Assessment of psychological changes in young children during dental treatment: Analysis of the autonomic nervous activity and electroencephalogram
Assessment of psychological changes in young children during dental treatment: Analysis of the autonomic nervous activity and electroencephalogram
复制标题
幼儿牙科治疗过程中心理变化的评估：自主神经活动和脑电图分析
DOI：
10.1111/ipd.12921
复制
发表时间：
2021
影响因子：
3.8
通讯作者：
Yoshida Naomi
中科院分区：
文献类型：
--
作者：
Sekiya Taki;Sugimoto Kumiko;Kubota Ayako;Tsuchihashi Natsumi;Oishi Atsushi;Yoshida Naomi
背景了解儿童在牙科治疗过程中的情绪变化是提供无压力护理的必要条件。目的根据自主神经活动和脑电图（EEG）客观评估儿童牙科治疗相关的压力。设计从儿科门诊招募了22名4-9岁的儿童。记录心电图和脑电图，分析自主神经活动和脑电波功率。在两个年龄组中评价了每个治疗过程中这些测量值的变化：结果4 -6岁组在橡胶坝设置（RD）时交感神经活动增加，副交感神经活动减少;浸润麻醉（IA）、RD、和使用牙科涡轮机（CP‐T）进行洞腔制备。在6-9岁年龄组的IA和CP-T期间观察到EEG中与应激相关的β波增量，但在4-6岁年龄组中未观察到。结论在治疗期间监测自主神经活动有助于评估年龄较大的幼儿的应激，而EEG监测仅适用于6岁以上的儿童。
BackgroundUnderstanding the emotional changes in children during dental treatment is necessary for providing stress‐free care.AimTo objectively assess the stress associated with dental treatment in children, based on the autonomic nervous activity and the electroencephalogram (EEG).DesignTwenty‐two children aged 4–9 years were recruited from outpatients of a paediatric clinic. Electrocardiogram and EEG were recorded throughout the treatment to analyze the autonomic nervous activities and the powers of brain waves, respectively. Changes in these measurements during each treatment process were evaluated in two age groups: 4–6 years and 6–9 years.ResultsElevations in sympathetic activities accompanied by decreased parasympathetic activities induced by stress were observed during rubber dam setting (RD) in the age group of 4–6 years and during infiltration anesthesia (IA), RD, and cavity preparation with a dental turbine (CP‐T) in the age group of 6–9 years. Stress‐related beta wave increments in EEG were observed during IA and CP‐T in the age group of 6–9 years but not in the age group of 4–6 years.ConclusionMonitoring the autonomic nervous activities during treatments is useful in assessing stresses in a wide age of young children, whereas EEG monitoring is applicable only to children older than 6 years.