在3至6岁儿童中进行口内局部麻醉期间对两种主动分心技术的比较评估:随机对照试验
Preethi Mahalakshmi Vijayakumar1, Basil M Mathew1, Nasreen Banu1
1Department of Pediatric and Preventive Dentistry, Vinayaka Mission's Sankarachariyar Dental College (Deemed to be University), Salem, Tamil Nadu, India.
International journal of clinical pediatric dentistry
|September 24, 2025
概括
手眼口分心技术 (HEM-DT) 在局部麻醉期间有效减少儿童的焦虑和疼痛. 这种方法被证明优于压力球和简单的沟通对于儿科牙科患者.
科学领域:
- 儿科牙科 儿科牙科
- 行为科学 行为科学
背景情况:
- 当地麻醉的施用经常会引起儿童的焦虑.
- 行为管理策略对于减轻这种焦虑至关重要.
- 积极分心技术为改善患者体验提供了一个有希望的方法.
研究的目的:
- 为了比较手-眼-嘴分心技术 (HEM-DT) 与压力球和简单的沟通在小学前儿童局部麻醉期间管理焦虑和疼痛的有效性.
主要方法:
- 一项随机对照试验涉及180名学龄前儿童 (3-6岁),分为三个组:控制 (通信),压力球分心和HEM-DT.
- 使用面部图像尺度 (FIS) 测量焦虑,使用Wong-Baker面部疼痛评分尺度 (WBFPRS) 测量疼痛,通过脉率测量生理反应.
- 用差异分析 (ANOVA) 分析数据.
主要成果:
- 在HEM-DT组显示了统计学上显著的减少焦虑得分 (前与后FIS,p=0.014).
- 与其他组相比,HEM-DT组的儿童的脉率较低.
- 与压力球和沟通组相比,HEM-DT在疼痛感知 (WBFPRS) 中显示出显著的差异.
结论:
- 手眼口分心技术 (HEM-DT) 比压力球或沟通更有效,可以减少幼儿口内局部麻醉期间的焦虑和疼痛.
- 对于小儿牙医来说,HEM-DT是一个有价值的工具,可以帮助他们管理与针相关的恐惧和疼痛.
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