摘要
目的探究认知行为疗法（CBT）在牙科畏惧症（DF）儿童口腔治疗中的效果。方法从2014年8月~2015年3月龋病患儿中,存在牙科畏惧症患儿中随机选取110例作为研究对象。随机分组法分为观察组和对照组各55例。对照组予以常规龋齿填充治疗,观察组在此基础上结合认知行为疗法治疗,对比两组治疗效果。结果观察组治疗依从性90.91%与成功率94.55%,显著高于对照组的69.09%、72.73%。观察组治疗效果为优58.18%、优良率81.82%,均分别显著高于对照组的38.18%、61.82%。观察组治疗后畏惧度评分与治疗前及对照组治疗后对比,差异均有统计学意义（均P〈0.05）。观察组患儿初诊和复诊的无畏惧率为63.64%、78.18%,显著高于对照组的40.00%、41.82%。且观察组复诊时无畏惧率显著高于初诊。差异均有统计学意义（均P〈0.05）。结论牙科畏惧症患儿实施认知行为疗法治疗,可显著改善患儿畏惧率,提高治疗依从性。安全性高,值得推荐。
Objective To explore the cognitive behavioral therapy （CBT） in disease of dental fear （DF） in the treatment of children＇s oral effect and meaning. Methods From August 2014 - March 2015, I division, in children with dental decay, existed in children with dental fear of disease, 110 cases were randomly selected as the research ob- ject. Randomized divided into observation group （55） cases, control group （55）. Implement routine dental caries filling treatment for control group and Observation group based on the combined with cognitive behavior therapy, to observe the effect of two groups of treatment. Results The observation group treated adherence with 90. 91% success rate was sig- nificantly higher than the control group 69. 09%, 94. 55% and 69. 09%. Observation group the rate of good therapeutic effect for 58.18%, 81.82% significantly higher than that of control group 38. 18% and 61.82%. The observation group after treatment with fear score before treatment and after treatment compared control group, the differences were statistically significant （P 〈 0. 05 ）. Observation group patients was 63.64% , the follow - up 63.64% fear rate was sig- nificantly higher than the control group were 40. 00%, 41.82%. And the observation group had a significantly higher rate of return without fear when to begin, were statistically significant differences （ all P 〈 0. 05）. Conclusions Chil- dren with dental fear disease implementation of cognitive behavior therapy to treat, can significantly improve the rate of children with fear, and improve the treatment adherence. High security is worth to recommend.
出处
《航空航天医学杂志》
2015年第5期638-640,共3页
Journal of Aerospace medicine
关键词
牙科畏惧症
认知行为疗法
口腔
Dental fear of disease
cognitive behavioral therapy
Oral
