摘要
目的 :探讨门诊不同年龄组牙病患儿行为表现及治疗方法的差异以便指导临床工作。方法 :对 994名 1～ 12岁牙病患儿按不同年龄分组 ,根据其行为表现采取相应治疗方法 ,并通过剖析患儿、家长、医护人员在牙科治疗中的三角关系得出儿童牙病顺利治疗的影响因素。结果 :患儿在接受治疗时 ,其行为表现有较大的年龄差异。婴儿期以不合作型居多 ;学龄期以合作型居多 ;学前期居中。对接受治疗的儿童所采取的方法之不同也有明显的年龄差异。婴儿期以强制法为主 ;学前期以常规法为主 ,但诱导法及威吓法是治疗不合作患儿的主要手段 ;学龄期以常规法为主 ,对不合作患儿多采用诱导法 ,威吓法及强制法很少应用。在治疗时婴儿期患儿多需家长陪伴 ,学前期及学龄期患儿可独立完成治疗。结论 :年龄是决定患儿临床行为表现及采用何种治疗方法的重要因素。治疗程序链有益指导临床工作。
Objective: To inquire into the discrepancy in the behavior and therapeutic ways for the children at different age with dental diseases.Methods: 994 children at the age of 1～12 with dental diseases were divided into 3 groups on the base of their ages. Relevant therapeutic ways were taken according to their behavior. The influencing factors that made dental treatment finished smoothly were reached through analyzing the relationship among the children, the parents and the medical personals. Results: The manifestations of children's behavior had significant age differences when they received dental treatment. Non cooperative children constituted the majority of the infantile children, while the school age children were mostly cooperative. The ways chosen to treat children's dental diseases also had significant age differences. Compulsory means was the main way to treat infantile children and routine means to the pre school age and school age children. Inductive and threatening ways were always used for the non cooperative pre school age children. The non cooperative school age children were always received inductive means and seldom threatening and compulsory ones. The parents often accompanied with the infantile children, but did not with the pre school age and school age children. Conclusion: The age is a key factor to determine the clinical manifestations and the methods used to treat children's dental diseases.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2002年第3期265-267,共3页
Journal of Practical Stomatology
