文章摘要

种植牙围手术期疼痛评估及缓解的影响因素

作者: 1胡晓琳, 2陈艳
1 南京大学医学院附属口腔医院,南京市口腔医院耳鼻喉科,南京 210000
2 南京医科大学附属南京医院(南京市第一医院)口腔科,南京 210000
通讯: 陈艳 Email: epilepsy002@163.com
DOI: 10.3978/j.issn.2095-6959.2020.08.032

摘要

目的:探讨种植牙围手术期口腔内疼痛及影响术后疼痛缓解的危险因素。方法:选取于南京市第一医院口腔科门诊行种植牙手术的患者,分别于术前、术后即刻及术后1周完成视觉模拟评分法量表评估;同时采集患者人口学资料、临床特征、种植牙数目及种植牙位置等变量。分别以单因素分析方法比较不同时间点疼痛程度;以术后1周疼痛评分低于3分为无疼痛,筛选影响疼痛缓解的危险因素。结果:共107例患者完成本试验量表调查。术后即刻疼痛评分最高,18~59岁人群术前疼痛评分低于60岁及以上者,差异具有统计学意义(P<0.05)。多因素logistic回归校正后分析示,年龄<60岁和男性为术后疼痛缓解有利因素。结论:患者疼痛自评量表结果表明种植牙过程仍会产生轻至中度疼痛,种植牙术后1周的疼痛程度可恢复至基线水平或更低。
关键词: 种植牙;疼痛;视觉模拟评分法

Influencing factors for pain assessment and relief within perioperative period among patients with dental implant

Authors: 1HU Xiaolin, 2CHEN Yan
1 Department of Oto-Rhino-Laryngology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210000, China
2 Department of Stomatology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210000, China

CorrespondingAuthor: CHEN Yan Email: epilepsy002@163.com

DOI: 10.3978/j.issn.2095-6959.2020.08.032

Abstract

Objective: To assess the severity of the pain among perioperative period of dental implant and identify the risk factors of pain relief. Methods: We enrolled adult patients with dental implant at Department of Dentistry, Nanjing First Hospital, Nanjing Medical University. We measured the severity of pain before surgery (T0), immediately after surgery (T1) and 1 week after surgery (T2) by visual analogue scale. Other variables related with demographic and clinical characteristics were recorded. We compared the severity of pain at three time points by univariate analysis. We defined pain reliving as the VAS scoring at T2 less than 3, and screened the risk factors about pain relief. Results: A total 107 patients were enrolled and completed the questionnaires. The severity of pain at T1 was higher than T0 and T2. There were no significant pain among included patients. Pain score in patients at 18–59 years old was lower than those at 60 years or older (P<0.05). Age ≤60 years and male were the promote factors for pain relief. Conclusion: Patient self-assessment indicates that implant placement is a mild to moderately painful procedure. However, the pain after implant placement one week will be relieved as or lower than before operation.
Keywords: dental implant; pain; Visual Analogue Scale