首页|放松疗法联合音乐干预对阻生牙拔除患者疼痛程度及心理状态的影响

放松疗法联合音乐干预对阻生牙拔除患者疼痛程度及心理状态的影响

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目的 探讨放松疗法联合音乐干预对阻生牙拔除患者疼痛程度及心理状态的影响。方法 以 2022 年 1 月至2023 年 3 月在海军军医大学第二附属医院口腔科门诊确诊为下颌第三磨牙低位阻生且确认需拔除的 76 例患者为研究对象,利用随机数字表法将 76 例患者随机分为观察组和对照组,各 38 例,2 组患者均由同一名副主任医师进行手术,且麻醉及手术方法相同。对照组行常规护理干预,观察组采取常规护理、放松疗法联合音乐护理干预。比较 2 组患者疼痛程度、心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]及心率、收缩压、舒张压的变化。结果 术后观察组疼痛程度轻于对照组,2 组患者比较差异有统计学意义(P<0。05);术后观察组HAMA与HAMD评分均低于对照组,2 组患者比较差异有统计学意义(P<0。05);术中观察组心率、收缩压、舒张压水平均低于对照组,2 组患者比较差异有统计学意义(P<0。05)。结论 放松疗法联合音乐干预方法用于阻生牙拔除患者能获得良好的效果,不仅在很大程度上缓解了患者的疼痛感,而且还减轻了患者的负性情绪,除此之外,还能对患者的血压、心率起到良好的作用,值得临床推广应用。
Effect of relaxation therapy combined with music intervention on pain degree and mental state of patients with impacted tooth extraction
Objective To explore the effects of relaxation therapy combined with music intervention on pain degree and mental state of patients with impacted tooth extraction.Methods A total of 76 patients who were diagnosed with low impacted mandibular third molar and confirmed to be in need of extraction in The Second Affiliated Hospital of Naval Medical University from January 2022 to March 2023 were selected as research objects.The patients were randomly divided into observation group and control group by random number table method,with 38 cases in each group.All the surgeries were operated by the same deputy chief physician.The same anesthesia and operation methods were used.The control group received routine nursing,and the observation group received routine nursing,relaxation therapy and music intervention.The pain degree,mental state(Hamilton anxiety scale[HAMA]and Hamilton depression scale[HAMD]),heart rate,systolic blood pressure and diastolic blood pressure were compared between the two groups.Results Postoperative pain in the observation group was significantly less than that in the control group(P<0.05).The HAMA and HAMD scores in the observation group were significantly lower than those in the control group after surgery(P<0.05).Intraoperative heart rate,systolic blood pressure and diastolic blood pressure in the observation group were significantly lower than those in the control group(P<0.05).Conclusion This intervention method can obtain good outcomes in patients with impacted tooth extraction.It can not only alleviate the pain of patients to a large extent,but also significantly reduce the negative emotions of patients.It can also have good effects on the blood pressure and heart rate of patients,and is worthy of clinical application.

Relaxation therapyMusical interventionImpacted teethPainNegative emotion

杜琴、李冬、王国栋、高昊辰、李慧丽

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200003 上海,海军军医大学第二附属医院口腔科

放松疗法 音乐干预 阻生牙 疼痛 负性情绪

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(5)