音乐缓解正畸治疗性疼痛的临床研究

目的 探讨音乐对正畸治疗性疼痛的缓解作用。方法 根据随机对照原则将初戴固定矫治器的165例患者分为音乐组和空白组，音乐组采用音乐干预正畸性治疗疼痛，空白组不采用任何干预疼痛的措施。应用视觉模拟评分法（VAS）评估受试者的正畸治疗性疼痛强度，并分析受试者的年龄、性别、情绪及人格对音乐缓解正畸疼痛效果的影响。结果 有效调查率为85.45％。音乐组的正畸治疗性疼痛低于空白组（P<0.05）。音乐组和空白组中情绪不稳定患者较情绪稳定患者疼痛明显，内向型人格患者较外向型人格患者疼痛明显（P<0.05）。音乐组中女性患者较男性患者疼痛明显（P<0.05）。结论 音乐对正畸治疗性疼痛的缓解有较好的效果。音乐缓解正畸治疗性疼痛男性优于女性，外向型人格优于内向型人格，情绪稳定者优于不稳定者。

Clinical research of music in relieving orthodontic pain

Objective To discuss the effect of music in relieving pain during orthodontic treatment. Methods One hundred and sixty-five cases who wore arches the first time were selected and treated. These patients were randomly divided into two groups：Music group and blank group. The music intervention was used in reducing orthodontic treatment pain, while blank group experienced no intervention measures. Visual analogue scales（VAS） were adopted tor ecord patients’perception of pain, and Eysenck personality questionnaire（EPQ） to evaluate personality traits of all samples. Results In 165 patients, 85.45% were effective. The music group showed significantly less pain than the blank group（P<0.05）. In music and blank group, the pain was stronger in the patients with a tendency of introversion than those with a tendency of extroversion, as well as the irritability ones than steady-minded（P<0.05）. In music group,the pain was stronger in the females than the males（P<0.05）. Conclusion Music helps to relieve pain during orthodontics treatment. The effect of music to relieve the pain during orthodontics treatment for the males are better than that for the females, extroverted personality ones are superior to introversive personality ones, and the steady-minded patients are better than irritability ones.