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目的探讨心理干预在青少年固定矫治中对临床疗效的影响。方法选取2007—2011年在煤炭总医院口腔科就诊的青少年错牙合畸形患者70例,随机分为干预组和对照组,每组35例,均采用标准直丝弓固定矫治技术。干预组在固定矫治全过程中,除进行常规正畸治疗及正畸宣教外,同时给予各种心理干预措施对正畸患者进行心理干预;对照组仅仅采用常规正畸治疗及正畸宣教,不给予心理干预。观察记录二组患者的按时复诊情况、积极配合人数、口腔卫生情况、矫治装置保护情况、矫治附件佩戴情况、疗程≤1.5年人数及复发人数,矫治结束后,随访观察2年,比较二组患者的临床矫治效果。结果固定矫治全过程中,二组患者均能按时复诊、坚持完成治疗。干预组取得了令人满意的临床疗效,积极配合情况、口腔卫生情况、矫治装置保护情况、矫治附件佩戴情况、疗程及复发情况等方面均优于对照组,二组间差异具有统计学意义(P<0.05)。结论心理干预可以明显提高青少年正畸患者的临床矫治效果,在正畸临床上适宜常规推广应用。
Objective To explore the effect of psychological intervention on the clinical efficacy in adolescent fixed orthodontics. Methods Seventy patients with malocclusion and malocclusion in dentistry from 2007 to 2011 in the General Hospital of Coal General Hospital were randomly divided into intervention group and control group, with 35 cases in each group. All patients were treated with standard straight arch fixation. The intervention group in the whole process of fixed orthodontics, in addition to conventional orthodontic treatment and orthodontic mission, while giving all kinds of psychological interventions for psychological intervention in orthodontic patients; the control group only conventional orthodontic treatment and orthodontic mission, not Give psychological intervention. Observed and recorded two groups of patients on time referral situation, and actively cooperate with the number of oral health protection device protection situation, wear attachment treatment, treatment ≤ 1.5 years and the number of relapse, correction after the end of follow-up observation of 2 years, compared two groups of patients The effect of clinical treatment. Results Fixed correction of the whole process, the two groups of patients can be on time referral, adhere to the completion of treatment. The intervention group achieved satisfactory clinical efficacy, active cooperation, oral hygiene, appliance protection, orthodontic attachment wear, treatment and recurrence were better than the control group, the difference between the two groups was statistically significant ( P <0.05). Conclusion Psychological intervention can significantly improve the clinical effect of orthodontic treatment in adolescents, and is suitable for routine popularization and application in orthodontics.