PDF(Pubmed)
Abstract：
UNASSIGNED: To compare and evaluate the efficacy of transcutaneous electrical nerve stimulation (TENS) and a vibrational precooling system in reducing pain and anxiety during the administration of local anesthesia in children aged 6-12 years old.
UNASSIGNED: A total of 60 children aged 6-12 years old participated in this randomized controlled trial and were randomly allocated to three groups: the conventional method group, the vibrational precooling system group, and the TENS group. The Modified Dental Anxiety Scale (MDAS), pulse rate, and oxygen saturation were recorded to assess the preoperative anxiety of the participating children. Sound, motor, and eyes (SEM) and face, legs, activity, cry, and consolability (FLACC) scores were recorded during the procedure, along with pulse rate and oxygen saturation, to measure pain during the procedure. This was followed by a self-administered visual analog scale (VAS) to assess the discomfort felt by the child.
UNASSIGNED: A statistically significant reduction in pain was observed with the usage of the vibration system and TENS, as measured by the FLACC scale, compared to the conventional method group. Similarly, statistically significant differences in SEM scores were noted between the vibrational precooling system group and the conventional method group, as well as between the TENS group and the conventional method group, with the highest scores observed in the conventional method group. The children reported the highest comfort levels with the usage of the vibration system, as indicated by the self-administered VAS. However, no statistically significant difference was observed within any group.
UNASSIGNED: The new vibrational precooling system as well as TENS can be effectively used to alleviate the pain experienced during the administration of local anesthesia.
UNASSIGNED: Singh K, Jhingan P, Mathur S, et al. Intercomparison of Efficacy of Transcutaneous Electrical Nerve Stimulation and Precooling Vibration Device on Pain and Anxiety Management during Administration of Local Anesthesia Injection in 6-12-year-olds. Int J Clin Pediatr Dent 2024;17(3):297-302.
UNASSIGNED: A total of 60 children aged 6-12 years old participated in this randomized controlled trial and were randomly allocated to three groups: the conventional method group, the vibrational precooling system group, and the TENS group. The Modified Dental Anxiety Scale (MDAS), pulse rate, and oxygen saturation were recorded to assess the preoperative anxiety of the participating children. Sound, motor, and eyes (SEM) and face, legs, activity, cry, and consolability (FLACC) scores were recorded during the procedure, along with pulse rate and oxygen saturation, to measure pain during the procedure. This was followed by a self-administered visual analog scale (VAS) to assess the discomfort felt by the child.
UNASSIGNED: A statistically significant reduction in pain was observed with the usage of the vibration system and TENS, as measured by the FLACC scale, compared to the conventional method group. Similarly, statistically significant differences in SEM scores were noted between the vibrational precooling system group and the conventional method group, as well as between the TENS group and the conventional method group, with the highest scores observed in the conventional method group. The children reported the highest comfort levels with the usage of the vibration system, as indicated by the self-administered VAS. However, no statistically significant difference was observed within any group.
UNASSIGNED: The new vibrational precooling system as well as TENS can be effectively used to alleviate the pain experienced during the administration of local anesthesia.
UNASSIGNED: Singh K, Jhingan P, Mathur S, et al. Intercomparison of Efficacy of Transcutaneous Electrical Nerve Stimulation and Precooling Vibration Device on Pain and Anxiety Management during Administration of Local Anesthesia Injection in 6-12-year-olds. Int J Clin Pediatr Dent 2024;17(3):297-302.
摘要：
■比较和评估经皮神经电刺激（TENS）和振动预冷系统在6-12岁儿童局部麻醉期间减轻疼痛和焦虑的功效。
■共有60名6-12岁儿童参加了这项随机对照试验，并随机分为三组：常规方法组，振动预冷系统组，和TENS组。改良牙科焦虑量表(MDAS),脉搏率,记录血氧饱和度以评估参与儿童的术前焦虑情况.声音,电机,眼睛（SEM）和面部，腿,活动,哭泣，在手术过程中记录和可操纵性（FLACC）评分，连同脉搏率和氧饱和度,在手术过程中测量疼痛。随后是自我管理的视觉模拟量表（VAS），以评估儿童的不适感。
■使用振动系统和TENS观察到疼痛的统计学显着减轻，用FLACC量表测量，与常规方法组相比。同样，振动预冷系统组与常规方法组的SEM评分差异有统计学意义,以及TENS组和常规方法组之间，在常规方法组中得分最高。孩子们报告说，使用振动系统的舒适度最高，如自我给药的VAS所示。然而,在任何组内均未观察到统计学上的显著差异.
■新的振动预冷系统以及TENS可有效地用于减轻局部麻醉给药过程中的疼痛。
■辛格·K,JhinganP,MathurS,etal.经皮神经电刺激和预冷振动装置对6-12岁儿童局部麻醉注射期间疼痛和焦虑管理的疗效比较。IntJClinPediatrDent2024；17(3)：297-302。
■共有60名6-12岁儿童参加了这项随机对照试验，并随机分为三组：常规方法组，振动预冷系统组，和TENS组。改良牙科焦虑量表(MDAS),脉搏率,记录血氧饱和度以评估参与儿童的术前焦虑情况.声音,电机,眼睛（SEM）和面部，腿,活动,哭泣，在手术过程中记录和可操纵性（FLACC）评分，连同脉搏率和氧饱和度,在手术过程中测量疼痛。随后是自我管理的视觉模拟量表（VAS），以评估儿童的不适感。
■使用振动系统和TENS观察到疼痛的统计学显着减轻，用FLACC量表测量，与常规方法组相比。同样，振动预冷系统组与常规方法组的SEM评分差异有统计学意义,以及TENS组和常规方法组之间，在常规方法组中得分最高。孩子们报告说，使用振动系统的舒适度最高，如自我给药的VAS所示。然而,在任何组内均未观察到统计学上的显著差异.
■新的振动预冷系统以及TENS可有效地用于减轻局部麻醉给药过程中的疼痛。
■辛格·K,JhinganP,MathurS,etal.经皮神经电刺激和预冷振动装置对6-12岁儿童局部麻醉注射期间疼痛和焦虑管理的疗效比较。IntJClinPediatrDent2024；17(3)：297-302。
