在不同类型的牙提取中,术前焦虑,术后不适和术后疼痛之间的关联:一项前性观察性研究
Ramon Cesar Godoy Gonçalves1, Vanessa Carvajal Soto2, Carolina Ruppel2
1Oral and Maxillofacial Surgery Residency Program at University Hospital of Campos Gerais (HUCG), Ponta Grossa, Brazil.
Journal of dental anesthesia and pain medicine
|August 11, 2025
概括
手术前的牙科焦虑增加了手术期间的不适,然后增加了手术后的疼痛. 焦虑并没有直接预测疼痛,而是通过牙提取过程中的不适而间接影响到疼痛.
科学领域:
- 在口腔外科手术.
- 疼痛管理 疼痛管理
- 心理学 心理学 心理学
背景情况:
- 研究了手术前牙科焦虑,手术内不适和术后疼痛之间的关系.
- 在各种牙提取复杂性中检查了这些关联.
研究的目的:
- 了解牙焦虑如何影响牙拔牙期间和之后的患者体验.
- 为了确定焦虑与疼痛关系中的调解因素.
主要方法:
- 预期的观察性临床试验,包括573名接受牙科拔牙的患者.
- 使用了自我报告的焦虑和疼痛量表,以及手术内不适的问卷.
- 在术后第七天评估疼痛.
主要成果:
- 在下第三提取时观察到更高的手术前焦虑.
- 手术的复杂性,持续时间和手术前的焦虑显著影响了手术期间的不适.
- 焦虑通过手术内不适而间接影响术后疼痛;没有发现直接影响.
结论:
- 手术前的焦虑是牙提取期间手术内不适的重要因素.
- 在手术期间的不适会调解焦虑和术后疼痛之间的关系.
- 患者人口统计和手术因素与焦虑相互作用,塑造整体的手术体验.
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