摘要
目的评价头戴式影音娱乐系统辅助儿童口腔治疗的临床效果。方法将40例口腔龋齿患儿随机分为口腔窝沟封闭组(S组,n=20)和龋齿充填组(F组,n=20),两组患儿又先后给予影音娱乐系统实施注意力转移法(SI、FI组)或常规方法(SC、FC组)进行治疗,对两种治疗方法的患儿疼痛程度、治疗完成情况、配合程度及满意度进行比较。结果 SC组与SI组间的Houpt评分(5.10±0.97比5.60±0.60,P=0.04)和Frankl评分(3.25±0.79比3.70±0.47,P=0.04)差异有统计学意义,疼痛评分差异无统计学意义(0.40±1.04比0.40±0.82,P=1.00);FC组和FI组间的疼痛评分(3.30±2.18比3.30±2.36,P=0.91)和Houpt评分(4.65±1.04比4.65±0.99,P=0.85)差异无统计学意义,Frankl评分差异有统计学意义(2.25±0.72比2.75±0.79,P=0.03)。S组和F组分别有90%和85%患儿表示如果再次接受同样治疗更愿意佩戴影音娱乐系统。结论头戴式影音娱乐系统可有效转移口腔治疗中的视听觉刺激,在一定程度上增加患儿配合程度,提高治疗舒适度,但该技术对缓解治疗中的疼痛无明显效果。
Objective To evaluate the attention shift effect produced by a video-audio eyewear in pediatric dentistry.Methods Totally 40 children aged 4-7 years were equally randomized into fissure sealant group(group S) and caries filling group(group F).A self-control comparison method was used in each group: each child took two visits to finish the whole study,they received the dental treatment either with normal method(SC,FC) or with attention shift by wearing the video-audio eyewear(SI,FI) for each visit.The degree of pain,accomplishment of treatment,and co-operation were analyzed and compared.Results All children were successfully managed in the whole course.The pain scores were not significantly different between SC group and SI group or between FC group and FI group(P>0.05),while the Frankl scores were significantly different between SC group and SI group(P=0.04) and between FC group and FI group(P=0.03).Houpt scores were significantly different between SC group and SI group(P=0.04),but not between FC group and FI group(P=0.85).Most children(90% in group S) and(85% in group F) expressed the willingness to receive the video-audio eyewear if they were asked to do so again.Conclusions The video-audio eyewear provides satisfactory attention shift for children during dental treatment and increases their cooperation.However,it has little effect on pain relieving.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2010年第3期272-275,共4页
Acta Academiae Medicinae Sinicae
关键词
儿童牙科
行为管理
注意力转移
pediatric dentistry
behavior management
attention shift
