摘要
目的探讨患者焦虑情绪对牙周基础治疗疗效的影响。方法选取患有中重度牙周炎伴有焦虑情绪的患者30例(焦虑组)和患有中重度牙周炎不伴有焦虑情绪的患者30例(对照组),进行牙周基础治疗。分别在治疗前、治疗后3个月让两组患者都填写焦虑自评量表(self-rating anxiety scale,SAS),并记录SAS分值。同时记录两组治疗前及治疗后3个月牙周临床指数:探诊深度(probing depth,PD)、探诊出血指数(bleeding index,BI)、附着丧失(attachment loss,AL)、菌斑指数(plaque index,PI)以及两组治疗前后PD、BI、AL、PI的变化值。结果对照组和焦虑组在牙周基础治疗后3个月,与治疗前相比,PD(3.13±0.57,3.92±0.45)、BI(1.42±0.22,1.83±0.13)和AL(3.27±0.74,5.16±0.87)都有显著降低,差异有统计学意义(P<0.01),P(I1.12±0.18,1.47±0.23)也有显著降低(P<0.05)。对照组和焦虑组治疗前后的PD、BI、AL的变化值,PD(-3.99±0.23,-2.95±0.12)、B(I-2.01±0.10,-1.57±0.23)、AL(-4.02±0.04,-2.06±0.11)两组间差异有统计学意义(P<0.01)。结论焦虑情绪可能对中重度牙周炎患者的牙周基础治疗效果(治疗前后的PD、BI、AL的变化值)产生负面影响。因此,在中重度牙周炎治疗时应更多关注患者的心理健康状况,对具有焦虑情绪的患者进行必要的心理干预,可能会促进牙周治疗效果的明显提高。
Objective To explore the influence of anxiety on outcomes of initial periodontal treatment. Methods We selected 30 patients with both chronic periodontitis and anxiety as test group, and 30 periodontitis patients without anxiety as control group. Both groups received initial periodontal therapy including scaling and root planning. Anxiety assessment was conducted for each group using Self-Rating Anxiety Scale （SAS） at baseline and 3 months after periodontal treatment. Periodontal parameters such as probing depth（PD）, bleeding index （BI）, attachment loss （AL） and plaque index （PI） were also evaluated. Results At baseline, PD, BI and AL measurements showed no statistical difference in both groups. Three months after initial periodontal therapy, all periodontal parameters significantly improved in both groups compared to baseline level, PD （3.13±0.57,3.92±0.45）, BI （1.42±0.22,1.83±0.13） and AL （3.27± 0.74,5.16±0.87） （P〈 0.01 ）, PI （ 1.12±0.18, 1.47±0.23 ） （P〈 0.05 ）. However, the reduction of PD, BI and AL in test group was significantly less than that in control group, PD （-3.99±0.23, -2.95±0.12） , BI （-2.01±0.10, -1.57±0.23）, AL （-4.02 ±0.04,-2.06±0.11） （P〈0.01）. Conclusion Anxiety may have negative effect on outcomes of initial periodontal therapy. Psychological intervention or consultation may be beneficial to periodontal improvement in anxiety patients.
出处
《现代口腔医学杂志》
CAS
CSCD
2013年第2期85-87,共3页
Journal of Modern Stomatology
