150例儿童患者拔牙焦虑症的调查

目的调查儿童患者拔牙术前的焦虑状况。方法采用改良的儿童畏惧调查表-牙科分量表（CFSS-DS）和Venham临床焦虑及合作行为级别评定量表对150例患儿拔牙术前焦虑状况进行调查及统计分析。结果口腔卫生状况较差者，既往看牙或拔牙经历痛苦者，拔牙当天精神状态较差者或母亲文化程度较低者的患儿CFSS-DS的评分值和Venham评定级别明显较高，且有统计学意义。逐步回归分析表明：口腔卫生状况与两量表评定的相关关系均最显著（P＜0.01）。两量表的相关性显著（r=0.67）。结论儿童拔牙术前的焦虑状况与其口腔卫生状况、看牙经历、拔牙经历、精神状态及其母亲的文化程度密切相关。口腔卫生状况是影响儿童拔牙术前焦虑水平及术中行为级别最重要的因素。

The prevalence of dental anxiety in 150 children patients before tooth extraction

Objective To determine the prevalence of dental anxiety in children patients before tooth extraction.Methods　A modified Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) and Venham's clinical ratings of anxiety and cooperative behavior were used in 150 children patients ranging in age from 5 to 12 years olds before tooth extraction. The former scale was answered by parents on behalf of their children, and the latter ratings was assessed by the author. Results　CFSS-DS scores and clinical ratings of behavior of the children were significantly higher in the children whose oral hygiene condition, dental experience, tooth extraction experience, spirit status on that day and whose mother's educational background were bad or low. A step regression analysis showed that oral hygiene condition had most significant interrelationship with both of the two scales（P＜0.01）. The correlation of the two scales was high (r=0.67).Conclusion　Children’s oral hygiene condition, dental experience, tooth extraction experience, spirit status on that day and their mother’s educational background are closely related to the dental anxiety level. Oral hygiene condition is the most important predictor of anxiety level before extraction and clinical ratings of behavior during extraction.