孕期认知行为治疗对口腔疾病和焦虑症的影响

目的评价认知行为治疗在孕期口腔保健干预，以及孕妇对疼痛焦虑情绪的有效性。方法采用随机对照的的方法，将2011年6月-2012年6月在合肥市妇幼保健院产检并自愿接受孕期口腔保健的80名孕妇作为观察组，此组接受认知行为治疗干预；随机选择同期在该院产检并自愿接受孕期口腔保健的80名孕妇作为对照组，该组不接受认知行为治疗干预。采用综合性医院焦虑／抑郁量表（HAD）以及孕期口腔疾病的发展结果对照表对两组孕期焦虑和121腔保健进行评估。结果孕36-37周时观察组焦虑发病率明显低于对照组，观察组孕期口腔疾病控制率达92％，明显高于对照组的75％。结论认知行为治疗能有效缓解孕妇对口腔疾病及疼痛的焦虑，运用认知行为效法配合临床治疗效果优于单纯治疗。

Effect of cognitive behavioral therapy on oral health care and anxiety during pregnancy

Objective To evaluate the effectiveness of cognitive-behavioral therapy to oral health care, as well as anxiety relieve effect during pregnancy. Methods Using randomized controlled method, 80 pregnant women who went to Hefei Maternal and Child Health Hospital for check-ups and voluntaring accepted oral health care during pregnancy were selected into intervention group, taking cognitive behavior therapy. Over the same period the other 80 pregnant women in the same hospital check-ups and voluntary for oral health care were selected as the control group, in which participants did not receive cognitive behavior therapy. We used the Hospital Anxiety/De pression Scale （HAD）as well as the development of oral disease during pregnancy to assess pregnancy anxiety and oral health between 2 groups. Results The incidence of anxiety in the intervention group was significantly lower than that of control group during 36-37 weeks of pregnancy. Oral disease control rate was 92% in the intervention group,which significantly higher than 75% in the control group. Con clusions Cognitive behavior therapy can effectively relieve pregnant women＇ s anxiety about oral disease and pain. It is an effective way to combine it with clinical therapy.