放松性音乐应用于缓解复杂阻生智齿拔牙焦虑的效果评价

目的 评价放松性音乐用于缓解复杂阻生智齿拔牙焦虑的效果.方法 选择需在门诊拔除复杂阻生智齿的患者200例,按照随机数字表法分为A组和B组,A组患者术前倾听放松性音乐30 min后再在音乐氛围中拔牙,B组患者门诊常规拔牙;于病情告知后、拔牙前用贝克焦虑量表（BAI）评定患者的心理状态并监测患者的血压、心率、呼吸频率;拔牙后运用视觉模拟疼痛评分法（VAS）对患者术中的疼痛程度进行评分.结果 病情告知后A、B两组患者BAI评分分别为（52.18±10.75）,（52.41±14.08）分,差异无统计学意义（t=0.13,P＞0.05）,但在倾听放松性音乐30 min后,A、B两组患者BAI评分分别为（38.24±6.59）,（54.12±9.95）分,A组优于B组,差异有统计学意义（t=13.31,P＜0.05）;术后A、B两组VAS评分分别为（1.96±0.84）,（3.42±0.91）分,A组优于B组,差异有统计学意义（t=11.79,P＜0.05）.结论 放松性音乐能有效缓解复杂阻生智齿拔除患者的术前焦虑;并能较好地减轻术中的疼痛及不适.

Anxiety effect evaluation of relaxing music applied in complex wisdom teeth extraction

Objective To evaluate the curative effect of relaxing music applied in complex wisdom teeth extraction.Methods A total of 200 patients with complex wisdom teeth were selected and divided into A,B groups,relaxing music was applied in group A 30 minutes before and during teeth extraction,while group B underwent teeth extraction directly.Beck Anxiety Inventory （BAI） and Visual Analogue Scale （VAS） were selected as the measuring tools of anxiety and pain intensity.Parameters including blood pressure （BP）,heart rate （HR） and respiratory rate （RR） were measured before relaxing music application and after.Results After informed their disease condition,the score of BAI of group A and B was （52.18 ± 10.75）,（52.41 ± 14.08）,respectively,and no significant difference was found （t =0.13,P 〉 0.05）.While 30 minutes after they listened to relaxing music,the score of BAI of group A and B was （38.24 ±6.59） and （54.12 ±9.95）,and group A was better than group B,and the difference was statistically significant （t =13.31,P 〈 0.05）.After the operation,the score of VAS in group A was significantly better than that in group B [（1.96 ± 0.84） vs （3.42 ±0.91） ;t=11.79,P〈0.05）].Conclusions Relaxing music could effectively relieve the anxiety and uncomfortable from complex wisdom teeth extraction.