不同年龄重度婴幼儿龋治疗时机选择分析

目的:探讨急性、非急性期就诊对不同年龄幼儿牙科焦虑的影响,完善针对焦虑儿童的行为管理。方法:选取3～7岁初次就诊,乳磨牙龋坏儿童192人。每年龄组48人,分别分为实验组、对照组。实验组为急性期就诊患儿,对照组为非急性期患儿。CFSS-DS量表评估患儿治疗前、后及复诊畏惧程度;Venham量表评估初、复诊就诊行为变化。数据进行统计学分析。结果:全年龄段实验组患儿治疗前后CFSS-DS量表评分差值比较,有统计学意义(P＜0.05),对照组无统计学意义。全年龄段实验组患儿初、复诊就诊行为Venham量表评分差值比较,有统计学意义(P＜0.05);对照组无统计学意义。结论:恰当治疗可稳定或改善患儿牙科焦虑,随年龄增长急性期就诊患儿焦虑程度改善更显著。

Analysis on the Timing of Treatment for Heavy Caries in Children with Different Ages

Objective: To investigate the effects of treatment at acute or non-acute period on the dental anxiety in children with different ages, and to improve the behavior management of children with dental anxiety. Methods: One hundred and ninety-two children aged 3-7 years with primary molars caries were divided averagely into 4 groups, 2 experimental groups (with acute symptom) and 2 control groups (with non-acute symptom) on their first visiting. The change of the children fear was assessed before the first treatment, after the first treatment, and subsequent visit by CFSS-DS. The change of children's clinical behavior was evaluated in their first and return visit by Venham Clinical Anxiety and Cooperation Behavior Measurement Scale. Results: Before and after the treatment, the CFSS-DS average scores of the experimental group were statistical significance (P<0.05), which was not statistical different from the control group. On their first and return visit, the behavior of the experimental group was statistical different (P<0.05) by Venham Clinical Anxiety and Cooperation Behavior Measurement Scale, however, there was not statistical difference in the control group. Conclusion: Children dental anxiety could be stabilized and improved by proper treatment, and the improvement of the patients who took treatment during the acute stage was more remarkable.