背景:口腔种植手术是在局部麻醉下在缺失牙齿区域进行人工植入物的有效程序。因为局部麻醉的病人在这个过程中是有意识的,与全身麻醉相关的手术相比,他们更有可能经历负面情绪,如焦虑和紧张。这些情绪反应导致四肢发抖和发冷,导致医患合作不力,甚至避免治疗。在中医中,据认为,穴位按摩调节血液和气血,疏通月经,缓解疼痛,这有利于患者的情绪调整;然而,很少有相关的临床研究。
目的:观察穴位按摩联合触摸治疗口腔种植患者焦虑和疼痛的变化。
方法:将2020年5月至2023年5月在我院接受口腔种植的100例患者随机分为对照组和研究组,根据随机数表,每组50名患者。对照组给予常规干预,研究组在对照组基础上采用穴位按摩联合抚触。焦虑[使用改良牙科焦虑量表(MDAS)评估],疼痛严重程度,血压,心率,比较两组患者的满意度。
结果:干预前,两组患者的MDAS评分差异无统计学意义(P>0.05),而在干预之后,两组患者的MDAS评分均较干预前降低(P<0.05);研究组患者的MDAS评分低于对照组,差异具有统计学意义(P<0.05)。干预组疼痛程度明显低于对照组(P<0.05)。在干预之前,两组收缩压、舒张压及心率比较差异均无统计学意义(P>0.05)。干预组的收缩压和舒张压及心率,在干预期间和之后,显著低于对照组(P<0.05)。研究组总满意度明显高于对照组(P<0.05)。
结论:穴位按摩结合触摸能更好地缓解种植牙手术患者的焦虑和疼痛,改善这些患者的围手术期舒适度,确保安全和顺利手术。
BACKGROUND: Oral implant surgery is an effective procedure for artificial implants in missing tooth areas under local anesthesia. Because patients under local anesthesia are conscious during this procedure, compared with general anesthesia-related operations, they are more likely to experience negative emotions, such as anxiety and tension. These emotional reactions result in shivering and chills in the limbs, leading to poor doctor-patient cooperation and even avoidance of treatment. In traditional Chinese medicine, it is believed that acupoint massage regulates blood and Qi, dredge menstruation, and relieve pain, which is beneficial for patients\' emotional adjustment; however, there are few related clinical studies.
OBJECTIVE: To observe the changes in anxiety and pain in patients with oral implant after acupoint massage combined with touch therapy.
METHODS: One hundred patients undergoing oral implantation in our hospital between May 2020 and May 2023 were randomly divided into control and study groups, according to a random number table, with 50 patients in each group. The control group received routine intervention, and the study group received acupoint massage combined with touch on the basis of the control group. Anxiety [assessed using the Modified Dental Anxiety Scale (MDAS)], pain severity, blood pressure, heart rate, and satisfaction were compared between the two groups.
RESULTS: Before intervention, the difference in MDAS score between the two groups was not significant (P > 0.05), while after the intervention, the MDAS scores decreased in both groups compared with those before the intervention (P < 0.05); the MDAS score of the study group was lower than that of the control group, with a statistically significant difference (P < 0.05). The degree of pain in the intervention group was significantly lower than that in the control group (P < 0.05). Before the intervention, there were no significant differences in systolic and diastolic blood pressures or heart rate between the two groups (P > 0.05). The systolic and diastolic blood pressures and heart rate in the intervention group, during and after the intervention, were significantly lower than those in the control group (P < 0.05). The total degree of satisfaction in the study group was significantly higher than that in the control group (P < 0.05).
CONCLUSIONS: Acupoint massage combined with touch better relieves anxiety and pain in patients undergoing dental implant surgery, improving the perioperative comfort of these patients and ensuring safety and a smooth operation.