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1、音乐缓解正畸治疗性疼痛的临床研究[摘要]目的探讨音乐对正畸治疗性疼痛的缓解作用。方法根据随机对照原则将初戴固定矫治器的165例患者分为音乐组和空白组,音乐组釆用音乐干预正畸性治疗疼痛,空白组不采用任何干预疼痛的措施。应用视觉模拟评分法(VAS)评估受试者的止畸治疗性疼痛强度,并分析受试者的年龄、性别、情绪及人格对音乐缓解正畸疼痛效果的影响。结果有效调查率为85.45%0音乐组的正畸治疗性疼痛低于空白组(P〈0.05)。音乐组和空白组中情绪不稳定患者较情绪稳定患者疼痛明显,内向型人格患者较外向型人格患者疼痛明显(P<0・05)。音乐组中女性患者较男性患者疼痛明显(P<0.05)o结论
2、音乐对正畸治疗性疼痛的缓解有较好的效果。音乐缓解正畸治疗性疼痛男性优于女性,外向型人格优于内向型人格,情绪稳定者优于不稳定者。[关键词]音乐;疼痛控制;人格特征;正畸治疗[中图分类号]R783.5[文献标志码]A[doi]10.7518/hxkq.2013.04.009ClinicalresearchofmusicinrelievingorthodonticpainXuXiaomeil,ZhangLihual,JiangYahua2,HuangYuel,HuangSuhual,YangSiweil.(1.OrofacialReconstructionandRegenerationL
3、aboratory,Dept,of0fthodontics,Hos-pitalofStomatology,LuzhouMedicalCollege,Luzhou646000,China;2.Dept,ofStomatology,YellowRiverHospitalofSanmenxia,Sanmenxia472000,China)[Abstract]ObjectiveTodiscusstheeffectofmusicinrelievingpainduringorthodontictreatment・MethodsOnehundredandsixty-fivecaseswhowor
4、earchesthefirsttimewereselectedandtreated.Thesepatientswererandomlydividedintotwogroups:Musicgroupandblankgroup.Themusicinterventionwasusedinreducingorthodontictreat-mentpain,whi1eblankgroupexperiencednointerventionmeasures・Visualanaloguescales(VAS)wereadoptedtorecordpatients'perceptionofpain,
5、andEysenckpersonalityquestionnaire(EPQ)toevaluatepersonalitytraitsofallsamples.ResultsIn165patients,85.45%wereeffective.Themusicgroupshowedsignificantlylesspainthantheblankgroup(P<0.05)•Inmusicandblankgroup,thepainwasstrongerinthepatientswithatendencyofintroversionthanthosewithatendencyofextro
6、version,aswellastheirritabi1ityonesthansteady-minded(P<0.05).Tnmusicgroup,thepainwasstrongerinthefemalesthanthemales(P<0.05)・ConclusionMusichelpstorelievepainduringortho-donticstreatment.Theeffectofmusictorelievethepainduringorthodonticstreatmentforthemalesarebetterthanthatforthefemales,extrov
7、ertedpersonalityonesaresuperiortointroversivepersonalityones,andthesteady-mindedpatientsarebetterthanirritabilityones.[Keywords]music;paincontrol;personalitycharacteristics;orthodontictreatment正畸治疗中初始弓丝放入后的疼痛几乎是每位患者和医生都必须面对的问题[1]。其临床上主要