Domb2
1Department of Oral Medicine, Israel Defense Forces Medical Corps, Tel Hashomer, Israel.
概括
与行为方法或Diazepam相比,氧化吸入镇静 (NOIS) 显著提高了牙科治疗完成率,并减少了不良结果. 年龄和性别没有影响治疗成功.
科学领域:
- 牙科麻醉学 牙科麻醉学
- 在牙科的行为心理学.
背景情况:
- 牙焦虑是治疗完成的一个重要障碍.
- 药理和行为干预措施用于管理牙科焦虑.
研究的目的:
- 为了比较氧化吸入镇静 (NOIS),行为方法 (BM) 和Diazepam在牙科治疗期间减轻焦虑的有效性.
- 评估不同焦虑管理模式的治疗完成和不良结果.
主要方法:
- 一项比较研究涉及239名患者 (515名牙科记录),年龄在18-53岁之间.
- 患者在NOIS或对照组 (BM/糖尿病) 下接受牙科治疗.
- 分析的结果包括治疗完成率和不良事件,对调整后的分析进行后勤回归.
主要成果:
- 与对照组相比,NOIS显示治疗完成的几率明显更高 (p = 0.014).
- 麻醉失败 (p < 0.001) 和不良结果 (p = 0.005) 在对照组中更为频繁.
- 治疗计划的复杂性显著影响了完成率 (p = 0.03),而年龄和性别没有.
结论:
- 氧化吸入镇静 (NOIS) 是改善牙科治疗结果的卓越方式.
- 与行为方法和Diazepam相比,NOIS有效地减少了焦虑和不良事件.
- 治疗完成受到计划复杂性的影响,而不是患者人口统计学,如年龄或性别.
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