支持性牙周治疗:个别患者对各种专业干预措施的看法
Miriam Cyris1, Leah Kopetzki1, Dominik M Schulte2
1Clinic of Conservative Dentistry and Periodontology, University Hospital Schleswig- Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus B, Kiel, 24105, Germany.
BMC oral health
|January 16, 2026
概括
这项研究探讨了在支持性牙周治疗 (SPT) 期间的心率 (HR) 和电皮反应 (EDR) 等生理压力标志物. 虽然HR因手术的侵入性而有所不同,但没有发现与心理压力的明显联系,尽管药物等因素影响了生命体征.
科学领域:
- 牙周病学和牙科研究
- 心理生理学和应激反应
- 临床试验方法论 临床试验方法论
背景情况:
- 关于长期支持性牙周治疗 (SPT) 期间心理生理反应的证据有限.
- 这项试点研究调查了SPT常规访问期间的患者因素和生理压力标志物 (心率[HR],电皮反应[EDR]).
- 专注于与坚持相关的变量及其与压力指标的关联.
研究的目的:
- 在例行SPT中探索患者相关因素和生理压力标志物之间的关联.
- 检查HR和EDR在不同侵入性的程序集群中的差异.
- 确定社会人口统计学,心理和临床变量与SPT患者应激反应之间的潜在联系.
主要方法:
- 一项对75名患者的横截面调查,SPT坚持≥2年.
- 评估社会人口统计学,心理 (牙科恐惧,创伤,抑郁症) 和临床数据,以及HR和EDR测量.
- 通过使用非参数测试和相关性分析,分析非侵入性,最小侵入性和侵入性程序集群的HR和EDR差异.
主要成果:
- 心率 (HR) 在程序集群中显著不同 (p ≤ 0.001),但电皮反应 (EDR) 没有 (p ≥ 0.075).
- EDR与最少侵入性干预相负相关 (r = -0.423,p = 0.003).
- HR和EDR与药物和一般疾病数量显著相关 (p < 0.001);口腔健康影响概况得分与牙科焦虑相关 (r = 0.233,p = 0.040).
结论:
- 社会人口统计学和治疗因素影响在SPT的坚持.
- HR因程序侵入性而有所不同,但生命体征与心理压力没有明确的关联.
- 需要进一步的研究,以充分理解心理因素和生理反应在长期牙周护理中的相互作用.
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