不同镇痛方法对局麻过程中儿童牙病焦虑及疼痛感知的临床研究。

Q3 Dentistry International Journal of Clinical Pediatric Dentistry Pub Date : 2024-11-01 Epub Date: 2024-12-19 DOI:10.5005/jp-journals-10005-2956
Saumya Goyal, Megha Patel, Rohan Bhatt, Lilavanti Vaghela, Rupal Vadher, Kaksha Choksi
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引用次数: 0

摘要

背景:当涉及到减少儿童的恐惧,焦虑和不适在牙科手术中,大量的局部麻醉提供促进充分的干预。在牙科手术中,局部麻醉注射是患者最期待或最害怕的刺激。局部麻醉注射前,局部麻醉、冷冻疗法和经皮神经电刺激(TENS)应用于口腔黏膜可以改变儿童的疼痛感觉。目的:比较冷冻治疗、2%苯佐卡因凝胶和TENS治疗在儿童局麻(LA)给药过程中减轻疼痛感知的效果。材料和方法:本随机临床试验选取了75例4 ~ 8岁需要LA进行牙科治疗的儿童患者。他们接受体外冷冻治疗(EXOCOOL), 2%利多卡因局部凝胶(口服),或治疗区域外口服TENS治疗。一名对研究不知情的儿科牙医评估了面部、腿部、活动、哭泣和安慰(FLACC)(主观方法)、脉搏率和SpO2,并指示患者使用视觉模拟量表(VAS)评估他们在注射过程中的痛苦程度,并使用Venham’s Picture Test评估焦虑程度。采用Wilcoxon和Mann-Whitney U检验进行统计分析。结果:EXOCOOL组VAS疼痛评分(3.80分)明显低于表面麻醉凝胶组(4.08分)。与表面麻醉凝胶组(3.72)相比,TENS组在FLACC量表上的疼痛评分也有所降低(2.84),差异有统计学意义(p = 0.003)。结论:根据我们对LA治疗期间儿童疼痛和焦虑缓解的研究,我们发现TENS治疗的效果最高,在缓解疼痛方面超过EXOCOOL和LA凝胶。如何引用本文:Goyal S, Patel M, Bhatt R等。不同镇痛方法对局麻过程中儿童牙病焦虑及疼痛感知的临床研究。中华儿科杂志;2009;17(11):1265-1271。
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Comparative Evaluation of Different Pain-alleviating Methods on Child's Dental Anxiety and Pain Perception during Local Anesthesia Administration: A Clinical Study.

Background: When it comes to reducing children's fear, anxiety, and discomfort during dental procedures, substantial local anesthetic delivery promotes adequate intervention. In the dental operatory, local anesthetic injections are the most anticipated or feared stimuli. The application of topical anesthetics, cryotherapy, and transcutaneous electrical nerve stimulation (TENS) to the oral mucosa prior to local anesthetic injections can alter pain perception in children.

Aim: To compare the efficacy of cryotherapy application, 2% benzocaine gel, and TENS therapy at reducing pain perception during local anesthesia (LA) administration in pediatric patients.

Materials and methods: In this randomized clinical trial, 75 pediatric patients between 4 and 8 years of age who needed LA for dental treatment were selected. They received cryotherapy (EXOCOOL) externally, 2% lignocaine topical gel (intraorally), or TENS therapy extraorally on the area of treatment. A pediatric dentist blinded to the study assessed Faces, Legs, Activity, Cry, and Consolability (FLACC) (subjective method), pulse rate, and SpO2, and patients were instructed to use a visual analog scale (VAS) to rate their distress during injection and Venham's Picture Test for anxiety assessment. Statistical analyses were performed using the Wilcoxon and Mann-Whitney U tests.

Results: The EXOCOOL group had significantly reduced pain scores on the VAS scale (3.80) when compared with the topical anesthetic gel group (4.08). The TENS group had reduced pain scores on the FLACC scale as well (2.84) when compared with the topical anesthetic gel group (3.72), which was statistically significant (p = 0.003).

Conclusion: According to our study on pain and anxiety alleviation in children during LA administration, we found that TENS therapy demonstrated the highest effectiveness, surpassing both EXOCOOL and LA gel in providing relief.

How to cite this article: Goyal S, Patel M, Bhatt R, et al. Comparative Evaluation of Different Pain-alleviating Methods on Child's Dental Anxiety and Pain Perception during Local Anesthesia Administration: A Clinical Study. Int J Clin Pediatr Dent 2024;17(11):1265-1271.

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