Comparing anxiety levels and patient comfort during single- and double-puncture arthrocentesis.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-07-01 Epub Date: 2021-10-30 DOI:10.1080/08869634.2021.1992211

Fatih Taşkesen, Burak Cezairli

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Abstract

Objective: To compare the comfort and anxiety levels of patients undergoing two different temporomandibular joint (TMJ) arthrocentesis techniques.

Methods: Fifty female patients were randomly assigned into two groups of 25 based on the treatment modality: Group 1, single-puncture Type-1 arthrocentesis (SPA); Group 2, conventional double-puncture arthrocentesis (DPA). Preoperative and postoperative anxiety was scored with the State-Trait Anxiety Inventory-S (STAI-S) questionnaire. Blood pressure and heart rate were assessed preoperatively during the application of local anesthesia and at needle insertion into the joint cavity, the 5th and 10th minute of the procedure, and end of the procedure.

Results: STAI-S scores were lower postoperative than preoperative in both groups. Heart rate and mean arterial pressure were highest during anesthesia and needle insertion (p < 0.005). Changes in heart rate, mean arterial pressure, and STAI-S scores were statistically similar between the groups.

Conclusion: DPA and SPA were tolerated similarly by the patients.

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比较单穿刺和双穿刺关节穿刺过程中的焦虑程度和患者舒适度。

目的比较接受两种不同的颞下颌关节（TMJ）关节腔穿刺术的患者的舒适度和焦虑程度：根据治疗方式将 50 名女性患者随机分为两组，每组 25 人：第 1 组为单穿刺 1 型关节穿刺术 (SPA)；第 2 组为传统的双穿刺关节穿刺术 (DPA)。术前和术后焦虑采用国家-特质焦虑量表-S（STAI-S）问卷进行评分。在术前进行局部麻醉、将针插入关节腔、手术第 5 分钟和第 10 分钟以及手术结束时对血压和心率进行评估：两组患者术后的 STAI-S 评分均低于术前。结果：两组患者术后的 STAI-S 评分均低于术前，麻醉和穿刺过程中的心率和平均动脉压最高（P 结论：两组患者均能耐受 DPA 和 SPA：患者对 DPA 和 SPA 的耐受性相似。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.