口腔医学研究 ›› 2022, Vol. 38 ›› Issue (7): 687-690.DOI: 10.13701/j.cnki.kqyxyj.2022.07.022

• 儿童镇静与麻醉研究 • 上一篇    下一篇

动机性访谈技术在儿童口腔全麻术后疗效评估

郝鹏翔*, 武京   

  1. 山西省儿童医院口腔科 山西 太原 030013
  • 收稿日期:2022-02-28 出版日期:2022-07-28 发布日期:2022-07-22
  • 通讯作者: * 郝鹏翔,E-mail:249522434@qq.com
  • 作者简介:郝鹏翔(1981~ ),男,山西太原人,硕士,副主任医师,主要从事儿童口腔医学工作。
  • 基金资助:
    山西省卫生健康委科研课题青年项目(编号:2021129)

Efficacy Evaluation of Motivational Interviewing Technique in Children after Oral General Anesthesia

HAO Pengxiang*, WU Jing   

  1. Department of Stomatology, Shanxi Children's Hospital, Taiyuan 030013, China
  • Received:2022-02-28 Online:2022-07-28 Published:2022-07-22

摘要: 目的:对比两种不同的口腔健康管理方式在改善DGA患儿术后效果的差异,并进一步研究其可能存在的影响因素。方法:将130名进行DGA治疗的患儿作为研究对象,分为试验组和对照组,记录患儿DGA术前、术后1、3、6月龋活跃性、龋齿数及口腔卫生习惯,采用SPSS 17.0软件进行统计分析。结果:与术前相比,1月、3月、6月复查的患龋风险及患龋率均下降,但试验组下降更明显,且差异具有统计学意义。术后6月随访时,龋态风险和患龋人数相关,差异具有统计学意义。风险因素显示仅睡前吃甜食饮料、牙线使用情况与DGA术后龋病复发有明显相关,差异具有统计学意义。结论:动机性访谈技术与传统常规口腔宣教相比,在降低DGA术后龋风险及患龋率方面有明显的优势,值得在临床中进一步推广。

关键词: 儿童龋病, 全身麻醉, 动机性访谈, 龋活跃性

Abstract: Objective: To compare two oral health management methods in improving the postoperative effect for children received DGA, and to study the possible influencing factors. Methods: A total of 130 children who received DGA treatment were selected and divided into two groups. The caries activity, the number of caries, and the oral hygiene habits were recorded before DGA, 1 month, 3 months, and 6 months after DGA. Results: Compared with preoperative, the caries risk and caries rate of re-examination in 1 month, 3 months, and 6 months were decreased, but the decrease was more obvious in the experimental group (P<0.05). During the 6-month follow-up, the risk of caries state was correlated with the number of caries (P<0.05). Risk factors showed that only eating sweets and beverages before going to bed and using dental floss were significantly associated with the recurrence of caries after DGA (P<0.05). Conclusion: Compared with traditional oral education, motivational interviewing technology has obvious advantages in reducing caries risk and caries rate after DGA, and it is worthy of further promotion in clinical practice.

Key words: childhood caries, general anesthesia, motivational interviewing, caries activity