治疗措施对牙科畏惧症的影响

目的观察治疗措施对牙科畏惧症(DF)患者的作用。方法采用经典的Corah's的牙科畏惧症(DF)评分量表对患者进行自我评分,通过综合治疗措施后,对患者再次用DF评分量表进行评价。结果 120～40年龄组、40～60年龄组及总体样本治疗后平均症状程度均轻于治疗前(U=4.3,P0.001,U=2.13,P=0.03);60～80年龄组治疗前后症状减轻但无统计学意义(U=1.61,P=0.11);男性、女性患者治疗后平均症状程度均轻于治疗前(U=2.12,P=0.03,U=4.00,P0.001);220～40年龄组、40～60年龄组及总体样本治疗后总发病率均低于治疗前总发病率(χ2=20.12,P0.001,χ2=4.68,P=0.03);60～80年龄组治疗前后总发病率降低但无统计学意义(χ2=2.03,P=0.15);女性患者治疗后总发病率低于治疗前;治疗前后总发病率比较有统计学意义(χ2=16.94,P0.001),男性治疗后总发病率低于治疗前,但无统计学意义(χ2=3.46,P=0.06);3不同年龄段患者,经过两两比较,20～40年龄段患者疗后总发病率降低值大于40～60年龄段和60～80年龄段患者(P0.0125);4不同性别患者治疗后总发病率降低值比较有统计学意义(χ2=5.29,P=0.02),女性治疗后总发病率降低值大于男性。结论综合治疗措施对患者有效,可以降低牙科畏惧症的发病率。

Effect of Therapeutic Schedul for Dental Fear

Objective To observe effects of therapeutic shedule for dental fear patients.Methods By the classical Corah＇s DF rating scale,the DF patients were assessed.After the comprehensive treatments,these patients were asked to fill in the DF rating scale again.Results ①Among groups aged from 20～40,40～60 andall patients,their symptom were lower than before（U=4.3,P〈0.001,U=2.13,P=0.03）.The group aged from 60～80＇s symptom had no statisticaly significanct change （U=1.61,P=0.11）.Both male and female patients＇ average symptom were alleviated after treatments（U=2.12,P=0.03,U=4.00,P〈0.001）;②Among groups aged from 20～40,40～60 and all patients,the incidence rate was reduced（χ2=20.12,P〈0.001,χ2=4.68,P=0.03）.but the group aged from 60～80＇s had no statistical significance（χ2=2.03,P=0.15）.Female＇s incidence rate reduced and had statistical significance（χ2=16.94,P〈0.001）;male patients＇ incidence rate was also reduced but had no statistical significance（χ2=3.46,P=0.06）;③For different age groups,after pairwise comparison,the decrement of incidence rate of the group aged from 20～40 was higher than the group aged from 40～60 and the group aged from 60～80 （P〈0.0125）;④The comparison between the decrement of the incidence rate of different gender had statistical significance （χ2=5.29,P=0.02）,generally the decrement rate of female＇s were greater than male＇s.Conclusion The comprehensive treatment is efficient for patients,which can reduce the incidence of DF.