中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (6): 508-511.doi: 10.19438/j.cjoms.2020.06.007

• 论著 • 上一篇    下一篇

下颌第三磨牙拔除患者疼痛、焦虑情况与人格特点的相关性分析

胡慧君, 常志明, 李晓蕾, 苗千代, 韩燕   

  1. 中国中医科学院西苑医院 口腔科,北京 100091
  • 收稿日期:2020-04-17 修回日期:2020-07-20 发布日期:2020-12-31
  • 通讯作者: 韩燕,E-mail:yqkhy4@163.com
  • 作者简介:胡慧君(1986-),男,硕士,主治医师,E-mail:bbrep6@163.com
  • 基金资助:
    国家自然科学基金青年项目(81601938)

Correlation among pain, anxiety and personality traits of patients undergoing impacted mandibular third molar extraction

HU Hui-jun, CHANG Zhi-ming, LI Xiao-lei, MIAO Qian-dai, HAN Yan   

  1. Department of Stomatology, Xiyuan Hospital of China Academy of Chinese Medical Sciences. Beijing 100091, China
  • Received:2020-04-17 Revised:2020-07-20 Published:2020-12-31

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摘要： 目的: 探讨下颌第三磨牙拔除患者疼痛、焦虑情况及其与人格特点之间的关系。方法: 选择85例下颌第三磨牙拔除患者,术前采用改良牙科焦虑量表(modified dental anxiety scale, MDAS)及艾森克人格问卷(Eysenck personality questionnaire, EPQ-RSC)进行调查评分,术后第2天采用视觉模拟疼痛量表(visual analogue scale, VAS)进行评分,分析VAS 评分、MDAS评分与人格特点的相关性。采用SPSS 19.0软件包对数据进行统计学分析。结果: 85例患者中,轻度疼痛、中度疼痛分别占52.94%与47.06%,轻度焦虑、中度焦虑与重度焦虑分别占61.18%、28.23%、10.59%;轻、中度疼痛患者L、P、E评分比较无显著差异(P>0.05),轻度疼痛患者N评分显著低于中度疼痛患者(P<0.05);不同焦虑程度患者L、P评分比较无显著差异(P>0.05),N评分为轻度<中度<重度(P<0.05),E评分为轻度>中度>重度(P<0.05);相关性分析显示,患者疼痛与神经质之间呈正相关性(r=0.198,P=0.001);焦虑与神经质之间呈正相关性(r=0.205,P<0.001),与内外向之间呈负相关(r=-0.312,P<0.001)。结论: 下颌第三磨牙拔除患者均存在一定程度焦虑及术后疼痛,且焦虑情绪与神经质、内外向人格存在显著相关性,疼痛程度与神经质人格特点紧密相关。

关键词: 下颌第三磨牙, 拔除术, 疼痛, 焦虑, 人格特点

Abstract: PURPOSE: To study the occurrence of pain and anxiety of patients undergoing impacted mandibular third molar extraction, and analyze their correlation with personality traits. METHODS: Eighty-five patients undergoing impacted mandibular third molar extraction were selected as the subjects. Pain visual analogue scale (VAS) scores, modified dental anxiety scale (MDAS) scores and Eysenck personality questionnaire (EPQ-RSC) scores were measured and recorded. The correlation between VAS score, MDAS score and personality traits was analyzed using SPSS 19.0 software package. RESULTS: Among 85 patients, mild and moderate pain accounted for 52.94% and 47.06% respectively. Patients with mild, moderate and severe anxiety accounted for 61.18%, 28.23% and 10.59%, respectively. There were no significant differences in L, P or E scores between patients with mild and moderate pain (P>0.05). N scores of patients with mild pain were significantly lower than those with moderate pain (P<0.05). There was no significant difference in L or P scores between patients with different levels of anxiety (P>0.05). The order of N scores of patients with different levels of anxiety from low to high was as follows: mild, moderate, severe (P<0.05). The order of E score from high to low was as follows: mild, moderate, severe (P<0.05). Correlation analysis showed that pain was positively correlated with neuroticism (r=0.198, P=0.001). Anxiety was positively correlated with neuroticism (r=0.205, P<0.001), but negatively correlated with introversion and extroversion (r=-0.312, P<0.001). CONCLUSIONS: Patients undergoing impacted mandibular third molar extraction all have anxiety and postoperative pain, and there is an obvious correlation between anxiety and neuroticism, introversion and extroversion.

Key words: Mandibular third molar, Extraction, Pain, Anxiety, Personality traits

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