评估6-12岁儿童在使用常规、胰岛素和欺骗注射器进行局部麻醉时的焦虑水平和疼痛感知

N. Kohli, S. Hugar, Vidyavathi H Patil, N. Saxena, Krishna S Kadam, Sanika Karmarkar
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引用次数: 0

摘要

背景注射是牙科中最令人恐惧的刺激物之一。无痛注射是缓解焦虑的重要一步,这反过来又会导致儿童的良好行为。目的是评估和比较儿童局部麻醉期间使用常规、胰岛素和欺骗注射器的焦虑水平和疼痛感知。方法按标准样本量公式抽取6 ~ 12岁儿童45例,随机分为3组。a组用常规注射器局部麻醉,B组用胰岛素注射器局部麻醉。C组参与者通过向患者展示一次性封闭针尖,使用欺骗注射器进行局部麻醉,最终在对患者隐藏后使用传统注射器进行局部麻醉。在基线和局部麻醉后,使用Venham图像量表和脉搏率评估焦虑水平。采用Wong-Baker面部疼痛评定量表评估局部麻醉后的疼痛感觉。结果胰岛素注射剂和欺骗注射剂对患者焦虑水平和疼痛感知的降低效果优于常规注射剂,差异有统计学意义。结论使用胰岛素和欺骗注射器给药可以有效缓解儿童的焦虑,因此推荐作为传统注射器的替代方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating anxiety levels and pain perception while administering local anesthesia using conventional, insulin, and deception syringes in 6-12-year-olds
Background Injections are one of the most fear-provoking stimuli in dentistry. Painless administration of an injection is a vital step in alleviating anxiety, which in turn leads to good behavior in children. The aim is to evaluate and compare anxiety levels and pain perception using conventional, insulin, and deception syringes during the administration of local anesthesia in children. Methods Forty-five children aged 6–12 were selected using a standard sample size formula and equally divided into three groups. Local anesthesia was administered using a conventional syringe to Group A participants and an insulin syringe for Group B participants. Group C participants were administered local anesthesia using a deception syringe by showing the patient disposable obturation tips, and eventually a conventional syringe was used for administration of local anesthesia after hiding them from the patient. Anxiety levels were assessed using Venham’s Picture Scale and pulse rate at baseline and after administration of local anesthesia. The Wong-Baker Faces Pain Rating Scale was used to assess pain perception after the administration of local anesthesia. Results Insulin and deception syringes showed better reduction in anxiety levels and pain perception than conventional syringes, demonstrating a high statistically significant difference. Conclusion The use of insulin and deception syringes for administration of anesthesia was demonstrated to be effective in alleviating anxiety in children and is therefore recommended as an alternative to conventional syringes.
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